【摘要】：目的:了解邢臺(tái)市居民的高血壓患病特點(diǎn)及變化趨勢(shì),并探討相關(guān)影響因素,為進(jìn)一步開(kāi)展慢性病管理、健康教育工作提供依據(jù)。方法:數(shù)據(jù)來(lái)源于邢臺(tái)市某醫(yī)院2010年~2014年五年間的體檢結(jié)果,體檢項(xiàng)目由衛(wèi)計(jì)委統(tǒng)一規(guī)定,本文選用的數(shù)據(jù)為部分體檢數(shù)據(jù),內(nèi)容包括年齡、性別、身高、體重、收縮壓、舒張壓、血脂四項(xiàng)、空腹血糖等信息。研究對(duì)象為五年間18歲及以上的體檢人員,每年的調(diào)查樣本量分別為2779人、7604人、7818人、10432人、7861人。采用SPSS19.0對(duì)數(shù)據(jù)進(jìn)行整理分析,對(duì)邢臺(tái)市某醫(yī)院的成年體檢人員高血壓患病率的變化趨勢(shì)進(jìn)行描述性分析;采用?2檢驗(yàn)進(jìn)行單因素分析、多因素非條件Logistic回歸分析進(jìn)行多因素分析,分析年齡、性別、體質(zhì)指數(shù)、糖尿病、血脂異常等對(duì)成年體檢人員的高血壓患病率的影響。結(jié)果:1高血壓患病特點(diǎn)及變化趨勢(shì)2010年~2014年的邢臺(tái)市體檢人員高血壓患病率分別為42.97%、43.71%、44.10%、44.84%、43.72%,男性高血壓患病率分別為50.91%、50.52%、51.69%、52.04%、50.55%,女性高血壓患病率分別為27.57%、28.33%、29.12%、29.71%、29.71%。五年間高血壓患病率呈略微增長(zhǎng)趨勢(shì)。采用2010年~2014年合并總?cè)巳鹤鳛闃?biāo)準(zhǔn)人口對(duì)5年數(shù)據(jù)進(jìn)行標(biāo)化,標(biāo)化后結(jié)果:2010年~2014年高血壓標(biāo)化患病率分別為45.45%、44.33%、44.66%、43.77%、42.28%,男性高血壓標(biāo)化患病率分別為50.15%、50.36%、52.08%、51.07%、49.45%,女性高血壓標(biāo)化患病率分別為28.86%、30.62%、29.61%、28.98%、27.92%。2高血壓患病率的單因素分析單因素分析顯示,不同性別間高血壓患病率不同,男性高血壓患病率高于女性,各年份差異均有統(tǒng)計(jì)學(xué)意義(?2分別為138.77、323.61、360.27、459.49、305.62,均P0.01);高血壓患病率與年齡增加密切相關(guān),不同年齡間高血壓患病率有明顯差異(?2分別為220.99、402.42、466.30、692.85、552.68,均P0.01),在各年份高血壓患病率均有隨年齡增加的升高趨勢(shì),且不同性別間高血壓患病率也均與年齡增加有關(guān);高血壓的患病率在超重肥胖組與正常組的分布表現(xiàn)出了較大差異,超重肥胖組高血壓患病率明顯高于體重正常組(?2分別為306.87、661.36、773.41、899.37、761.92,均P0.01);糖尿病組高血壓患病率高于血糖正常組(?2分別為42.85、123.82、184.49、228.03、247.64,均P0.01);血脂異常率與高血壓患病率也表現(xiàn)出一定聯(lián)系,血脂異常組高血壓明顯高于血脂正常組(?2分別為58.36、220.28、264.85、217.45、33.16,均P0.01)。3多因素非條件Logistic回歸分析多因素分析結(jié)果顯示,在控制了年齡因素后,超重或肥胖、男性、血脂異常、糖尿病仍為高血壓的危險(xiǎn)因素。結(jié)論:高血壓患病率男性高于女性,且隨年齡增長(zhǎng)呈現(xiàn)上升趨勢(shì),并隨年份的后移略有升高。高血壓患病率與超重/肥胖、血脂異常、糖尿病、男性呈現(xiàn)正相關(guān)。邢臺(tái)市體檢人員高血壓患病率較高,應(yīng)采取多種措施降低高血壓發(fā)病率,減少高血壓對(duì)社會(huì)、經(jīng)濟(jì)帶來(lái)的影響。
[Abstract]:Objective: to investigate the characteristics and trends of hypertension in Xingtai, and to explore the related factors to provide the basis for the further development of chronic disease management and health education. Methods: the data were obtained from the medical examination results of a hospital in Xingtai City from 2010 to 2014. The items of physical examination were stipulated by the Health and Family Planning Commission. The data selected in this paper are partial physical examination data, including age, sex, height, weight, systolic blood pressure. Diastolic blood pressure, blood lipids, fasting blood glucose and other information. The subjects of the study were 18 years old and over. The annual sample numbers were 2779, 7604, 7818, 10432 and 7861, respectively. The data were collected and analyzed by SPSS19.0, and the trend of hypertension prevalence among adult health examiners in a hospital in Xingtai city was analyzed in a descriptive way. The influence of age, sex, body mass index, diabetes mellitus and dyslipidemia on the prevalence of hypertension was analyzed by using? 2 test and multivariate Logistic regression analysis. Results: (1) the prevalence rate of hypertension among physical examiners in Xingtai City from 2010 to 2014 was 42.97 and 44.101.The prevalence of hypertension was 44.84 and 43.72, respectively. The prevalence rate of hypertension in males was 50.91and 50.52including 52.04 and 52.04, respectively. The prevalence rate of hypertension in females was 27.5728.33 and 29.120.29. 71 and 29.71, respectively. The prevalence of hypertension increased slightly in five years. The five year data were standardized by using the combined population from 2010 to 2014 as the standard population. The results showed that the standardized prevalence of hypertension from 2010 to 2014 was 45.45% and 44.33% respectively. The standardized prevalence rate of hypertension in males was 50.15 and 50.360.387.The standardized prevalence rate of hypertension in females was 28.866.62 and 28.988.The standardized prevalence rate of hypertension was 51.07% and 49.45%, respectively. The univariate analysis of 27.92.2 prevalence of hypertension showed that the prevalence rate of hypertension was different among genders, and the prevalence rate of hypertension in males was higher than that in females. The difference was statistically significant in each year (? 2 was 138.77323.61360.27459.49305.62, respectively, P0.01); The prevalence of hypertension was closely related to the increase of age, and there were significant differences in the prevalence of hypertension among different ages (220.99402.42466.306.692.85552.68, respectively, P0.01). In each year, the prevalence of hypertension increased with age, and the prevalence of hypertension was related to the increase of age. The prevalence of hypertension in overweight and obesity group was significantly higher than that in normal body weight group (? 2 = 306.87661.36773.41899.37761.92, all P0.01). The prevalence of hypertension in diabetic group was higher than that in normal blood glucose group (42.85123.82184.49228.03247.64, respectively, P0.01). The abnormal rate of blood lipids was also associated with the prevalence of hypertension, and the hypertension rate in dyslipidemia group was significantly higher than that in normal blood lipid group (? 2 = 58.36220.28264.85217.45, 33.16, respectively). The results of multivariate Logistic regression analysis showed that overweight or obesity, male, dyslipidemia and diabetes were still the risk factors of hypertension after controlling for age. Conclusion: the prevalence rate of hypertension in males is higher than that in females. The prevalence of hypertension was positively correlated with overweight / obesity, dyslipidemia, diabetes, and men. The prevalence rate of hypertension in physical examination personnel in Xingtai City is high. Many measures should be taken to reduce the incidence of hypertension and to reduce the impact of hypertension on society and economy.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R544.1

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