企业退休人员正常高值血压及危险因素分析

Prevalence of prehypertension and associated risk factors in retirees

目的了解浙江省杭州市区企业退休人员正常高值血压的发生率及相关的危险因素,为高血压和相关的心脑血管疾病在社区的防治提供依据。方法用整群抽样方法随机抽取4个社区的企业退休人员1 959人,进行问卷调查、体格检查以及实验室检查。结果杭州市区企业退休人员正常高值血压率为30.6%;多元Logistic回归分析发现,正常高值血压的危险因素主要是超重（OR=1.874,95%CI=1.376~2.553）、肥胖（OR=2.211,95%CI=1.034~4.726）、饮酒（OR=1.420,95%CI=1.001~2.015）、血糖异常（OR=1.760,95%CI=1.050~2.949）、甘油三酯异常（OR=1.358,95%CI=1.045~1.765）及年龄增高（60岁~OR=1.576,95%CI=1.179~2.106;70岁~OR=1.957,95%CI=1.375~2.786）。结论企业退休人员正常高值血压率较高,存在多种危险因素。应提倡健康的生活方式,防止高血压和心脑血管疾病的发生。

Objective To assess the prevalence of prehypertension and its risk factors in retirees of Hangzhou city for the prevention of hypertension and cardiovascular disease.Methods Random cluster sampling was used to select 1959 re-tirees from four communities.Questionnaire survey,physical examination and laboratory test were carried out by trained doctors.Results The prevalence rate of prehypertension was 30.6%.Multivariate logistic regression analysis revealed that risk factors associated with prehypertension were overweight（OR=1.874,95%CI=1.376-2.553）,obesity（OR=2.211,95%CI=1.034-4.726）,alcohol drinking（OR=1.420,95%CI=1.001-2.015）,abnormal blood glucose（OR=1.760,95%CI=1.050-2.949）,abnormal blood lipid（OR=1.358,95%CI=1.045-1.765）.Conclusion The prevalence of prehypertension is high among the retirees in Hangzhou city and associated with many risk factors.Early lifestyle modifications are recommended