成都市城市居民高血压合并心血管危险因素流行病学研究

Epidemiological Study of Prevalence and Risk Factors for Hypertension in Urban Areas of Chengdu City

目的研究分析成都市城市居民高血压流行状况及合并心血管危险因素。方法采用整群抽样的方法,于2010年2月-10月对成都市区14个社区居委会中35~70岁常住（2年以上）居民994人进行问卷调查和体检。诊断标准依据《中国高血压防治指南2010》定义,多因素分析采用logistic回归方法。结果成都市城市居民高血压患病率为44.87%,标化患病率为39.21%,其中男性为41.07%,女性为38.20%,男女性高血压患病率差异无统计学意义（P〉0.05）;高血压患病率随年龄增大呈上升趋势;多因素logistic回归分析显示,年龄（OR=1.103,P〈0.001）、尿酸（OR=1.003,P=0.001）、心率（OR=1.014,P=0.027）及腰围（OR=1.624,P〈0.001）是高血压的危险因素。结论成都市城市居民高血压患病率处于较高水平,年龄、尿酸、心率及腰围是高血压的主要危险因素。

Objective To investigate the prevalence of hypertension and to find the cardiovascular risk factors in the urban residents of Chengdu city. Methods By cluster sampling, a population of 994 inhabitants were selected from 14 urban communities in Chengdu city between February and October 2010. They were 35-70 years old and had resided in the area for over 2 years. Hypertension questionnaire was used and physical examinations were taken to investigate. The definition of hypertension was determined by the Guidelines of Hypertension Prevention and Control made by National Revision Committee in 2010. Logistic regression model was used to define the risk factors for hypertension. Results The prevalence rate of hypertension was 44.87%, and the standardized prevalence rate was 39.21% （male： 41.07%, female： 38.20%）. The difference of prevalence rate between males and females was not significant （P 〉 0.05）. The prevalence rate of hypertension increased significantly with age. By multi-factor logistic regression analysis, age （OR=1.103, P 〈 0.001）, serum uric acid （OR=1.003, P=-0.001）, heart rate （OR=1.014, P=0.027）, and waist circumference （OR=1.624, P 〈 0.001） were the risk factors for hypertension. Conclusion The prevalence rate of hypertension is high in urban communities of Chengdu city, and age, serum uric acid, heart rate, and waist circumference are the risk factors for hypertension.