乌鲁木齐市体检人群高血压类型与其危险因素的多重对应分析  

Risk Factors for Various Subtypes of Hypertension in Urumqi’s Check-up Population:a Multiple Correspondence Analysis

作　　者：叶勒丹·马汉 孙勇[2] 张占林[1] 妥小青[1] 龚政 田恬[1] 陈珍 古丽斯亚·海力力 戴江红[1] YELEDAN·Mahan;SUN Yong;ZHANG Zhanlin;TUO Xiaoqing;GONG Zheng;TIAN Tian;CHEN Zhen;GULISIYA·Hailili;DAI Jianghong(School of Public Health,Xinjiang Medical University,Urumqi 830011,China;Health Management Center,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,China)

机构地区：[1]新疆医科大学公共卫生学院,新疆维吾尔自治区乌鲁木齐市830011 [2]新疆医科大学第一附属医院健康管理中心,新疆维吾尔自治区乌鲁木齐市830000

出　　处：《中国全科医学》2019年第16期1966-1972,共7页Chinese General Practice

基　　金：新疆维吾尔自治区自然科学基金资助项目(2017D01C425)

摘　　要：背景高血压的早发现、早诊断、早治疗及良好控制具有重要的健康和经济效益,有必要在体检人群中探讨高血压的危险因素,针对性地对高血压进行预防和控制。目的探讨乌鲁木齐市体检人群高血压类型与其危险因素之间的关系。方法选取2016年乌鲁木齐市石油新村街道和卡子湾街道社区卫生服务中心参加新疆全民健康体检的35~74岁居民6 699例为研究对象,对高血压类型与糖尿病、性别、年龄、体质指数、吸烟、饮酒之间的关系进行多重对应分析。结果多重对应分析结果显示,糖尿病、肥胖与单纯收缩期高血压(ISH)、双期高血压(SDH)关联密切;吸烟、饮酒与单纯舒张期高血压(IDH)关联密切。根据性别、年龄段进一步分层分析,男性35~44、45~54岁组,糖尿病、肥胖与ISH、SDH有关联性,吸烟、饮酒与IDH有关联性;男性55~64、65~74岁组与35~44、45~54岁组不同,未发现吸烟、饮酒与各种类型高血压的关联性;女性各年龄段糖尿病、肥胖与ISH均有关联性。结论多重对应分析在体检数据中有良好的应用,糖尿病、肥胖与ISH,35~54岁男性吸烟、饮酒与IDH的相关性值得关注。Background There are significant health and economic gains attached to early detection,diagnosis,and treatment,and good control of hypertension.So it is necessary to explore the risk factors of hypertension in the checkup population to prevent and control hypertension precisely.Objective To discuss the risk factors of different subtypes of hypertension among Urumqi population.Methods 6 699 residents aged between 35 and 74 years who participated in Xinjiang Universal Physical Examination were recruited from Shiyouxincun Street Community Health Center and Kaziwan Street Community Health Center in 2016.Multiple correspondence analysis was applied to search for the relationships of diabetes mellitus(DM),gender,age,body mass index,cigarette smoking,and alcohol drinking with hypertension subtypes.Results Study showed that DM and obesity were closely related to isolated systolic hypertension(ISH) and systolic-diastolic hypertension(SDH);cigarette smoking and alcohol drinking were closely related to isolated diastolic hypertension(IDH).Further analysis stratified by gender and age showed that in 35-44-year-old group and 45-54-year-old group,DM and obesity were associated with ISH and SDH,and cigarette smoking and alcohol drinking were associated with IDH.But in 55-64-year-old and 65-74-year-old groups,no associations of cigarette smoking and alcohol drinking with hypertension subtypes were found.In females of different age groups,DM and obesity were found to have associations with ISH.Conclusion Multiple correspondence analysis is a good technique for analyzing the check-up data.Associations of DM and obesity with ISH,and those of cigarette smoking and alcohol drinking with IDH in young and 35-54-year-old men should be concerned.

关 键 词：高血压 危险因素 多重对应分析 体格检查 新疆[维吾尔自治区] 

分 类 号：R544.1[医药卫生—心血管疾病]