摘要
目的调查温州市区H型高血压流行病学情况并对相关危险因素进行分析。方法采用多阶段典型分层随机抽样的原则,收集1208例临床病例,鹿城区406例、瓯海区400例、龙湾区402例高血压患者进行调查,采用自行设计的流行病学调查表,获得温州地区H型高血压发病率、高发人群、分布情况等统计学数据。结果温州市区H型高血压占总高血压人群为70.9%,1208例中有857例为H型高血压,鹿城区H型高血压占比最高,406例调查对象中有296例为H型高血压,占比为72.9%,龙湾区H型高血压占比最低,400例研究对象中H型高血压为272例,占比为68%。瓯海区共入组402例,H型高血压为289例,占比为71.9%。危险因素分析结果显示H型高血压与性别、BMI、吸烟、饮酒、饮食、职业类型、体力锻炼、高血压家族史、血压、血脂及血同型半胱氨酸有关。Logisitic回归分析显示:男性,吸烟,血脂异常,血同型半胱氨酸过高,饮酒及未进行体力锻炼等是H型高血压的危险因素。结论温州市区高血压人群中H型高血压发生率较高,对于伴有高危因素易发H型高血压的人群,应开展针对性强的预防及治疗措施。
Objective To investigate the epidemiologic situations and risk factors of H-type hypertensive disease. Methods Based on the principle of multi-stage stratified random sampling typical,1208 clinical cases were collected（ including 406 cases in lucheng,400 cases in ouhai and 402 cases in longwan）. Epidemiological survey was used to obtain the H hypertension incidence,high-risk groups,and distribution conditions in wenzhou region. Results In downtown of wenzhou there were 1208 cases of H hypertension accounting for 70. 9% of total people. H hypertension accounted for the highest in Lucheng,406 cases of respondents are H high blood pressure in 296 patients（ 72. 9%）; H hypertension accounted for the lowest in Longwan,there 272 cases H high blood pressure in 400 cases of the object（ 68%）. The pressurestate-response model in the group of Ouhai had 402 cases,there were 289 cases,accounting for 71. 9%. The risk factor analysis results showed that male,smoking,dyslipidemia,high blood homocysteine,drinking and no physical exercises were all risk factors of hypertension. And logistic regression analysis showed that male,smoking,dyslipidemia,blood homocysteine were all too high,drinking and doing physical exercise were H risk factors of hypertension. Conclusion There was a greater incidence of H-hypertension in Wenzhou downtown. Targeted prevention and treatment measures should be made for people accompanied by risk factors.
出处
《中华全科医学》
2015年第12期2018-2019,2049,共3页
Chinese Journal of General Practice
基金
浙江省温州市科技局项目(2013S0061)
关键词
H型高血压
流行病学研究
危险因素分析
H-type Hypertensive disease
Epidemiologic studies
Risk factors analysis
