某市健康体检人群高血压检出率及相关因素分析

ANALYSIS ON PREVALENCE AND INFLUENCING FACTORS OF HYPERTENSION IN LUZHOU CITY

目的:探讨泸州市不同职业人群高血压流行水平及影响因素,为高血压的防治提供一定的依据。方法:在参加体检的18～78岁人群中筛选无明确高血压家族史、无糖尿病和肾病病史者1666例。按性别、年龄、职业和血压水平分组,分析影响血压水平的相关因素。结果:本人群高血压检出率22.7%,高血压前期检出率42.6%;男性高血压和高血压前期检出率均高于女性;血压水平随年龄增加而升高;男性在低年龄段处于高血压前期亚健康状态的比例55.5%,远高于同年龄组女性;政府机关人员血压水平高于学校和企业人员;高血压患者脂肪肝检测率42.1%。Logistic回归分析显示,年龄、性别、职业、肝脏B超异常、心电图异常和甘油三酯偏高是高血压的危险因素。结论:高血压的防治应采取多重危险因素干预策略,既要对患者降低血压,对高血压前期亚健康人群进行预防干预,又要注意对高血脂及脂肪肝的综合控制,才能达到更好地控制血压的目的。

Objective： To investigate the hypertension prevalence in people of different occupations and influencing factors to provide a basis for prevention and treatment. Methods： A cohort of 1666 apparently healthy people of 18-78-year-old were enrolled. The influencing factors related to BP levels were analyzed among the groups of gender, age and occupation. Results： Of 1666 people under BP examination, the prevalence of hypertension and pre-hypertension were 22.7% and 42.6% respectively; the rates of hypertension and pre-hypertension of male were higher than that of female; the BP levels were increased with age; 55.5% of young men who were younger than 35-year-old were in the state of hypertensive sub-health , which was much higher than the same age group of women; the BP levels of people working in office were higher than that of teachers and workers; 42.1% of hypertensive patients were identified with fatty liver. Logistic regression analysis showed that age, sex, occupation, fatty liver, high triglycerides and electrocardiogram abnormalities are risk factors for hypertension. Conclusion： The strategy to prevent and treat hypertension by multiple risk factors intervention should be taken. It is necessary to control the BP levels of patients, and to prevent the sub-health people from developing into patients, but also pay attention to integrated control of high blood lipids and fatty liver in order to achieve better control of blood pressure purposes.