北京市社区高血压患者静息性心率加快的危险因素Logistic回归分析

Logistic regression analysis on the risk factors of increased resting heart rate in patients with hypertension in the community of Beijing City

目的探讨影响社区高血压患者静息心率加快的危险因素,为有效控制社区高血压患者心率加快造成的心血管疾病危害提供科学的防治依据。方法在北京市顺义区随机选取8个社区卫生服务中心,在其服务半径内招募符合纳入标准的596例高血压居民作为调查对象,采用自行设计的调查问卷及体格测量表对调查对象进行面对面问卷调查和体格测量。采用χ2检验、多因素非条件Logistic回归分析对影响高血压患者静息心率加快的危险因素进行分析。结果在进行高血压患者心率正常值和异常组静息心率影响因素的单因素分析,家庭月收入(χ2=9.019,P=0.003)、吸烟(χ2=5.067,P=0.024)、饮酒(χ2=6.285,P=0.012)、血压分组(P<0.05)、BMI分组(P=0.021)差异均有统计学意义。多因素非条件Logistic回归分析显示,家庭月收入(OR=3.646,95%CI=1.630-8.156)、血压分组中的双压升高组D组(OR=3.030,95%Cl=1.320-6.957)为影响社区高血压患者静息心率加快的危险因素。结论不良的生活方式、低家庭收入和血压双压升高已成为社区高血压患者心率加快的危险因素,因此在高血压诊治的过程中,应加大对上述患者的关注,同时将心率测量纳入高血压患者的整体评估。

Objective To investigate the risk factors of resting heart rate accelerated in community hypertensive patients,and provide scientific basis for effectively controlling the harm caused by the heart rate accelerated,resulting in cardiovascular disease.Methods 8 community health service centers were randomly selected. 596 patients with primary hypertension who met the inclusion criteria in Shunyi District of Beijing. Patients were enquired by self-designed questionnaire and physical measurement table. According to heart rate 70/min is defined as the normal group,more than 70/min defined as the abnormal group. Chi square test and multivariate unconditional Logistic regression analysis were used to analyze the risk factors of resting heart rate accelerated in hypertensive patients. Results Family monthly income（ χ2= 9. 019,P = 0. 003）,smoking（ χ2= 5. 067,P = 0. 024）,drinking（ χ2= 6. 285,P = 0. 012）,blood pressure group（ P 0. 05）,BMI group（ P = 0. 022） had significant difference in the two groups by Univariate analysis. Multivariate unconditional Logistic regression analysis showed that family monthly income（ OR = 3. 646,95% CI：1. 630-8. 156） and double-pressure increase group（ D）（ OR = 3. 030,95% CI： 1. 320-6. 957） were risk factors of resting heart rate accelerated in the community hypertensive patients. Conclusion The unhealthy lifestyle,family income levels and double-pressure increase have become risk factors for heart rate accelerated in community. Therefore,heart rate measurement should be integrated into the overall evaluation of hypertensive patients in the diagnosis and treatment.