论文部分内容阅读
目的评估常规体检指标对60岁以上女性高血压状态的诊断价值。方法整群分层抽取2014年启东市南阳社区60岁以上女性体检数据,计算高血压检出率,分析年龄、BMI、FBG、TC、TG与高血压的关联。多因素Logistic回归模型绘制ROC曲线并计算AUC。结果共纳入60岁以上体检女性5682例,检出高血压2140例(37.66%),95%CI为36.94%~38.92%。单因素Logistic回归分析显示BMI、FBG、TC和TG与高血压有关(P<0.05)。年龄、BMI、FBG、TC和TG5项指标联合诊断高血压的AUC(95%CI)为0.6660(0.6513~0.6806)。结论常规体检指标可用作60岁以上女性高血压状态的辨识,但需增加其他有效指标以提高区分能力。
Objective To evaluate the diagnostic value of routine physical examination in the diagnosis of hypertension in women over 60 years old. Methods The stratified stratified extraction of physical examination data of women over the age of 60 in Nanyang community in Qidong in 2014 to calculate the detection rate of hypertension and analyze the relationship between age, BMI, FBG, TC, TG and hypertension. Multivariate logistic regression model was used to draw ROC curve and calculate AUC. Results A total of 5682 women over the age of 60 were enrolled in this study. 2140 cases (37.66%) were detected hypertension and 36.94% ~ 38.92% were 95% CI. Univariate logistic regression analysis showed that BMI, FBG, TC and TG were associated with hypertension (P <0.05). The AUC (95% CI) of combined diagnosis of hypertension, age, BMI, FBG, TC and TG5 was 0.6660 (0.6513-0.6806). Conclusion The routine physical examination indexes can be used as the identification of hypertension in women over 60 years old, but other effective indexes need to be added to improve the ability of differentiation.