河南新乡县农村居民高血压前期和高血压患病状况及影响因素分析  

Analysis of the prevalence and influencing factors of pre-hypertension and hypertension of rural residents in Xinxiang county,Henan province

作　　者：李娟 李倩倩 王春枝 姜静 宋杰 安珍[1] 吴卫东[1] LI Juan;LI Qianqian;WANG Chunzhi;JIANG Jing;SONG Jie;AN Zhen;WU Weidong(School of Public Health,Xinxiang Medical University,Xinxiang 453003,Henan Province,China)

机构地区：[1]新乡医学院公共卫生学院,河南新乡450003

出　　处：《新乡医学院学报》2021年第10期935-939,共5页Journal of Xinxiang Medical University

基　　金：国家重点研发计划“精准医学”研究专项(编号:2016YFC0900803)。

摘　　要：目的调查河南新乡县朗公庙和七里营农村居民高血压前期及高血压的患病状况并分析其影响因素。方法2017年4月至2017年7月采用随机分层整群抽样方法抽取河南新乡县朗公庙和七里营2个村19~90岁常住居民10763人为调查对象。采用集中问卷调查方法,收集调查对象的一般人口社会学特征资料(包括性别、年龄、家庭人均月收入、文化程度、职业、婚姻状况)及吸烟、饮酒情况。对所有调查对象进行体格检查,包括身高、体质量、腰围(WC)、臀围、身体脂肪率、内脏脂肪指数、基础代谢率,并计算腰臀比(WHR)和体质量指数(BMI)。采用电子血压计测量所有观察对象血压。采用全自动生物化学仪测定所有调查对象的外周静脉血中肌酐、尿酸、尿素氮、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、总胆固醇(TC)、三酰甘油(TG)、空腹血糖(FPG)水平。结果10595份有效问卷中,血压正常者3151人(血压正常组),高血压前期患者3657例(高血压前期组),高血压患者3787例(高血压组)。高血压前期检出率为34.52%(3657/10595),高血压检出率为35.74%(3787/10595)。不同吸烟史调查对象的高血压前期患病率比较差异有统计学意义(P<0.05);不同吸烟史调查对象的高血压患病率比较差异无统计学意义(P>0.05);不同性别、年龄、家庭人均月收入、饮酒史、文化程度、婚姻状况、职业调查对象的高血压前期和高血压的患病率比较差异均有统计学意义(P<0.05)。高血压前期组与血压正常组调查对象的身高比较差异无统计学意义(P>0.05);高血压组与血压正常组调查对象的身高比较差异有统计学意义(P<0.05);血压正常组调查对象的年龄、尿酸、尿素氮、肌酐、TC、TG、HDL-C、LDL-C、FPG、WHR、BMI、WC、臀围与高血压前期组、高血压组比较差异均有统计学意义(P<0.05);高血压前期组与高血压组患者的年龄、尿酸、�Objective To investigate the prevalence of pre-hypertension and hypertension of rural residents in Langgongmiao and Qiliying,Xinxiang county,Henan province,and analyze its influencing factors.Methods A total of 10763 permanent residents aged 19 to 90 years in 2 villages of Langgongmiao and Qiliying in Xinxiang county,Henan province from April 2017 to July 2017 were selected as the survey subjects by the random stratified cluster sampling method.The general demographic and sociological characteristics(including gender,age,monthly household income,education level,occupation,marital status),smoking and drinking status of the survey subjects were collected by the centralized questionnaire survey method.All survey subjects underwent physical examination,including height,body weight,waist circumference(WC),hip circumference,body fat percentage,visceral fat index and basal metabolic rate,and the waist to hip ratio(WHR)and body mass index(BMI)were calculated.The blood pressure of all survey subjects was measured by electronic sphygmomanometer.The peripheral venous blood creatinine,uric acid,low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C),total cholesterol(TC),triglycerides(TG),fasting blood glucose(FPG)levels were detected by the automatic biochemical analyzer.Results Among the 10595 valid questionnaires,3151 cases had normal blood pressure(normal blood pressure group),3657 pre-hypertension(pre-hypertension group),and 3787 cases had hypertension(hypertension group).The detection rate of pre-hypertension was 34.52%(3657/10595),the detection rate of hypertension was 35.74%(3787/10595).There was statistically significant difference in the prevalence of pre-hypertension among survey subjects with different smoking history(P<0.05);there was no significant difference in the prevalence of hypertension among survey subjects with different smoking history(P>0.05);there were statistically significant differences in the prevalence of pre-hypertension and hypertension among survey subjects with

关 键 词：高血压 高血压前期 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]