摘要
目的 分析安徽省蚌埠市蚌山区老年H型高血压流行病学特点及相关危险因素。方法 于2019年4月-2021年4月采用多阶段分层整群抽样方法,在安徽省蚌埠市蚌山区天桥、青年、纬二路、黄庄、宏业村5个街道,雪华、燕山2个乡(依托社区卫生服务中心)抽取65岁以上高血压患者685人,采用《社区居民健康相关行为问卷》《社区居民慢性病患病情况问卷》进行问卷调查,并开展体格检查(身高、体重、血压),测定血浆总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C)、空腹血糖(FBG)、同型半胱氨酸(Hcy),分析该地区老年H型高血压流行病学特点及相关危险因素。结果 安徽省蚌埠市蚌山区老年H型高血压患病率为92.70%,其中男性患病率为95.92%,女性患病率为89.47%,男性患病率高于女性(P<0.05);单因素分析显示,性别、TC、HDL-C、Hcy是安徽省蚌埠市蚌山区老年H型高血压患病的危险因素;多因素Logistic回归分析显示,男性、血浆Hcy水平是安徽省蚌埠市蚌山区老年H型高血压患病的独立危险因素。结论 安徽省蚌埠市蚌山区老年H型高血压患病率高,且存在性别差异;另外,Hcy是安徽省蚌埠市蚌山区老年H型高血压的独立危险因素。
Objective To analyze the epidemiological characteristics and related risk factors of H-type hypertension in the elderly in Bengbu City,Anhui Province.Methods From April 2019 to April 2021, a multi-stage stratified cluster sampling method was used to select 685 patients aged over65 with hypertension in five subdistricts(Tianqiao, Qingnian, Weierlu, Huangzhuang and Hongye villages) and two Townships(relying on community health services) in Bengshan District. A questionnaire survey was conducted using "The Community Residents Health-related Behavior Questionnaire" "Community Residents Chronic Disease Prevalence Questionnaire" and a physical examination(height, weight, blood pressure) was conducted. Plasma total cholesterol(TC), triglyceride(TG), low-density lipoprotein(LDL-C), high-density lipoprotein(HDL-C), fasting blood glucose(FBG),homocysteine(Hcy) were measured. The epidemiological characteristics and related risk factors of H-type hypertension in the elderly in this area were analyzed.Results The prevalence rate of H-type hypertension was 92.70%, while the prevalence rate of men was 95.92% and that of women was89.47%. Univariate analysis showed that gender, TC, HDL-C and Hcy were risk factors for H-type hypertension in the elderly in Bengbu City, Anhui Province. Multivariate logistic regression analysis showed that male and plasma Hcy level were independent risk factors for H-type hypertension in the elderly in Bengbu City, Anhui Province.Conclusion The prevalence of H-type hypertension in Bengshan district of Bengbu city is high, and there is gender difference. In addition, Hcy is an independent risk factor for H-type hypertension in the elderly in Bengbu City, Anhui Province.
作者
徐仕伟
姚光辉
骆艳茹
于浩
陈磊
XU Shi-wei;YAO Guang-hui;LUO Yan-ru;YU Hao;CHEN Lei(Department of General Medicine,the Third People's Hospital of Bengbu City Affiliated to Bengbu Medical College,Bengbu 233000,Anhui,China)
出处
《医学信息》
2023年第2期20-23,共4页
Journal of Medical Information
基金
蚌埠医学院自然科学基金重点项目(编号:BYKY18170)。
