CAJ | 학술논문

目的了解浙江省高血压患者心血管危险因素聚集情况及危险分层评估现状.方法采用多阶段分层整群随机抽样方法,2010年对浙江省≥18周岁居民进行问卷调查和身高、体重、WC、血压、FPG、2h餐后血糖及血脂等指标检测.结果最终完成全部调查项目17437人,其中高血压患者共5 227人.高血压患者中血压水平以1级高血压为主(76.76％),年龄大(男性＞55岁,女性＞65岁)、吸烟、FPG异常、糖耐量受损、TC异常、HDL-C异常、腹型肥胖、肥胖等危险因素在高血压患者中分别占42.78％、20.89％、5.31％、8.35％、9.87％、35.66％、40.55％、13.93％.高血压患者心血管危险因素呈一定聚集性,具有2个(30.44％)、3个(29.96％)危险因素的比例最高.高血压患者中心血管危险水平分层低危、中危、高危和很高危的比例分别为9.70％、47.71％、18.81％、23.78％,心血管危险分层在年龄(x2=233.19,P＜ 0.001)、性别(x2=169.49,P＜0.001)、地区(x2=30.94,P＜0.001)分布的差异均存在统计学意义,在知晓与不知晓(x2=204.45,P＜0.001)、控制与未控制(x2=18.06,P＜0.001)的患者中分布差异具有统计学意义.结论浙江省高血压患者心血管危险分层高危和很高危的比例高,尤其在≥60岁、男性、城市地区人群.
목적 료해절강성고혈압환자심혈관위험인소취집정황급위험분층평고현상.방법 채용다계단분층정군수궤추양방법,2010년대절강성≥18주세거민진행문권조사화신고、체중、WC、혈압、FPG、2h찬후혈당급혈지등지표검측.결과 최종완성전부조사항목17437인,기중고혈압환자공5 227인.고혈압환자중혈압수평이1급고혈압위주(76.76％),년령대(남성＞55세,녀성＞65세)、흡연、FPG이상、당내량수손、TC이상、HDL-C이상、복형비반、비반등위험인소재고혈압환자중분별점42.78％、20.89％、5.31％、8.35％、9.87％、35.66％、40.55％、13.93％.고혈압환자심혈관위험인소정일정취집성,구유2개(30.44％)、3개(29.96％)위험인소적비례최고.고혈압환자중심혈관위험수평분층저위、중위、고위화흔고위적비례분별위9.70％、47.71％、18.81％、23.78％,심혈관위험분층재년령(x2=233.19,P＜ 0.001)、성별(x2=169.49,P＜0.001)、지구(x2=30.94,P＜0.001)분포적차이균존재통계학의의,재지효여불지효(x2=204.45,P＜0.001)、공제여미공제(x2=18.06,P＜0.001)적환자중분포차이구유통계학의의.결론 절강성고혈압환자심혈관위험분층고위화흔고위적비례고,우기재≥60세、남성、성시지구인군.
Objective To assess the cardiovascular disease-related risk levels among hypertensive people in Zhejiang.Methods Subjects were selected from local residents aged ≥18 years old,using the multi stage stratified-random sampling method.All participants accepted physical examinations including blood tests for lipids,fasting blood glucose,2 hours blood glucose and physical measurements for obesity and blood pressure in the year 2010.Results Totally,17 437 subjects were finally included in the study,in which 5 227 were diagnosed as having hypertension,with ‘grade one hypertension’ the majority.Cardiovascular disease-related risk factors would include older age (male ＞ 55 years,female ＞ 65 years),smoking,abnormal fasting glucose,impaired glucose tolerance,abnormal TC,abnormal HDL-C,abdominal obesity and obesity,with rates as 42.78％,20.89％,5.31％,8.35％,9.87％,35.66％,40.55％ and 13.93％.Most of the hypertensive people had two (30.44％) or three risk factors (29.96％).Proportions of low,medium,high or very high risks were 9.70％,47.71％,18.81％ and 23.78％,respectively in those people with hypertension.Significant differences on cardiovascular risk stratification were found between age groups,sex and regions.There were also statistically significant differences noticed,regarding the levels of cardiovascular disease related risks between in patients aware or unaware of the diseases,under control or uncontrolled of the situation.Conclusion People under high risk or very high risk on cardiovascular disease did exist in Zhejiang,especially in those 60-year-olds,males and urban residents.