广州市洛浦街社区中青年原发性高血压危险因素分析

Analysis of risk factors for essential hypertension in middle-aged and young people in Luopu Street community of Guangzhou

目的原发性高血压一般认为和环境及遗传因素有密切关联,并且处于不断进展的状态。本研究分析洛浦街社区中青年原发性高血压患者危险因素。方法选择2016-06-01-2019-06-01广州市番禺区洛浦街社区卫生服务中心内科收治的77例中青年原发性高血压患者(病例组)以及同期77名健康体检者(对照组)为研究对象,分别调查两组基础资料和不良生活习惯。结果病例组>37岁比例为48.05%,高于对照组的35.06%,χ^2=7.214,P=0.034;病例组饮酒人数所占比例为54.55%,高于对照组的44.16%,χ^2=6.578,P=0.042;病例组高脂饮食人数所占比例为46.75%,高于对照组的28.57%,χ^2=8.214,P=0.027;病例组高盐饮食人数所占比例为50.65%,高于对照组的29.87%,χ^2=8.465,P=0.025;病例组睡眠不足人数所占比例为27.27%,高于对照组的16.88%,χ^2=5.217,P=0.046;病例组运动太少人数所占比例为35.06%,高于对照组的19.48%,χ^2=5.847,P=0.044;病例组焦虑情绪人数所占比例为20.78%,高于对照组的10.39%,χ^2=6.547,P=0.038。结论饮酒、高脂饮食、高盐饮食、睡眠不足、运动太少和焦虑情绪是洛浦街社区中青年原发性高血压患者危险因素。

OBJECTIVE Essential hypertension is generally thought to be closely related to environmental and genetic factors and is in a state of continuous progress.This study analyzes risk factors for young patients with essential hypertension in the Luopu Street community.METHODS A total of 77 young and middle-aged patients with essential hypertension(case group)and 77 healthy physical examinations(control group)were selected from the medical clinic of Luopu Street Community Health Service Center,Panyu District,Guangzhou City from June 1,2016 to June 1,2019.The two groups of basic data and bad living habits were investigated separately.RESULTS The proportion of 37-year-old in the case group was 48.05%,which was higher than that of the control group(35.06%,χ^2=7.214,P=0.034).The proportion of drinking in the case group was 54.55%,which was higher than that of the control group(44.16%,χ^2=6.578,P=0.042);The proportion of high-fat diet in the case group was 46.75%,which was higher than that of the control group(28.57%,χ^2=8.214,P=0.027);The proportion of high salt diet in the case group was 50.65%,which was higher than that of the control group(29.87%,χ^2=8.465,P=0.025);The proportion of sleep insufficiency in the case group was27.27%,which was higher than that of the control group(16.88%,χ^2=5.217,P=0.046);The proportion of people with too few cases in the case group was 35.06%,which was higher than that of the control group(19.48%,χ^2=5.847,P=0.044);The proportion of anxiety in the case group was 20.78%,which was higher than that of the control group(10.39%,χ^2=6.547,P=0.038).CONCLUSION Drinking,high-fat diet,high-salt diet,lack of sleep,too little exercise,anxiety were risk factors for young and middle-aged patients with hypertension in the Luopu Street community.