CAJ | 학술논문

目的：研究宁波市西门社区H型高血压患病率及其相关危险因素。方法以2011年12-2012年1月宁波市海曙区西门社区的高血压患者为研究对象，用随机抽样的方法，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1417例符合入选标准的患者进入研究，1351例资料完整，H型高血压患病率80.53%（1088/1351），男性91.52%，女性72.90%。根据社区户籍人口构成计算，宁波市西门社区成人H型高血压患病率达16.30%。男性、高龄、高血压病程较长、高血压家族史患者的H型高血压患病率显著升高；高龄、腰围、高血压家族史、目前吸烟、目前饮酒为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、腰围、戒烟限酒是降低H型高血压发病率的关键。
목적：연구저파시서문사구H형고혈압환병솔급기상관위험인소。방법이2011년12-2012년1월저파시해서구서문사구적고혈압환자위연구대상，용수궤추양적방법，통과문권조사、체격검사화실험실검사，채집연구대상적사회인구학특정、일반정황등，이사구호적인구구성계산성인H형고혈압환병솔，병대H형고혈압적상관위험인소진행통계학분석。결과공1417례부합입선표준적환자진입연구，1351례자료완정，H형고혈압환병솔80.53%（1088/1351），남성91.52%，녀성72.90%。근거사구호적인구구성계산，저파시서문사구성인H형고혈압환병솔체16.30%。남성、고령、고혈압병정교장、고혈압가족사환자적H형고혈압환병솔현저승고；고령、요위、고혈압가족사、목전흡연、목전음주위H형고혈압적독립위험인소。결론저파시사구성인H형고혈압환병솔급고혈압인군H형고혈압환병솔교고。적겁공제혈압、요위、계연한주시강저H형고혈압발병솔적관건。
Objective To research the prevalence of H-type hypertension and its related risk factors in Ximen Community of Ningbo city. Methods Hypertensive patients in Ximen community from December 2011 to January 2012 were recruited into the study. The sociodemegraphic characteristics and general situation of the study group were collected through questionnaire survey, physical examination, and laboratory examination. The prevalence of H-type hypertension in hypertension population and this community was calculated and the risk factors of H-type hy-pertension was analyzed. Results A total of 1417 patients met the inclusion criteria, among which 1351 patients were with complete data. Of 1351 patients, 1088 patients were with H-type hypertension, with a total prevalence of 80.53% and 91.52% of male patients and 72.90% of female patients. By using the number of people over 18 years old at the end of 2011 as standardized adjustment, adult H-type hypertension prevalence in Ximen community was 16.30%. Old male patients with longer duration of hypertension and/or family history of hypertension had signifi-cantly higher prevalence of H-type hypertension. Logistic multivariate regression analysis showed that age, waist cir-cumference, family history of hypertension, smoking, alcohol consumption were the independent risk factors of H-type hypertension. Conclusion The prevalence of H-type hypertension in Ningbo City Community and the preva-lence of H-type hypertension in Hypertension is high. Active control of blood pressure, waistline, smoking, and al-cohol drinking is the key to reduce the incidence of H-type hypertension.