中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2013年
11期
1020-1025
,共6页
陆凤%叶真%丛黎明%丁钢强%张新卫%胡如英%张洁%王浩%何青芳
陸鳳%葉真%叢黎明%丁鋼彊%張新衛%鬍如英%張潔%王浩%何青芳
륙봉%협진%총려명%정강강%장신위%호여영%장길%왕호%하청방
高血压%血脂异常%患病率
高血壓%血脂異常%患病率
고혈압%혈지이상%환병솔
Hypertension%Dyslipidemias%Prevalence
目的 了解浙江省居民不同亚型高血压患病率及其与血脂异常的关系.方法 于2010年6-10月,采用四阶段分层整群抽样方法,选取浙江省15个县(市、区)7571个调查家庭中年龄≥18周岁的常住人口作为调查对象,共19113名.应用自行设计的调查问卷,调查研究对象一般情况,以及行为和生活方式,同时,检测其身高、体重、血压及血脂等指标.结果 19113名调查对象中完成问卷调查、体格检查和静脉采血等全部调查项目,并剔除不符合标准者,最终纳入14731名.调查对象单纯收缩期高血压(ISH)、单纯舒张期高血压(IDH)和收缩期舒张期高血压(SDH)粗患病率分别为7.16%(1055/14731)、4.60% (677/14731)、7.09%(1045/14731),标化率分别为5.46%、4.41%、5.75%.血压正常组中TC正常、边缘升高、升高的人数分别为10571(88.43%)、1173(9.81%)、210(1.76%)名;HDL-C正常与降低的人数分别为6885 (57.60%)、5069(42.40%)名;TG正常、边缘升高、升高的人数分别为9952(79.91%)、1213(10.15%)、1189(9.95%)名;ISH组中TC正常、边缘升高、升高的人数分别为826(78.29%)、188(17.82%)、41(3.89%)例;HDL-C正常与降低的人数分别为666(63.13%)、389(36.87%)例;TG正常、边缘升高、升高的人数分别为737(69.86%)、150(14.22%)、168(15.92%)例,多因素分析显示,TG边缘升高和TG升高可增加ISH的患病风险[0R(95% CI)值分别为:1.43(1.16 ~ 1.76)、1.65(1.34 ~2.03)].IDH组中TC正常、边缘升高、升高的人数分别为556(82.13%)、99(14.62%)、22(3.25%)例;HDL-C正常与降低的人数分别为335(49.48%)、342(50.52%)例;TG正常、边缘升高、升高的人数分别为402(59.38%)、107(15.81%)、168(24.82%)例,多因素分析显示,TG边缘升高和TG升高可增加IDH的患病风险[OR(95% CI)值分别为:1.57(1.24 ~1.98)、2.18(1.76 ~2.70)].SDH组中TC正常、边缘升高、升高的人数分别为817(78.18%)、193(18.47%)、35(3.35%)例;HDL-C正常与降低的人数分别为599(57.32%)、446(42.68%)例;TG正常、边缘升高、升高的人数分别为675 (64.59%)、164(15.69%)、206(19.71%)例,多因素分析显示,TC边缘升高、TG边缘升高和TG升高可增加SDH的患病风险[OR(95% CI)值分别为:1.38(1.14~1.67)、1.43(1.18 ~1.75)、1.73(1.43~2.10)].结论 血脂异常是浙江省居民不同亚型高血压患病的影响因素,尤其是TG,应加强人群中血脂异常的筛查,降低心血管疾病危险性.
目的 瞭解浙江省居民不同亞型高血壓患病率及其與血脂異常的關繫.方法 于2010年6-10月,採用四階段分層整群抽樣方法,選取浙江省15箇縣(市、區)7571箇調查傢庭中年齡≥18週歲的常住人口作為調查對象,共19113名.應用自行設計的調查問捲,調查研究對象一般情況,以及行為和生活方式,同時,檢測其身高、體重、血壓及血脂等指標.結果 19113名調查對象中完成問捲調查、體格檢查和靜脈採血等全部調查項目,併剔除不符閤標準者,最終納入14731名.調查對象單純收縮期高血壓(ISH)、單純舒張期高血壓(IDH)和收縮期舒張期高血壓(SDH)粗患病率分彆為7.16%(1055/14731)、4.60% (677/14731)、7.09%(1045/14731),標化率分彆為5.46%、4.41%、5.75%.血壓正常組中TC正常、邊緣升高、升高的人數分彆為10571(88.43%)、1173(9.81%)、210(1.76%)名;HDL-C正常與降低的人數分彆為6885 (57.60%)、5069(42.40%)名;TG正常、邊緣升高、升高的人數分彆為9952(79.91%)、1213(10.15%)、1189(9.95%)名;ISH組中TC正常、邊緣升高、升高的人數分彆為826(78.29%)、188(17.82%)、41(3.89%)例;HDL-C正常與降低的人數分彆為666(63.13%)、389(36.87%)例;TG正常、邊緣升高、升高的人數分彆為737(69.86%)、150(14.22%)、168(15.92%)例,多因素分析顯示,TG邊緣升高和TG升高可增加ISH的患病風險[0R(95% CI)值分彆為:1.43(1.16 ~ 1.76)、1.65(1.34 ~2.03)].IDH組中TC正常、邊緣升高、升高的人數分彆為556(82.13%)、99(14.62%)、22(3.25%)例;HDL-C正常與降低的人數分彆為335(49.48%)、342(50.52%)例;TG正常、邊緣升高、升高的人數分彆為402(59.38%)、107(15.81%)、168(24.82%)例,多因素分析顯示,TG邊緣升高和TG升高可增加IDH的患病風險[OR(95% CI)值分彆為:1.57(1.24 ~1.98)、2.18(1.76 ~2.70)].SDH組中TC正常、邊緣升高、升高的人數分彆為817(78.18%)、193(18.47%)、35(3.35%)例;HDL-C正常與降低的人數分彆為599(57.32%)、446(42.68%)例;TG正常、邊緣升高、升高的人數分彆為675 (64.59%)、164(15.69%)、206(19.71%)例,多因素分析顯示,TC邊緣升高、TG邊緣升高和TG升高可增加SDH的患病風險[OR(95% CI)值分彆為:1.38(1.14~1.67)、1.43(1.18 ~1.75)、1.73(1.43~2.10)].結論 血脂異常是浙江省居民不同亞型高血壓患病的影響因素,尤其是TG,應加彊人群中血脂異常的篩查,降低心血管疾病危險性.
목적 료해절강성거민불동아형고혈압환병솔급기여혈지이상적관계.방법 우2010년6-10월,채용사계단분층정군추양방법,선취절강성15개현(시、구)7571개조사가정중년령≥18주세적상주인구작위조사대상,공19113명.응용자행설계적조사문권,조사연구대상일반정황,이급행위화생활방식,동시,검측기신고、체중、혈압급혈지등지표.결과 19113명조사대상중완성문권조사、체격검사화정맥채혈등전부조사항목,병척제불부합표준자,최종납입14731명.조사대상단순수축기고혈압(ISH)、단순서장기고혈압(IDH)화수축기서장기고혈압(SDH)조환병솔분별위7.16%(1055/14731)、4.60% (677/14731)、7.09%(1045/14731),표화솔분별위5.46%、4.41%、5.75%.혈압정상조중TC정상、변연승고、승고적인수분별위10571(88.43%)、1173(9.81%)、210(1.76%)명;HDL-C정상여강저적인수분별위6885 (57.60%)、5069(42.40%)명;TG정상、변연승고、승고적인수분별위9952(79.91%)、1213(10.15%)、1189(9.95%)명;ISH조중TC정상、변연승고、승고적인수분별위826(78.29%)、188(17.82%)、41(3.89%)례;HDL-C정상여강저적인수분별위666(63.13%)、389(36.87%)례;TG정상、변연승고、승고적인수분별위737(69.86%)、150(14.22%)、168(15.92%)례,다인소분석현시,TG변연승고화TG승고가증가ISH적환병풍험[0R(95% CI)치분별위:1.43(1.16 ~ 1.76)、1.65(1.34 ~2.03)].IDH조중TC정상、변연승고、승고적인수분별위556(82.13%)、99(14.62%)、22(3.25%)례;HDL-C정상여강저적인수분별위335(49.48%)、342(50.52%)례;TG정상、변연승고、승고적인수분별위402(59.38%)、107(15.81%)、168(24.82%)례,다인소분석현시,TG변연승고화TG승고가증가IDH적환병풍험[OR(95% CI)치분별위:1.57(1.24 ~1.98)、2.18(1.76 ~2.70)].SDH조중TC정상、변연승고、승고적인수분별위817(78.18%)、193(18.47%)、35(3.35%)례;HDL-C정상여강저적인수분별위599(57.32%)、446(42.68%)례;TG정상、변연승고、승고적인수분별위675 (64.59%)、164(15.69%)、206(19.71%)례,다인소분석현시,TC변연승고、TG변연승고화TG승고가증가SDH적환병풍험[OR(95% CI)치분별위:1.38(1.14~1.67)、1.43(1.18 ~1.75)、1.73(1.43~2.10)].결론 혈지이상시절강성거민불동아형고혈압환병적영향인소,우기시TG,응가강인군중혈지이상적사사,강저심혈관질병위험성.
Objective To explore the association between dyslipidemia and different subtypes of hypertension among Zhejiang population.Methods From June to October in 2010,19 113 local residents aged ≥ 18 years old were selected among 7571 families from fifteen counties in Zhejiang by four stage stratified-random sampling method.A self-designed questionnaire was adopted to collect information on demographic characteristics,physical activity and life style.At the same time,physical examinations including height,weight,blood pressure and blood lipids were carried out.Results A total of 19 113participants completed the interviews,physical examinations and collected the blood samples.Excluding those who did not meet the criteria,14 731 were finally enrolled in the study.The prevalence rates of isolated systolic hypertension (ISH),isolated diastolic hypertension (IDH),systolic and diastolic hypertension (SIDH) were 7.16% (1055/14 731,standardized rate:5.46%),4.60% (677/14 731,standardized rate:4.41%),7.09% (1045/14 731,standardized rate:5.75%),respectively.Among normal blood pressure group,subjects with normal TC,high TC and abnormal TC were separately 10 571 (88.43%),1173(9.81%) and 210 (1.76%) ; subjects with normal HDL-C and low HDL-C were separately 6885 (57.60%) and 5069(42.40%) ; subjects with normal TG,high TG,abnormal TG were separately 9952(79.91%),1213 (10.15%) and 1189 (9.95%).In IS H group,subjects with normal TC,high TC and abnormal TC were separately 826 (78.29%),188 (17.82%) and 41 (3.89%) ; subjects with normal HDL-C and low HDL-C were separately 666(63.13%) and 389(36.87%) ; subjects with normal TG,high TG and abnormal TG were separately 737 (69.86%),150(14.22%) and 168 (15.92%).Multi factor analysis showed that high TG and abnormal TG were associated with ISH (OR (95% CI):1.43 (1.16-1.76),1.65 (1.34-2.03) respectively).Among IDH group,subjects with normal TC,high TC,abnormal TC were separately 556 (82.13%),99 (14.62%) and 22 (3.25%) ; subjects with normal HDL-C,low HDL-C were separately 335 (49.48%) and 342 (50.52%) ; subjects with normal TG,high TG,and abnormal TG separately were 402 (59.38%),107 (15.81%) and 168 (24.82%).The multi factor analysis showed that high TG and abnormal TG could increase the risk of IDH (OR(95% CI):1.57 (1.24-1.98),2.18 (1.76-2.70) respectively).Among SDH group,subjects with normal TC,high TC and abnormal TC were 817(78.18%),193(18.47%) and 35(3.35%) ; subjects with normal HDL-C and abnormal HDL-C were separately 599(57.32%) and 446(42.68%) ; subjects with normal TG,high TG,abnormal TG were separately 675(64.59%),164(15.69%) and 206(19.71%).The multi factor analysis showed that high TC,high TG and abnormal TG were also associated with the increased risk of SDH (OR(95% CI):1.38(1.14-1.67),1.43 (1.18-1.75),1.73 (1.43-2.10) respectively).Conclusion Dyslipidemia is an important factor of different subtypes of hypertension among Zhejiang population,especially triglycerides.Dyslipidemia screening should be strengthened to reduce the risk of cardiovascular diseases.