基于社区高血压病的危险因素及五态人格研究

Study on risk factors of hypertension and the five pattern personality in community

目的:通过调查高血压病的危险因素及五态人格特征,探讨干预对策。方法:采用以社区人群为基础的病例对照研究方法,抽取550名高血压病患者以及与之匹配的550名血压正常的居民进行调查。结果:体质量指数(Body Mass Index,BMI)增高、超重和肥胖、家族史、日常食用蔬菜量少、缺少体育锻炼为高血压病的主要危险因素(P<0.01)。此外,单独与收缩压升高有关的危险因素有年龄增长、油摄入量高、饮酒,而劳动强度增加和体育锻炼是收缩压的保护因素;多食用豆类、杂粮则是舒张压的单独保护因素。五态人格分析显示,高血压组与正常组在太阳型人、少阳型人、少阴型人比较差异有统计学意义(P<0.01),太阴型人、阴阳平和人比较差异无统计学意义(P>0.05);多因素分析发现少阳型人患高血压的危险性最大(P<0.01,OR=1.053)。结论:BMI、超重和肥胖、规律体育锻炼、日常食用蔬菜量、家族史5个因素与高血压发病有显著关系,太阳型人、少阳型人和少阴型人在五型人之中相对容易患高血压病,而又以少阳型人患高血压的危险性最大。

Objective： To investigate the risk factors of hypertension and five-state personality traits,then exploring the intervention measures. Methods： Using community population-based case-control study,550 patients with hypertension extraction and matching 550 normotensive residents investigation. Results BMI（ Body Mass Index,BMI） increased,overweight and obesity,family history,daily consumption of vegetables and less,lack of physical exercise as a major risk factor for hypertension（ P 〈0. 01）. Associated with elevated systolic blood pressure alone were age-growth,high oil intake,alcohol consumption,but increased labor intensity and physical exercise are protective factors in systolic blood pressure; eating more beans and grains are diastolic protective factors alone. Five-state personality analysis shows that the difference between Tya person,Sya person and Syi person in the hypertensive group and the normal group was statistically significant（ P 〈0. 01）; multivariate analysis shows,Sya people are at most risk of suffering from high blood pressure（ P〈 0. 01,OR = 1. 053）. Conclusion： BMI,overweight and obesity,regular exercise,daily amount of vegetables eatting,the incidence of family history had significant relationships of hypertension. Tya person,Sya person and Syi person are more prone to suffering from hypertension,and Sya people have the greatest risk.