CAJ | 학술논문

目的探讨山东省中西部地区25岁以上农村常住居民高血压的危险因素及高危人群.方法采用多阶段分层随机抽样的方法 ,对该地区调查对象进行问卷调查、体格检查以及实验室检测.应用分类树分析高血压人群的危险因素及高危人群.结果高血压的主要危险因素为年龄、腹型肥胖、超重或肥胖、高血压家族史、血糖值较高等.高血压的高危人群主要为高年龄者;年龄较大且血糖值较高者;年龄较大且腹型肥胖或超重者;有高血压家族史且年龄较大者;有高血压家族史、腹型肥胖且年龄较大者.分类树模型学习集的灵敏度为71.87%,特异度为66.38%,总正确率为68.79%;检验集的灵敏度为70.70%,特异度为65.84%,总正确率为67.97%.结论控制体重和血糖为一般人群的预防措施,不同高危人群应根据所具有的危险因素采取不同的防治措施.高血压的人群防治应将对一般人群的普遍预防和对高危人群的重点预防相结合.
목적 탐토산동성중서부지구25세이상농촌상주거민고혈압적위험인소급고위인군.방법 채용다계단분층수궤추양적방법 ,대해지구조사대상진행문권조사、체격검사이급실험실검측.응용분류수분석고혈압인군적위험인소급고위인군.결과 고혈압적주요위험인소위년령、복형비반、초중혹비반、고혈압가족사、혈당치교고등.고혈압적고위인군주요위고년령자;년령교대차혈당치교고자;년령교대차복형비반혹초중자;유고혈압가족사차년령교대자;유고혈압가족사、복형비반차년령교대자.분류수모형학습집적령민도위71.87%,특이도위66.38%,총정학솔위68.79%;검험집적령민도위70.70%,특이도위65.84%,총정학솔위67.97%.결론 공제체중화혈당위일반인군적예방조시,불동고위인군응근거소구유적위험인소채취불동적방치조시.고혈압적인군방치응장대일반인군적보편예방화대고위인군적중점예방상결합.
Objective To explore the risk factors of hypertension and risk population for adults aged≥25 in the mid-western rural areas of Shandong province and to provide evidence for development of intervention measure. Methods Subjects aged ≥25 were selected by multi-stage stratified random sampling method. All participants were interviewed with a standard questionnaire and physically examined on height, weight, waist circumference, blood pressure and fasting plasma glucose (FPG). Classification tree analysis was employed to determine the risk factors of hypertension and high risk populations related to it. Results The major risk factors of hypertension would include age, abdominal obesity, overweight or obesity, family history and high blood sugar. The major populations at high risk would include populations as: a) being clderly, b) at middle-age but with: high blood sugar or with abdominal obesity/overweight, or with family history, c) people at middle-age but with family history and abdominal obesity. Through classification tree analysis, sensitivity, specificity and overall correct rates were 71.87%, 66.38% and 68.79 %, respectively on ' learning sample' while 70.70 %, 65.84 % and 67.97 % respectively on ' testing sample'. Conclusion Efforts on both weight and blood sugar reduction were common prevention measures for general population. Different kinds of prevention and control measures should be taken according to different risk factors existed in the targeted high-risk population of hypertension. Community-based prevention and control for hypertension measures should be integrated when targeting the population at high risk.