上海佘山镇老年高血压人群血脂异常情况及影响因素分析  

Analysis of dyslipidemia and the influencing factors in the elderly hypertensive population in Sheshan Community

作　　者：费华圆 朱寅峰 王琴 FEI Huayuan;ZHU Yinfeng;WANG Qin(Prevention and Health Care Division of Sheshan Community Health Service Center of Songjiang District,Shanghai 201602,China)

机构地区：[1]上海市松江区佘山镇社区卫生服务中心预防保健科,上海201602

出　　处：《上海医药》2024年第20期59-62,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:分析上海佘山镇60岁以上高血压人群血脂异常情况及影响因素,为社区老年高血压人群的血脂异常防制提供科学依据。方法:从2023年参与老年人体检人群筛查出高血压患者3539人,其中男性1448人(41%),女性2091(59%)人。通过问卷收集调查者个人基本信息,吸烟、饮酒、锻炼史,高血压、糖尿病史,实验室生化检查血脂四项,血糖,肝功能等,运用Logistic回归分析影响老年高血压人群血脂异常的因素。结果:3539名调查对象的血脂异常患病率为31.4%,女性(32.9%)高于男性(29.1%),差异有统计学意义(P<0.05)。单因素分析显示,血脂异常检出率与年龄,性别,体质量指数(BMI),肥胖程度,血糖,肝功能异常分布相关(P<0.05)。多因素Logistic回归分析显示,女性,BMI升高(超重或肥胖)、血糖异常、腹型肥胖是老年高血压血脂异常的独立危险因素,70岁以上是血脂异常的保护性因素(均P<0.05)。结论:上海佘山镇老年高血压人群血脂异常患病率为31.4%,在老年高血压人群中应重点关注女性和超重或肥胖者,加强合理膳食宣教,预防血脂异常的发生。Objective:To analyze the status of dyslipidemia and the influencing factors in hypertensive population over 60 years old in Sheshan Community,Shanghai and to provide scientific basis for prevention and control of dyslipidemia in the elderly hypertensive population in the community.Methods:In 20233539 hypertensive patients were screened from the elderly population who participated in the health examination among them,1448(41%)were males and 2091(59%)were females.The basic personal information of the investigated objects,the history of smoking,drinking,exercise,hypertension and diabetes history,four laboratory biochemical tests for blood lipids,blood glucose and liver function indexes were collected through the questionnaire,and the risk factors of dyslipidemia in the elderly hypertensive population were analyzed by logistic regression.Results:The prevalence of dyslipidemia was 31.3%in 3539 subjects,the prevalence of dyslipidemia was 32.9%in females,which was higher than 29.14%in males,and the difference was statistically significant(P<0.05).Univariate analysis showed that detection rate of abnormal blood lipids was related to age,gender,BMI,degree of obesity,blood glucose and abnormal distribution of liver function(P<0.05).Multivariate logistic regression analysis showed that female,BMI rise(overweight and obesity),abnormal blood glucose,and abdominal obesity were the independent risk factors of dyslipidemia in elderly patients with hypertension(P<0.05),and abnormal blood lipid over 70 years old was the proactive factors(P<0.05).Conclusion:The prevalence of dyslipidemia in the elderly hypertensive population is 31.4%in Sheshan Community,Shanghai,in the elderly hypertensive population,emphasis should be placed on women and overweight or obesity,and the education of reasonable diet should be strengthened to effectively prevent dyslipidemia occurrence.

关 键 词：高血压 血脂异常 老年人 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]