摘要
目的:分析辽宁省丹东市40岁及以上城镇居民高血压治疗率和控制率现状,评价相关影响因素,为本地区的高血压防控策略的制定提供理论依据。方法:采用横断面调查方法,对丹东市振安区的2098例40岁及以上常住城镇居民进行问卷调查、体格检查和实验室检查,分析高血压治疗率、控制率及相关影响因素。结果:丹东市城镇地区40岁及以上人群高血压患者共1151人,治疗率为52.9%,男性和女性分别为47.1%和56.6%,男性低于女性(X^(2)=9.862,P=0.002);高血压控制率为12.1%,男性和女性分别为9.7%和13.5%,男性低于女性,但差异无统计学意义(X^(2)=3.725,P=0.054)。年龄增加、现在饮酒(OR=0.59,95%CI:0.44〜0.79)、高血压家族史(OR=2.33,95%CI:1.80〜3.02)、超重/肥胖(OR=1.67,95%CI:1.28〜2.18)、糖尿病(OR=1.76,95%CI:1.34〜2.31)、高胆固醇(OR=1.55,95%CI:1.06〜2.28)和高低密度脂蛋白胆固醇(OR=0.61,95%CI:0.40〜0.91)为高血压治疗情况的影响因素;性别(OR=1.47,95%CI:1.00-2.16)为高血压控制情况的影响因素。结论:丹东市40岁及以上城镇居民高血压治疗率和控制率水平较低,亟需提高以降低远期心脑血管疾病发病风险。
Objective:To explore the treatment and control and related factors of hypertension in urban areas of Dandong,and provide theoretical basis for hypertension prevention.Methods:A cross-sectional survey study was conducted.A standard questionnaire,physical and laboratory examinations were conducted on 2098 urban residents aged 40 and over in Zhen′an District of Dandong.The treatment,control and related factors of hypertension were analyzed.Results:A total of 1151 people were diagnosed with hypertension.The treatment rate of hypertension was 52.9%in total,47.1%for males and 56.6%for females,and the difference is statistically significant(χ^(2)=9.862,P=0.002).The control rate of hypertension was 12.1%in total,9.7%for males and 13.5%for females,but the difference was not statistically significant(χ^(2)=3.725,P=0.054).Age,drinking(OR=0.59,95%CI:0.44-0.79),family history of hypertension(OR=2.33,95%CI:1.80-3.02),overweight/obesity(OR=1.67,95%CI:1.28-2.18),dia⁃betes(OR=1.76,95%CI:1.34-2.31),hypercholesterolemia(OR=1.55,95%CI:1.06-2.28)and increased low-density lipoprotein(OR=0.61,95%CI:0.40-0.91)were the main influence factors for the treatment of hypertension.Sex(OR=1.47,95%CI:1.00-2.16)was the main influence factor for the control of hypertension.Conclusion:Low rates of treatment and control of hypertension in urban areas of Dandong require urgent improvement to reduce the long-term risk of heart disease and cerebrovascular disease.
作者
崔晓朋
杨国红
盛禹萌
邹晓琳
蔡伟
石蕊
郭卿
陈少伯
田园梦
CUI Xiaopeng;YANG Guohong;SHENG Yumeng;ZOU Xiaolin;CAI Wei;SHI Rui;GUO Qing;CHEN Shaobo;TIAN Yuanmeng(Donggang City Central Hospital,Dandong 118000,China;The Special Medical Center of Chinese Armed Police Force,Institute of Plateau Cold Environment and Cardiovascular Disease Prevention and Control;Dandong Center for Disease Control and Prevention;Institute of the Prevention and Control of Chronic Noncommunicable Diseases,Liaoning Center for Disease Control and Prevention)
出处
《沈阳医学院学报》
2021年第3期198-201,共4页
Journal of Shenyang Medical College
基金
国家重点研发计划项目(No.2017YFC1307602,No.2017YFC1307602)。
关键词
高血压
治疗率
控制率
影响因素
城镇
hypertension
treatment
control
influence factors
urban
