高海拔地区藏族世居人群高血压患病率及危险因素分析

Analysis of risk factor in Tibetan residents with hypertension

目的:调查高海拔地区藏族世居人群高血压患病率及危险因素。方法:选择我院2009-05-2011-10高原健康体检快车对我省玉树、果洛2大牧区(平均海拔4 000米以上)藏族世居人群体检25 491例中的18岁及以上人群中高血压患者通过问卷、腰围测量、生化检验,统计高血压患病率,分析危险因素。结果:调查人群中高血压患病率为38.6%,其中男性为42.6%,女性为32.7%,男性患病率高于女性(P<0.05),肥胖者患病率高于非肥胖者(P<0.05),饮酒者患病率高于非饮酒者(P<0.05),合并糖尿病、高胆固醇、高尿酸血症、红细胞增多症者患病率明显高于非合并者(P<0.05)。结论:高海拔地区世居藏族人群高血压患病率高,性别、高龄、饮酒、腹型肥胖、糖尿病、高胆固醇血症、高尿酸血症、高血红蛋白为高血压的主要危险因素,不良生活方式、饮食习惯与高血压患病率密切相关。

Objective：To investigate the prevalence of hypertension and risk factor of Tibetan residents who lived at high-altitude all the time.Method：From May 2009to October 2011,total 25 491Tibetan residents（aged ≥18years）were surveyed.The questionnaire investigation,waist circumference and biochemical examination were measured and their relationship with prevalence of hypertension was analyzed.Result：The total prevalence of the hypertension was 38.6%,significantly higher in men（42.6%）than in women（32.7%）（P0.05）.The prevalence rate of overweight,drinkin,and diabetes,hypercholesterolemia,hyperuricemia,polycythemia in hypertension were much higher than those in normotensives（P0.05）.Conclusion：Hypertension was found to be highly prevalent in Tibetan residents who lived at high-altitude all the time.Age,sex,drinking,overweight and diabetes,hypercholesterolemia,hyperuricemia,polycythemia were the major risk factors for hypertension.Unhealthy life style and diet habit were closely related with the high prevalence rate of hypertension.