中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2014年
1期
12-17
,共6页
楚洁%王临虹%徐爱强%李镒冲%王卉程%郭晓雷%鹿子龙%张啸飞%张吉玉
楚潔%王臨虹%徐愛彊%李鎰遲%王卉程%郭曉雷%鹿子龍%張嘯飛%張吉玉
초길%왕림홍%서애강%리일충%왕훼정%곽효뢰%록자룡%장소비%장길옥
高血压%高血压前期%患病率%成年人%横断面研究
高血壓%高血壓前期%患病率%成年人%橫斷麵研究
고혈압%고혈압전기%환병솔%성년인%횡단면연구
Hypertension%Prehypertension%Prevalence%Adult%Cross-sectional studies
目的 分析山东省成年人高血压与高血压前期流行情况及相关影响因素.方法 于2011年7-9月采用多阶段分层整群抽样方法对山东省20个县(市、区)抽取的15 600名18 ～ 69岁常住居民进行问卷调查和体格测量.采用针对复杂抽样数据的统计方法计算人群高血压及高血压前期患病率并进行影响因素分析.结果 最终完成调查15 350名,调查对象年龄为(41.4±14.1)岁.平均收缩压和舒张压分别为121.1 (95％ CI:119.7 ～ 122.4)和78.8(95％CI:77.8～79.9) mmHg(1 mmHg=0.133 kPa).共发现高血压患者3776例,加权患病率为23.4％ (95％ CI:20.9％ ～26.0％),标化患病率为20.7％;高血压前期5721例,加权患病率为37.1％ (95％ CI:34.7％ ～39.5％),标化患病率为36.5％.多因素回归分析表明,年龄≥40岁(OR=3.24,95％ CI:2.56 ～4.10)、超重(OR=2.22,95％ CI:1.70 ～2.89)与肥胖(OR=5.84,95％ CI:3.54 ～ 9.66)、曾经吸烟(OR=1.82,95％ CI:1.03 ～ 3.23)、经常饮酒(OR=1.71,95％ CI:1.08 ～ 2.70)、有糖尿病史(OR=1.99,95％ CI:1.29 ～ 3.07)、TC异常(OR=1.64,95％CI:1.24～2.17)、TG异常(OR=1.75,95％ CI:1.24～2.48)及24 h尿钠钾比增高(OR=1.05,95％ CI:1.02 ～ 1.08)是高血压发生的危险因素,初中以上文化程度(OR=0.68,95％ CI:0.52 ～0.89)是高血压的保护因素;年龄≥40岁(OR=1.49,95％ CI:1.15～1.91)、超重(OR=1.76,95％ CI:1.25 ～ 2.48)与肥胖(OR=3.50,95％ CI:2.05 ～5.97)、TC异常(OR=1.54,95％ CI:1.10～2.14)、TG异常(OR=1.79,95％ CI:1.25 ～2.56)及24h尿钠钾比增高(OR=1.02,95％ CI:1.01 ～ 1.04)是高血压前期的危险因素,女性(OR=0.41,95％ CI:0.31 ～0.56)、初中以上文化程度(OR =0.67,95％ CI:0.52 ～0.87)是高血压前期的保护因素.结论 山东省成年人高血压,尤其是高血压前期呈现较高流行态势,多种因素影响高血压及高血压前期的发生.
目的 分析山東省成年人高血壓與高血壓前期流行情況及相關影響因素.方法 于2011年7-9月採用多階段分層整群抽樣方法對山東省20箇縣(市、區)抽取的15 600名18 ～ 69歲常住居民進行問捲調查和體格測量.採用針對複雜抽樣數據的統計方法計算人群高血壓及高血壓前期患病率併進行影響因素分析.結果 最終完成調查15 350名,調查對象年齡為(41.4±14.1)歲.平均收縮壓和舒張壓分彆為121.1 (95％ CI:119.7 ～ 122.4)和78.8(95％CI:77.8～79.9) mmHg(1 mmHg=0.133 kPa).共髮現高血壓患者3776例,加權患病率為23.4％ (95％ CI:20.9％ ～26.0％),標化患病率為20.7％;高血壓前期5721例,加權患病率為37.1％ (95％ CI:34.7％ ～39.5％),標化患病率為36.5％.多因素迴歸分析錶明,年齡≥40歲(OR=3.24,95％ CI:2.56 ～4.10)、超重(OR=2.22,95％ CI:1.70 ～2.89)與肥胖(OR=5.84,95％ CI:3.54 ～ 9.66)、曾經吸煙(OR=1.82,95％ CI:1.03 ～ 3.23)、經常飲酒(OR=1.71,95％ CI:1.08 ～ 2.70)、有糖尿病史(OR=1.99,95％ CI:1.29 ～ 3.07)、TC異常(OR=1.64,95％CI:1.24～2.17)、TG異常(OR=1.75,95％ CI:1.24～2.48)及24 h尿鈉鉀比增高(OR=1.05,95％ CI:1.02 ～ 1.08)是高血壓髮生的危險因素,初中以上文化程度(OR=0.68,95％ CI:0.52 ～0.89)是高血壓的保護因素;年齡≥40歲(OR=1.49,95％ CI:1.15～1.91)、超重(OR=1.76,95％ CI:1.25 ～ 2.48)與肥胖(OR=3.50,95％ CI:2.05 ～5.97)、TC異常(OR=1.54,95％ CI:1.10～2.14)、TG異常(OR=1.79,95％ CI:1.25 ～2.56)及24h尿鈉鉀比增高(OR=1.02,95％ CI:1.01 ～ 1.04)是高血壓前期的危險因素,女性(OR=0.41,95％ CI:0.31 ～0.56)、初中以上文化程度(OR =0.67,95％ CI:0.52 ～0.87)是高血壓前期的保護因素.結論 山東省成年人高血壓,尤其是高血壓前期呈現較高流行態勢,多種因素影響高血壓及高血壓前期的髮生.
목적 분석산동성성년인고혈압여고혈압전기류행정황급상관영향인소.방법 우2011년7-9월채용다계단분층정군추양방법대산동성20개현(시、구)추취적15 600명18 ～ 69세상주거민진행문권조사화체격측량.채용침대복잡추양수거적통계방법계산인군고혈압급고혈압전기환병솔병진행영향인소분석.결과 최종완성조사15 350명,조사대상년령위(41.4±14.1)세.평균수축압화서장압분별위121.1 (95％ CI:119.7 ～ 122.4)화78.8(95％CI:77.8～79.9) mmHg(1 mmHg=0.133 kPa).공발현고혈압환자3776례,가권환병솔위23.4％ (95％ CI:20.9％ ～26.0％),표화환병솔위20.7％;고혈압전기5721례,가권환병솔위37.1％ (95％ CI:34.7％ ～39.5％),표화환병솔위36.5％.다인소회귀분석표명,년령≥40세(OR=3.24,95％ CI:2.56 ～4.10)、초중(OR=2.22,95％ CI:1.70 ～2.89)여비반(OR=5.84,95％ CI:3.54 ～ 9.66)、증경흡연(OR=1.82,95％ CI:1.03 ～ 3.23)、경상음주(OR=1.71,95％ CI:1.08 ～ 2.70)、유당뇨병사(OR=1.99,95％ CI:1.29 ～ 3.07)、TC이상(OR=1.64,95％CI:1.24～2.17)、TG이상(OR=1.75,95％ CI:1.24～2.48)급24 h뇨납갑비증고(OR=1.05,95％ CI:1.02 ～ 1.08)시고혈압발생적위험인소,초중이상문화정도(OR=0.68,95％ CI:0.52 ～0.89)시고혈압적보호인소;년령≥40세(OR=1.49,95％ CI:1.15～1.91)、초중(OR=1.76,95％ CI:1.25 ～ 2.48)여비반(OR=3.50,95％ CI:2.05 ～5.97)、TC이상(OR=1.54,95％ CI:1.10～2.14)、TG이상(OR=1.79,95％ CI:1.25 ～2.56)급24h뇨납갑비증고(OR=1.02,95％ CI:1.01 ～ 1.04)시고혈압전기적위험인소,녀성(OR=0.41,95％ CI:0.31 ～0.56)、초중이상문화정도(OR =0.67,95％ CI:0.52 ～0.87)시고혈압전기적보호인소.결론 산동성성년인고혈압,우기시고혈압전기정현교고류행태세,다충인소영향고혈압급고혈압전기적발생.
Objective To analyze the prevalence states of hypertension and prehypertension and to explore relevant influencing factors among adult residents in Shandong province.Methods 15 600 residents aged between 18 and 69 from 20 counties in Shandong province were selected by multiple stratified and clustered sampling method from July to September,in 2011,to acquire related information by questionnaire survey and physical measurement.The prevalence of hypertension and prehypertension was estimated by special statistic method used to deal with complex sampling data,and the relevant influencing factors were also analyzed.Results A total of 15 350 subjects were actually completed the survey,with age at (41.4 ± 14.1) years old.The average systolic blood pressure and diastolic blood pressure were 121.1 (95％ CI:119.7-122.4) and 78.8(95％ CI:77.8-79.9) mmHg(1 mmHg =0.133 kPa) respectively.And also 3776 hypertension patients and 5721 subjects with prehypertension were detected,and the weighting prevalence of hypertension and prehypfertension were 23.4％ (95％ CI:20.9％-26.0％) and 37.1％ (95％ CI:34.7％-39.5％) with adjustive prevalence at 20.7％ and 36.5％ respectively.The multiple SURVEYLOGISTIC analysis showed that age above 40 years old (OR =3.24,95％ CI:2.56-4.10),overweight (OR =2.22,95％ CI:1.70-2.89) and obesity (OR =5.84,95％ CI:3.54-9.66),smoking history (OR =1.82,95％ CI:1.03-3.23),constantly drinking (OR =1.71,95％ CI:1.08-2.70),diabetes (OR =1.99,95 ％ CI:1.29-3.07),abnormal TC (OR =1.64,95 ％ CI:1.24-2.17),abnormal TG (OR =1.75,95 ％ CI:1.24-2.48) and high 24 h urine Na/K ratio (OR =1.05,95％ CI:1.02-1.08) were risk factors of hypertension,while education equal to or above junior middle school (OR =0.68,95％ CI:0.52-0.89) was protective factor of hypertension; age above 40 years old (OR =1.49,95％ CI:1.15-1.91),overweight (OR =1.76,95％ CI:1.25-2.48) and obesity (OR =3.50,95％ CI:2.05-5.97),abnormal TC (OR =1.54,95％ CI:1.10-2.14),abnormal TG (OR =1.79,95％ CI:1.25-2.56) and high 24 h urine Na/K ratio (OR =1.02,95％ CI:1.01-1.04) were risk factors of prehypertension,while female (OR =0.41,95％CI:0.31-0.56) and education level equal to or above junior middle school (OR =0.67,95％ CI:0.52-0.87) were protective factors.Conclusion The hypertension,especially prehypertension tends to be at high prevalence states currently,which may be affected by many factors.
