延边州农村居民正常高值血压及影响因素分析

方今女; 熊英环; 金政国; 吴晓堃

doi:10.11847/zgggws2010-26-03-01

延边州农村居民正常高值血压及影响因素分析

Prevalence and risk factors of high normal blood pressure among people in rural area of Yanbian country

摘要

摘要: 目的分析延边地区农村居民正常高值血压检出率及其危险因素。方法采用简单随机方法,选取吉林省延边朝鲜族自治州安图县农村20~70岁朝鲜族与汉族常住居民,进行问卷调查、血压测量、体格检查及生化指标检测,分析其正常高值血压检出率及其影响因素。结果共调查5 903人,其中朝鲜族居民正常高值血压粗检出率为33.5%,汉族居民为39.0%,年龄调整后的标化检出率分别为40.9%和40.5%;其中朝鲜族居民正常高值血压标化检出率高于汉族居民(u=6.9,P<0.01);男性标化检出率高于女性(朝鲜族:u=93.8,P<0.01;汉族:u=65.8,P<0.01);正常高值血压检出率随年龄增加呈逐渐降低趋势(P<0.05)。多因素分析结果显示,男性、年龄较低、超重或肥胖者、目前饮酒者、多种心血管疾病危险因素聚集者和朝鲜族等因素,与正常高值血压患病相关性较大,其中年龄及体质指数(BMI)对正常高值血压的影响均具有剂量-反应关系。结论正常高值血压患病在延边州农村居民中较普遍,性别、年龄、超重或肥胖、饮酒、代谢综合征和民族与正常高值血压的患病密切相关。

Abstract: Objective To assess the prevalence of high normal blood pressure(HNBP)and its risk factors in rural inhabitants of Yanbian country,Jilin province.Methods A total of 5 903 subjects aged 20-70 years were selected and their anthropometric and biochemical indexes were measu red.Results The age-adjusted preva lence of HNBP in the Korean subjects was significantly higher than that of in the Han subjects(40.9% vs 40.5%;u=6.9,P<0.01).The age-adjusted prevalence of HNBP had significant sex difference in both nationa lities.The preva lence of HNBP decreased with the increase of age.Multiple factor analys is showed that male,lower age,body mass index(BMI)≥24 kg/m²,current alcohol drinking, with metabolic syndrome,being Korean were risk factors of HNBP.Dose-response relationships were observed between HNBP and age,BMI.Conclusion HNBP is prevalent in rural residents.The preva lence of HNBP is correlated with sex, age,alcohol drinking,metabolic synd rome,and nationality(Korean).

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