中华心血管病杂志
中華心血管病雜誌
중화심혈관병잡지
Chinese Journal of Cardiology
2013年
9期
790-794
,共5页
潘玲%宋雅珊%麻锐%叶旭东%廖蕴华
潘玲%宋雅珊%痳銳%葉旭東%廖蘊華
반령%송아산%마예%협욱동%료온화
高血压%流行病学%壮族
高血壓%流行病學%壯族
고혈압%류행병학%장족
Hypertension%Epidemiology%Zhuang nationality
目的 了解广西壮族自治区壮族村落成人高血压的流行病学特征,并探讨高血压的危险因素.方法 采用横断面调查方法,抽取广西壮族自治区南宁市良庆区新兰村(壮族聚居村)作为调查点,以该村≥18岁壮族常住(≥6个月)人口为研究对象,由经培训的医务人员完成问卷调查及相关检查(包括血压测量、血液和尿液检查等).采用多因素logistic回归分析高血压的危险因素.结果 调查资料完整的研究对象共2036例.调查人群的高血压粗患病率为11.6％(237/2036),其中,男性为12.5％(110/883),女性为11.0％(127/1153)；标化后高血压患病率为10.7％,其中,男性标化患病率为11.3％,女性标化患病率为10.4％.调查人群的高血压知晓率为36.3％(86/237),治疗率为22.8％(54/237),控制率为11.0％ (26/237).多因素logistic回归分析显示,高血压危险因素包括年龄(OR=1.06,95％CI:1.05 ～1.08,P＜0.01)、饮酒(OR=1.92,95％CI:1.25 ～2.95,P＜0.01)、高盐饮食(OR=1.48,95％ CI:1.04 ～2.10,P＜0.05)、糖尿病(OR=7.03,95％ CI:1.94 ～25.44,P＜0.01)、肥胖(OR=1.20,95％CI:1.15 ～ 1.25,P＜0.01)及高甘油三酯血症(OR=1.12,95％ CI:1.03 ～ 1.22,P＜0.01).结论 广西壮族自治区壮族农村成人的高血压患病率虽略低于广西壮族自治区及全国整体水平,但高血压知晓率、治疗率及控制率不理想,高血压的防治力度仍需提高.
目的 瞭解廣西壯族自治區壯族村落成人高血壓的流行病學特徵,併探討高血壓的危險因素.方法 採用橫斷麵調查方法,抽取廣西壯族自治區南寧市良慶區新蘭村(壯族聚居村)作為調查點,以該村≥18歲壯族常住(≥6箇月)人口為研究對象,由經培訓的醫務人員完成問捲調查及相關檢查(包括血壓測量、血液和尿液檢查等).採用多因素logistic迴歸分析高血壓的危險因素.結果 調查資料完整的研究對象共2036例.調查人群的高血壓粗患病率為11.6％(237/2036),其中,男性為12.5％(110/883),女性為11.0％(127/1153)；標化後高血壓患病率為10.7％,其中,男性標化患病率為11.3％,女性標化患病率為10.4％.調查人群的高血壓知曉率為36.3％(86/237),治療率為22.8％(54/237),控製率為11.0％ (26/237).多因素logistic迴歸分析顯示,高血壓危險因素包括年齡(OR=1.06,95％CI:1.05 ～1.08,P＜0.01)、飲酒(OR=1.92,95％CI:1.25 ～2.95,P＜0.01)、高鹽飲食(OR=1.48,95％ CI:1.04 ～2.10,P＜0.05)、糖尿病(OR=7.03,95％ CI:1.94 ～25.44,P＜0.01)、肥胖(OR=1.20,95％CI:1.15 ～ 1.25,P＜0.01)及高甘油三酯血癥(OR=1.12,95％ CI:1.03 ～ 1.22,P＜0.01).結論 廣西壯族自治區壯族農村成人的高血壓患病率雖略低于廣西壯族自治區及全國整體水平,但高血壓知曉率、治療率及控製率不理想,高血壓的防治力度仍需提高.
목적 료해엄서장족자치구장족촌락성인고혈압적류행병학특정,병탐토고혈압적위험인소.방법 채용횡단면조사방법,추취엄서장족자치구남저시량경구신란촌(장족취거촌)작위조사점,이해촌≥18세장족상주(≥6개월)인구위연구대상,유경배훈적의무인원완성문권조사급상관검사(포괄혈압측량、혈액화뇨액검사등).채용다인소logistic회귀분석고혈압적위험인소.결과 조사자료완정적연구대상공2036례.조사인군적고혈압조환병솔위11.6％(237/2036),기중,남성위12.5％(110/883),녀성위11.0％(127/1153)；표화후고혈압환병솔위10.7％,기중,남성표화환병솔위11.3％,녀성표화환병솔위10.4％.조사인군적고혈압지효솔위36.3％(86/237),치료솔위22.8％(54/237),공제솔위11.0％ (26/237).다인소logistic회귀분석현시,고혈압위험인소포괄년령(OR=1.06,95％CI:1.05 ～1.08,P＜0.01)、음주(OR=1.92,95％CI:1.25 ～2.95,P＜0.01)、고염음식(OR=1.48,95％ CI:1.04 ～2.10,P＜0.05)、당뇨병(OR=7.03,95％ CI:1.94 ～25.44,P＜0.01)、비반(OR=1.20,95％CI:1.15 ～ 1.25,P＜0.01)급고감유삼지혈증(OR=1.12,95％ CI:1.03 ～ 1.22,P＜0.01).결론 엄서장족자치구장족농촌성인적고혈압환병솔수략저우엄서장족자치구급전국정체수평,단고혈압지효솔、치료솔급공제솔불이상,고혈압적방치력도잉수제고.
Objective To observe the risk factors and prevalence status of hypertension at the Guangxi Zhuang-rural region.Methods Through cross-sectional survey,Xinlan village (Ethnic-Zhuang tribe village) in Liangqing District of Nanning was chosen as survey site.Select Zhuang-ethnic villagers (age≥18 years,living time ≥ 6 months per year) as survey subjects.Questionnaire survey and examinations including blood pressure measurement,blood tests,and urine test were made by trained medical professionals.Multivariate logistic regression analysis was used to analyze the risk factors of hypertension.Results Complete data were obtained in 2036 residents.The hypertension prevalence rate was 11.6％ (237/2036) [12.5％ (110/883) for male,l1.0％ (127/1153) for female],adjusted prevalence rate was 10.7％ (11.3％ for male,10.4％ for female) based on the population of Guangxi in 2010.Hypertension awareness rate was 36.3％ (86/237),therapy rate was 22.8％ (54/237),and control rate was 11.0％ (26/237).Multivariate logistic regression analysis showed that age (OR =1.06,95％ CI:1.05-1.08,P ＜ 0.01),alcohol drinking habit (OR =1.92,95％ CI:1.25-2.95,P ＜ 0.01),high salt diet(OR =1.48,95％ CI:1.04-2.10,P ＜ 0.05),diabetes (OR =7.03,95％ CI:1.94-25.44,P ＜0.01),obesity (OR =1.20,95 ％ CI:1.15-1.25,P ＜ 0.01) and hypertriglyceridemia (OR =1.12,95％ CI:1.03-1.22,P ＜0.01) were risk factors for hypertension in this cohort.Conclusions Prevalence rate is slightly lower in adult of the Guangxi Zhuang-rural areas than national or Guangxi Zhuang Autonomous Region levels,but hypertension awareness,therapy and control rates in this cohort are not satisfactory.Targeted strategies are needed to improve the prevention and therapy of hypertension in this region.
