河北省任丘市老年居民脉压及相关因素分析

Pulse pressure in Renqiu elderly residents of Hebei Province and its related factors

目的了解河北省任丘市老年居民脉压情况,并探讨脉压过宽的相关影响因素。方法经随机整群抽样法,以任丘市年龄60-70岁的常住居民为筛查对象,进行面对面健康问卷调查、体格检测及实验室检查,共筛查5010例,使用SPSS 18.0统计软件分析脉压过宽的相关因素。结果任丘市老年居民脉压过宽者为3172例（63.3%）,校正危险因素后logistic多元回归分析显示,年龄（OR=1.092,95%CI：1.070-1.114,P=0.000）、空腹血糖（OR=1.208,95%CI：1.148-1.271,P=0.000）、高血压（OR=2.108,95%CI：1.855-2.396,P=0.000）、脑血管病（OR=1.229,95%CI：1.032-1.464,P=0.021）、体质量指数（OR=1.048,95%CI：1.025-1.071,P=0.000）是脉压过宽的独立危险因素;心率、居住城区、初中及以上文化是其保护因素（P〈0.01）。结论河北省任丘市老年居民脉压过宽的比例高,影响因素较多,对于有高血压、脑血管病、空腹血糖偏高、肥胖、非城区及文化程度较低的老年人应重视对脉压的监测和合理控制,降低心脑血管事件的发生。

Objective To study the factors associated with elevated pulse pressure by investigating the prevalence of pulse pressure in Renqiu elderly residents of Hebei Province.Methods A total of 5010 Renqiu residents aged 60-70 years were included in this study by random cluster sampling.The residents underwent physical examination,anthropometric and laboratory tests.Factors associated with elevated pulse pressure were analyzed by SPSS 18.0.Results Of the 5010 Renqiu residents,3172（63.3%）were diagnosed with elevated pulse pressure.Multivariate logistic regression analysis showed that age,fasting plasma glucose,hypertension,cerebrovascular disease and BMI were the independent risk factors for elevated pulse pressure（OR=1.092,95%CI：1.070-1.114,P=0.000;OR=1.208,95%CI：1.148-1.271,P=0.000;OR=2.108,95%CI：1.855-2.396,P=0.000;OR=1.229,95%CI：1.032-1.464,P=0.021;OR=1.048,95%CI：1.025-1.071,P=0.000）after adjustment for risk factors.Heart rate,living in city,junior high school education and above were the protective factors for elevated pulse pressure（P〈0.01）.Conclusion The prevalence of elevated pulse pressure is high in Renqiu residents of Hebei Province due to a number of influencing factors.The pulse pressure should be regularly measured and rationally controlled in elderly residents with hypertension,cerebrovascular disease,high fasting blood glucose,obesity and low education level in order to reduce the incidence of cardiovascular events.