体检人群高血压前期并发糖脂代谢异常的调查分析

Investigation and analysis of prehypertension complicated by abnormal glucose and lipid metabolism in health physical examination population

目的了解体检人群的高血压前期并发糖脂代谢异常的检出情况。方法收集湖北省孝感市孝南区公立医院体检中心2016年9月至2017年9月4 600例受检人员的体检档案,分析高血压前期及并发糖脂代谢异常的检出情况,并探讨其影响因素。结果 4 600例健康体检者中,共检出1 619例高血压前期,检出率为35.20%,其中男性检出率为43.54%,显著高于女性的24.66%,≥35岁各年龄段均高发,可达35%～40%。高血压前期体检者中合并糖代谢或脂代谢异常检出率为65.04%显著高于正常血压37.44%(P<0.05),其中单纯糖代谢、高TG血症、混合型高脂血症、单纯脂代谢异常及(糖+脂)代谢异常检出率均显著高于正常血压体检者。男性高血压前期体检者糖代谢或脂代谢异常检出率为69.23%显著高于女性的检出率55.69%(P<0.05),其中高TG血症、混合型高脂血症、单纯脂代谢异常检出率显著高于女性(P<0.05),而高TC血症检出率显著低于女性(P<0.05)。高血压前期合并单纯糖代谢异常在≥45岁高发,合并单纯脂代谢异常在25岁以上各年龄段均高发,且在≥45岁维持≥67.32%的检出率。结论健康体检人群中高血压前期并发糖脂代谢异常有年轻化的趋势,且男性比例较大,应早期列为心血管疾病的高危人群。

Objective To investigate the detective situation of prehypertension complicated by abnormal glucose and lipid metabolism in health physical examination population.Methods The data of 4,600 subjects who underwent physical examination in physical examination center of Xiaonan District Hospital from September 2016 to September 2017 were collected to analyze the detection situation of prehypertension complicated by abnormal glucose and lipid metabolism,and to explore its influencing factors.Results Among the 4,600 subjects,1,619 cases of prehypertension were detected,with the detection rate being 35.20%,in which,the detection rate in males was 43.54%,which was significantly higher than that(24.66%)in females,and the incidences in the age groups over 35 years were higher,up to 35%to 40%.The detection rate of abnormal glucose metabolism or lipid metabolism in prehypertension patients was 65.04%,which was significantly higher than that(37.44%)in normal blood pressure subjects(P<0.05),moreover,the detection rates of simple abnormal glucose metabolism,hyper TG hyperemia,combined hyperlipidemia familial,simple abnormal lipid metabolism and abnormal(sugar+lipid)metabolism in prehypertension patients were significantly higher than those in normal blood pressure subjects.The detection rate of abnormal glucose metabolism or lipid metabolism was 69.23%in male prehypertension patients,which was significantly higher than that(55.69%)in female prehypertension patients(P<0.05),in which,the detection rates of high TG hyperemia,combined hyperlipidemia familial and simple abnormal lipid metabolism in males were significantly higher than those in females(P<0.05),however,the detection rate of high TC hyperemia in males was significantly lower than that in females(P<0.05).In addition the incidence of prehypertension complicated by simple abnormal glucose metabolism was higher in the age groups over 45 years,and the incidence rate of combined with simple abnormal lipid metabolism was higher in the age groups over 25 years,moreover,the detection rate was higher than 67.32%in the subjects over 45 years.Conclusion The prevalence of prehypertension complicated by abnormal glucose and lipid metabolism has more youthful trend in health examination population,moreover,the proportion of male is larger,therefor,who should be listed as a high risk group of cardiovascular disease.