中国心内科医师高血压和高血压前期患病现况调查

Prevalence Study of Hypertension and Prehypertension in Chinese Cardiovascular Physicians

目的了解中国心血管内科医师血压现状和高血压相关因素。方法 2008年6月1日—8月31日,在中国大陆31个省、自治区、直辖市,对医师协会会员单位中同意参与调查的386家综合性医院心内科的4032名医师测量血压,并进行高血压相关因素的调查。结果被调查心内科医师高血压检出率为12.1%,男性(16.0%)高于女性(8.1%),差异有统计学意义(P<0.01)。高血压前期检出率为51.5%,男性(62.6%)高于女性(40.0%),差异有统计学意义(P<0.01)。高血压检出率地区间比较,差异无统计学意义。华东、东北、中南地区高血压前期检出率较高,而西北地区最低,地区间差异有统计学意义(P<0.01)。经Logistic回归分析,总胆固醇(TC)、体质指数(BMI)、性别和年龄是高血压前期的可能危险因素;BMI、空腹血糖(FPG)、吸烟、性别和年龄是高血压的可能危险因素。结论参加研究的心内科医师高血压检出率低于一般人群,但高血压前期检出率较高,应引起足够的重视,加强高血压预防工作。

Objective To investigate the status of blood pressure and related factors of hypertension in Chinese cardiovascular physicians. Methods Participants were from departments of cardiology of 386 general hospitals which were all members of Chinese Medical Doctor Association in 31 provinces and municipalities in China's Mainland between 1 June 2008 and 31 August 2008. 4 032 cardiovascular-certified physicians were recruited and took blood pressure test and related factors investigated. Results The prevalence of hypertension in selected Chinese cardiovascular physicians was 12.1%,16.0% for men was higher than 8.1% for women （P0.01）;The prevalence of pre-hypertension was 51.5%,62.6% for men and 40.0% for women （P0.01）. For prevalence of hypertension among regions, no significant difference was found, but the prevalence of prehypertension were significantly different among regions （P0.01）. Multivariate Logistic regression analysis showed that TC, BMI, gender and age were potential risk factors for prehypertension（P0.05）. BMI, FPG, smoking and age might be risk factors for hypertension （P0.01）. Conclusion The detection rate of hypertension in Chinese cardiovascular physicians was lower than the prevalence rate in general population, but the detection rate of prehypertension was relatively high, which should be paid enough attention, and the hypertension prevention should be strengthened in this population.