CAJ | 학술논문

目的探讨浙江地区高血压病发病的危险因素,为高血压病的个体化预防提供科学依据.方法采用多阶段随机抽样的方法,对来自浙江地区32个社区,35岁以上居民15 083人进行问卷调查、体格检查和实验室检查.采用Logistic回归分析对高血压的相关危险因素进行分析.结果调查资料完整的研究对象共14 596例.浙江地区35岁以上居民高血压总体患病率为46.27％,男性患病率低于女性,且差异有统计学意义(43.43％:49.10％,P＜0.01).Logistic回归分析表明:排在前3位的危险因素依次是高血压家族史、高脂血症和中心性肥胖,OR值分别为4.16(95％ CI:1.80～4.72)、3.09(95％ CI:1.83～4.62)和2.78 (95％ CI:1.55～3.01)浙江地区的知晓率、治疗率和控制率分别为56.67％,42.46％和28.88％,女性的知晓率、治疗率、控制率明显高于男性,且差异有统计学意义(x2=1.91、17.29、237.14,P均＜0.01).结论浙江地区35岁以上居民高血压患病率处于较高水平,知晓率、治疗率、控制率水平较低,家族史、高脂血症、中心性肥胖是高血压预防需要重点关注的危险因素.
목적 탐토절강지구고혈압병발병적위험인소,위고혈압병적개체화예방제공과학의거.방법 채용다계단수궤추양적방법,대래자절강지구32개사구,35세이상거민15 083인진행문권조사、체격검사화실험실검사.채용Logistic회귀분석대고혈압적상관위험인소진행분석.결과 조사자료완정적연구대상공14 596례.절강지구35세이상거민고혈압총체환병솔위46.27％,남성환병솔저우녀성,차차이유통계학의의(43.43％:49.10％,P＜0.01).Logistic회귀분석표명:배재전3위적위험인소의차시고혈압가족사、고지혈증화중심성비반,OR치분별위4.16(95％ CI:1.80～4.72)、3.09(95％ CI:1.83～4.62)화2.78 (95％ CI:1.55～3.01)절강지구적지효솔、치료솔화공제솔분별위56.67％,42.46％화28.88％,녀성적지효솔、치료솔、공제솔명현고우남성,차차이유통계학의의(x2=1.91、17.29、237.14,P균＜0.01).결론 절강지구35세이상거민고혈압환병솔처우교고수평,지효솔、치료솔、공제솔수평교저,가족사、고지혈증、중심성비반시고혈압예방수요중점관주적위험인소.
Objective To investigate the association between the various risk factors and hypertension prevalence in Zhejiang Province and provide scientific basis for hypertension individual protection.Methods A total of 15 083 residents over the age of 35 years from 32 communities in Zhejiang Province were investigated via a questionnaire survey,physical examination and laboratory tests by multistage randomized sampling.The risk factors of hypertension were analvzed by Logistic regression.Results Complete data were obtained in 14 596 residents.The hypertension prevalence rate over 35 years was 46.27％ in Zhejiang,the prevalence rate in male were significantly lower than that in female (43.43％:49.10％,P＜0.01).The results of Logistic regression analysis showed that family history of hypertension (OR =4.16,95％ CI:1.80-4.72),central obesity (OR =3.09,95％ CI:1.83-4.62)and hyperlipidemia (OR =2.78,95％ CI:1.55-3.01)were the top three risk factors for hypertension.The rates of awareness,treatment and control were 56.67％,42.46％ and 28.88％,respectively.Women's awareness,treatment and control rates were significantly higher than man's (x2=1.91,17.29,237.14,P all＜0.01).Conclusions Hypertension is highly prevalent and the rates of awareness,treatment,and control of hypertension are still rather low among residents in Zhejiang area over the age of 35.And family history of hypertension,hyperlipidemia,central obesity are the risk factors with high priority intervention for hypertensive prevention.