沿海农村居民高血压状况分析与代谢综合征患病率的相关性研究

Coastal situation analysis of hypertension among rural population and its correlation with prevalence of metabolic syndrome

目的探讨沿海农村居民高血压状况与代谢综合征（MS）患病率的关系。方法对连云港市沿海农村居民11089人进行原发性高血压流行病学研究，年龄限定为45～75周岁，测量身高、体质量、腰围、血压、血脂、空腹血糖，分别按照国际糖尿病联盟（IDF）和中华医学会糖尿病分会（CDS）的MS诊断标准计算患病率，并对性别、年龄、高血压水平（I、Ⅱ、Ⅲ级）等影响因素进行相关分析。结果11089人（男3985人，女7104人）中IDF标准MS总患病率为44．3％（男、女MS患病率分别为25．4％、54．9％），CDS标准MS总患病率为37．0％，两种诊断标准的符合率为79．9％；除血糖外，女性居民腰围、甘油三酯、高密度脂蛋白胆固醇等指标异常发生率明显高于男性（X^2=1399．198、554．801、652．110，均P〈0．01）。结论连云港市沿海农村地区MS患病率高于我国一般中老年人群的平均水平；女性高血压合并肥胖患者是MS的极高危人群；高血压病程较长者，MS患病率较高。

Objective To explore the coastal state of hypertension among rural population and its relation- ship between the prevalence of metabolic syndrome （MS）. Methods Lianyungang coastal rural residents 11 089 people for primary hypertension epidemic learn research, age qualified for 45 -75age, measurement height, body quali- ty,waist, blood pressure, lipid and fasting blood glucose, respectively in accordance with international diabetes Union （IDF） and CDS of MS diagnosis standard calculation illness rate ,and on gender,age,and hypertension level （I, and II,and III level）, effects factors for correlation analysis. Results 11 089 people （male 3985 people, female 7104 people） in the IDF standard MS total illness rate for 44. 3% （ male, and female MS illness rate respectively for 25.4% ,and 54.9% ）,CDS standard MS total illness rate for 37%, two species diagnosis standard of meet rate for 79. 9% ;except blood glucose outside, female residents waist,TG, and HDL-C,indicators exception occurs rate obvious than male （ X2 = 1399. 198,554. 801,652.110, all P 〈 0.01 ）. Conclusion Lianyungang coastal MS prevalence in rural areas is higher than the general average in the middle-aged;female patients with hypertension and obesity are very high risk population of MS;hypertension pathogenesis is longer, higher prevalence of MS.