河北省成年人群血压分布与相关慢性疾病关系的研究

Relationship Between Distribution of Blood Pressure and Related Chronic Diseases in Adult Population of Hebei

目的了解河北省成年居民血压分布特征和与常见慢性病的关系,为疾病防治提供依据。方法采用2004年河北省成年居民慢性病相关危险因素调查的数据库进行回顾性调查分析,此调查采用多阶段随机抽样的方法,样本具有河北省的代表性。结果高血压、高血压前期、低血压和血压正常者分别占39.6%、38.8%、3.2%、18.4%,标化率分别为28.4%、41.0%、5.3%、25.2%。高血压、高血压前期、低血压的流行特征不同,高血压使骨关节疾病、颈腰部疾病、心血管疾病、脑血管疾病、肥胖、中心肥胖、高脂血症和糖尿病的患病危险增高,OR值分别为1.7、1.4、3.4、4.7、3.2、1.9、3.4、1.8;高血压前期使骨关节疾病、颈腰部疾病、呼吸系统疾病、心血管疾病、肥胖、中心肥胖、高脂血症的患病危险增加,OR值分别为1.5、1.4、1.6、1.8、1.7、1.5、2.0;低血压对常见慢性病影响较小。结论河北省高血压患病率高于全国平均水平,低血压患病率低于全国平均水平;高血压、高血压前期和低血压流行特征不同;控制高血压和高血压前期可降低常见慢性病的发生。

Objective To understand the relationship between blood pressure distribution and the related chronic diseases in adult residents in Hebei Province. and to provide evidences for disease prevention and control. Methods The database of adult residents＇ chronic disease risk tactoys was used to conduct a retrospective analysis in Hebei Province in 2004. A multistage stratified sampling was applied to this study and the data of this sample can represent whole Hebei Province. Results Citizens with hypertension, prehypertension, hypotension, and normal blood pressure accounted for 39.6%, 38. 8%. 3.2%. and 18.4%, and the standardized rates were 28.4%. 41.0%, 5.3%, and 25.2% respectively：, Hypertension, prehypertension, and hypotension showed different prevalence characteristics. Hypertension increased the risks of osteoarticular diseases, cervicolumbar diseases, cardio vascular diseases, cerebro vascular diseases, obesity, central obesity, hyperlipidemia, and diabetes, and OR was 1.7. 1.4. 3.4. 4.7. 3.2. 1.9. 3.4, and 1.8 respectively. Prehypertension increased the risk of suffering from osteoarticular diseases, cervicolumbar diseases, respiratory system diseases, cardio vascular diseases, obesity, central obesity and hyperlipidemia, and OR was 1.5. 1.4, 1.6, 1.8, 1.7, 1.5, and 2.0. Hypotension had less influence on commonly chronic diseases. Conclusions The prevalence rate of hypertension is higher and that of hypotension is lower in Hebei Province than the average Level in the whole country. Hypertension, prehypertension, and hy- potension show different prevalence characteristics. Controlling hypertension and prehypertension can decrease the incidence risk of commonly chronic diseases.