CAJ | 학술논문

　　目的研究宁波市社区H型高血压患病率及其相关危险因素。方法2011-12-2012-01以宁波市海曙区西门、南门社区的高血压患者为研究对象,通过问卷调查、体格检查和实验室检查，采集研究对象的社会人口学特征、一般情况等，以2011年两个社区户籍人口构成计算成人H型高血压患病率，并对H型高血压的相关危险因素进行统计学分析。结果共2077例符合入选标准的高血压患者进入研究，1895例资料完整，其中男771例（40.69%），女1124例（59.31%）；平均年龄（66.45±8.83）岁,高血压病程（10.73±8.18）年。高血压人群中H型高血压1489例，患病率78.58%，男性为91.96%，女性为69.40%。应用宁波市海曙区疾病预防与控制中心2011年末两社区18岁以上人口数统计结果进行计算，宁波市社区成人H型高血压患病率达15.41%。男性、高龄、高血压病程较长、卒中病史、高血压家族史患者的H型高血压患病率显著升高；logistic多元回归分析可见高龄、腰围、高血压家族史、吸烟、饮酒为H型高血压的独立危险因素。结论宁波市社区成人H型高血压患病率及高血压人群H型高血压患病率较高。积极控制血压、控制腰围、戒烟限酒是降低H型高血压发病率的关键。
　　목적연구저파시사구H형고혈압환병솔급기상관위험인소。방법2011-12-2012-01이저파시해서구서문、남문사구적고혈압환자위연구대상,통과문권조사、체격검사화실험실검사，채집연구대상적사회인구학특정、일반정황등，이2011년량개사구호적인구구성계산성인H형고혈압환병솔，병대H형고혈압적상관위험인소진행통계학분석。결과공2077례부합입선표준적고혈압환자진입연구，1895례자료완정，기중남771례（40.69%），녀1124례（59.31%）；평균년령（66.45±8.83）세,고혈압병정（10.73±8.18）년。고혈압인군중H형고혈압1489례，환병솔78.58%，남성위91.96%，녀성위69.40%。응용저파시해서구질병예방여공제중심2011년말량사구18세이상인구수통계결과진행계산，저파시사구성인H형고혈압환병솔체15.41%。남성、고령、고혈압병정교장、졸중병사、고혈압가족사환자적H형고혈압환병솔현저승고；logistic다원회귀분석가견고령、요위、고혈압가족사、흡연、음주위H형고혈압적독립위험인소。결론저파시사구성인H형고혈압환병솔급고혈압인군H형고혈압환병솔교고。적겁공제혈압、공제요위、계연한주시강저H형고혈압발병솔적관건。
Objective To survey the prevalence of H- type hypertension and its risk factors in communities of Ningbo city. Methods Two communities in Ningbo city were selected as study sites from December 2011 to January 2012. Questionnaire survey, physical examination and laboratory examination were performed, sociodemographic data and general information were collected. The prevalence of H- type hypertension was calculated and the risk factors were analyzed. Results A total of 2077 hypertensive patients met the inclusion criteria to enter the study. Among them 1895 patients with complete data were eligible for analysis, including 771 males (40.69%) and 1124 females (59.31%) with mean age of 66.45±8.83y and hypertension duration of 10.73 ±8.18y. There were 1489 cases of H- type hypertension with a ratio of 78.58%(91.96% for men and 69.40% for women). Statistical calculation based on 2011 population census showed that the age- adjusted prevalence of H- type hypertension in residents aged above 18 was 15.41%in Ningbo City. The prevalence of H- type hypertension was significantly higher in male pa-tients with old age, longer duration of hypertension, history of stroking and family history of hypertension. Logistic multivariate re-gression analysis showed that age, waist circumference, family history of hypertension, smoking, alcohol consumption were the independent risk factors of H- type hypertension. Conclusion The prevalence rate of H- type hypertension and the ratio of H- type hypertension in hypertensive patients are high in communities of Ningbo city.