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目的了解苏州市茶花社区居民高血压、血脂异常的分布特征,探讨高血压与血脂异常的危险因素。方法对茶花社区400名35岁及以上居民进行血压(BP)、身高、体质量、腰围、臀围测量,吸烟、饮酒等因素的调查及血脂、血糖(FBG)、尿酸(UA)的检测,以高血压与否为应变量,以高血压家族史、吸烟、饮酒、年龄、性别、体质指数(BMI)、腰臀围比值(WHR)、血糖、血脂、血尿酸为自变量,进行多因素非条件Logistic回归分析,计算OR值及其95%可信区间。结果高血压患病率为53.25%,血脂异常患病率为30.00%,高血压合并血脂异常患病率为18.00%。单因素分析结果表明,年龄、性别、饮酒、BMI、WHR、FBG、UA与高血压的关联均有统计学意义(P<0.05);经多因素调整后,仅年龄、性别、高血压家族史和高血糖与高血压存在关联性(P<0.05),其OR值分别为1.073、0.465、2.035和2.817。结论该社区35岁及以上居民高血压、血脂异常患病率偏高,应当采取合理有效的干预措施,积极预防。
Objective To understand the distribution characteristics of hypertension and dyslipidemia in Camellia community in Suzhou and to explore the risk factors of hypertension and dyslipidemia. Methods 400 inhabitants aged 35 and over in Camellia community were surveyed by blood pressure (BP), height, body weight, waist circumference, hip circumference, smoking, drinking and other factors and the detection of blood lipid, blood glucose and uric acid (UA) Hypertension or not as the dependent variable, family history of hypertension, smoking, drinking, age, sex, body mass index (BMI), waist-hip ratio (WHR), blood glucose, Non-conditional logistic regression analysis was performed to calculate OR and its 95% confidence interval. Results The prevalence of hypertension was 53.25%, the prevalence of dyslipidemia was 30.00%, and the prevalence of hypertension with dyslipidemia was 18.00%. Univariate analysis showed that age, sex, alcohol consumption, BMI, WHR, FBG, UA and hypertension had statistical significance (P <0.05). After adjusting for multiple factors, only family history of age, gender and hypertension And hyperglycemia and hypertension (P <0.05), the OR values were 1.073, 0.465, 2.035 and 2.817 respectively. Conclusion The prevalence of hypertension and dyslipidemia in residents aged 35 years and over in this community is high, and reasonable and effective intervention measures should be taken to prevent it actively.