张家口市高血压视网膜病变患者情况调查及危险因素分析  

Investigation and risk factors analysis of hypertensive retinopathy patients in Zhangjiakou city

作　　者：张佳 王艳丽 宋晓丛 王淑珍 ZHANG Jia;WANG Yanli;SONG Xiaocong;WANG Shuzhen(Department of Ophthalmology,Zhangjiakou First Hospital,Zhangjiakou 075000,China)

机构地区：[1]张家口市第一医院眼科,河北张家口075000

出　　处：《基础医学与临床》2024年第6期853-857,共5页Basic and Clinical Medicine

基　　金：张家口市重点研发计划(2121078D)。

摘　　要：目的探讨张家口市高血压视网膜病变患者情况调查及危险因素。方法2021年5月至2022年12月对张家口市19个县区的居民进行高血压病和高血压视网膜病变筛查,所有受检人员均测量血压、眼科检查以及血糖检测,采用问卷调查形式收集患者年龄、性别、病程、体质量指数(BMI)、并发症等,统计张家口市居民高血压视网膜病变的患病率,分析影响患者的危险因素。结果实际接受检查居民8056例,共检出高血压患者1320例,高血压患病率为16.39%(1320/8056);调查出的1320例高血压患者中检查出视网膜病变患者212例,在高血压患者中患病率为13.06%(212/1320),在所有受检居民中患病率为2.63%;年龄≥60岁占比高于<60岁占比,无高血压治疗史患者占比高于有治疗史患者(P<0.05);病患组病程、收缩压、舒张压、糖尿病占比及吸烟史占比均高于对照组(P<0.05);高血压病程长、高收缩压、高舒张压、有糖尿病史是发生高血压视网膜病变发生的危险因素(P<0.05)。结论张家口市19个县区的居民高血压视网膜病变发生率较低,且在年龄≥60岁中发病率较高,病程长、高收缩压、高舒张压及糖尿病史是其危险因素。Objective To investigate the situation and risk factors of hypertensive retinopathy in Zhangjiakou city.Methods The residents from 19 counties and districts in Zhangjiakou were screened for hypertension and blood glucose level.Blood pressure,age,gender,course of disease,body mass index(BMI)and complications of the patients were collected by a questionnaire survey.The prevalence of hypertensive retinopathy was analyzed and the risk factors affecting the patients were analyzed.Results A total of 1320 hypertension patients were found in 8056 residents with prevalence rate as 16.39%(1320/8056)and 212 of the hypertensive patients were found to have retinopathy.The prevalence rate of retinopathy was 13.06%(212/1320)in hypertensive patients and 2.63%in all the examined residents.The proportion of patients aged≥60 was higher than that of patients aged<60 years old,the proportion of patients without hypertension treatment history was higher than that of patients with hypertension treatment history(P<0.05).The disease course,systolic blood pressure,diastolic blood pressure,diabetes and smoking history in the patient group were higher than those in the control group(P<0.05).Long hypertension course of disease,high systolic and diastolic blood pressure and diabetes history were risk factors for the occurrence of hypertensive retinopathy(P<0.05).Conclusions The incidence hypertensive retinopathy in 19 counties and districts of Zhangjiakou city is low but is high among residents aged≥60 years.The risk factors are long course of disease,high systolic and diastolic blood pressure and diabetes history.

关 键 词：高血压视网膜病变 危险因素 患病率 

分 类 号：R774.1[医药卫生—眼科]