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目的调查天津市体检人群高血压和正常高值血压的流行现况,并分析正常高值血压的影响因素,为降低高血压发病率提供依据。方法选择于2010年9月至2011年9月在天津市某三甲医院健康体检中心进行体检的9629名受检者作为调查对象。计算该人群的高血压检出率和正常高值血压的检出率,用二分类logistic回归法筛选正常高值血压的影响因素。结果天津市体检人群高血压的检出率为27.53%,按全国人口构成标化后,检出率为24.14%,按天津市人口构成标化后,检出率为25.77%。体检人群正常高值血压的检出率为33.33%,按全国人口构成标化后,检出率为33.46%,男性的正常高值血压的标化检出率(37.75%)高于女性(29.34%)。经多因素logistic回归分析显示,有统计学意义的影响因素及其OR值(95%CI)分别为男性:1.687(1.503～1.894),年龄:1.280(1.226～1.335),体质指数:2.013(1.839～2.203),高脂血症:1.251(1.100～1.422),高血压家族史1.674(1.398～2.004)。结论天津市体检人群的高血压检出率和正常高值血压检出率较高,人群的正常高值血压受多种因素影响,应对正常高值血压的人群进行干预,特别是对超重或者肥胖、具有高血压家族史、中青年男性正常高值血压患者进行干预,使其避免向临床高血压发展。
Objective To investigate the prevalence of hypertension and normal high blood pressure in physical examination population in Tianjin and to analyze the influencing factors of normal high blood pressure and provide the basis for reducing the incidence of hypertension. Methods From September 2010 to September 2011, 9629 subjects who took physical examination in a top three hospital in Tianjin were selected as subjects. The rate of detection of hypertension and the detection rate of normal high blood pressure in this population were calculated, and the influencing factors of normal high blood pressure were screened by dichotomous logistic regression. Results The detection rate of hypertension was 27.53% in Tianjin. The detection rate was 24.14% according to the composition of the national population. After the population composition of Tianjin was standardized, the detection rate was 25.77%. The detection rate of normal high blood pressure was 33.33% in the physical examination population, and the detection rate was 33.46% when standardized by the national population. The standardized detection rate of normal high blood pressure in men was 37.75% higher than that of female (29.34% %). Multivariate logistic regression analysis showed that the statistically significant influencing factors and their OR values (95% CI) were 1.687 (1.503-1.894), respectively, and the mean age was 1.280 (1.226-1.335). The body mass index was 2.013 (1.839) ~ 2.203), hyperlipidemia: 1.251 (1.100 ~ 1.422), family history of hypertension 1.674 (1.398 ~ 2.004). Conclusion The detection rate of hypertension and normal high blood pressure in the physical examination population in Tianjin are higher. The normal high blood pressure in the population is affected by many factors, and people with normal high blood pressure should be interfered, especially for overweight or obesity , With a family history of hypertension, middle-aged and young men with normal high blood pressure intervention, to avoid the development of clinical hypertension.