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目的:了解2010-03-2011-09某单位体检人群血压水平分布,分析影响人群血压水平、高血压流行的相关危险因素,为防治人群高血压和控制其危险因素提供科学依据。方法:安排在职职工和离退休职工进行体检,符合本次研究要求且资料完整者14 041人。体检内容包含体格检查和相关实验室检测,无问卷调查资料。采用专用体检记录电脑软件录入体检者资料,体检全部结束后导出数据,用SPSS分析软件分析血压水平的分布特征及相关因素。结果:体检人群达高血压水平者35.76%。血压水平、高血压患病率、血压分级水平差异具有统计学意义。30岁以后舒张压随年龄增长而升高,但60岁以后随年龄增长而下降;40岁以后收缩压随年龄增长而升高,50岁以后脉压差随年龄增长而升高。人群血压水平、高血压比例随体重的增加而升高,肥胖者高血压达62.3%。多因素分析示,血压水平与年龄、BMI、空腹血糖(FPG)、血清尿酸(UA)、TC、TG、LDL正相关,与HDL、性别负相关。结论:体检人群达高血压水平的比率显著高于全国高血压患病率,存在显著性别和年龄差异,与年龄、BMI、FPG、UA、TC、TG、LDL呈正相关,与HDL、性别呈负相关。
OBJECTIVE: To understand the distribution of blood pressure levels in a certain unit of medical examination population from 2010-03-2011-09, to analyze the related risk factors influencing the blood pressure level and the prevalence of hypertension and to provide a scientific basis for prevention and treatment of hypertension and risk factors in the population. Methods: Arrangements for physical examination of working staff and retired staff, 14 041 persons who meet the requirements of this study and complete information. Physical examination includes physical examination and related laboratory tests, no questionnaire survey data. Data were recorded by computer software of special physical examination record, the data was exported after the physical examination was completed, and the distribution characteristics and related factors of blood pressure level were analyzed by SPSS software. Results: The level of hypertension in the medical examination population was 35.76%. The level of blood pressure, the prevalence of hypertension and the level of blood pressure grading were statistically significant. Diastolic blood pressure increases with age after 30 years of age, but decreases with age after 60 years. Systolic blood pressure increases with age after 40 years of age, and pulse pressure increases with age after 50 years of age. People’s blood pressure level, the proportion of hypertension increased with weight gain, obesity, hypertension reached 62.3%. Multivariate analysis showed that blood pressure was positively correlated with age, BMI, FPG, UA, TC, TG and LDL, and negatively correlated with HDL and sex. Conclusion: The prevalence of hypertension in the medical examination population is significantly higher than that of the national prevalence of hypertension, there are significant differences in gender and age, and positively correlated with age, BMI, FPG, UA, TC, TG, LDL, gender and gender Related.