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目的了解安徽省中部地区职业人群血压正常高值状况及相关危险因素。方法选取2008年8月在安徽省立医院健康体检中心体检的所有企事业单位(41家)职工2089人,实际研究对象2019人。测量血压、身高、体重、心率、血糖及血脂等,并进行个人既往血压史、生活饮食及饮酒等情况问卷调查。结果该地区职业人群血压正常高值检出率为30.3%。其中男性检出率为34.3%,随年龄增长呈下降趋势,女性为22.5%,在60岁前随年龄增长呈递增趋势,男女性检出率差别有统计学意义(P<0.001)。多因素Logistic回归分析显示,与血压正常高值有关的危险因素是:年龄(OR=1.023,95%CI:1.010～1.035),男性(OR=2.992,95%CI:2.223～4.027),心率(OR=1.044,95%CI:1.030～1.057),超重及肥胖(OR=2.523,95%CI:1.867～3.408)。结论安徽中部地区职业人群血压正常高值率接近全国平均水平,存在多种危险因素,应积极控制体重。
Objective To understand the prevalence of high blood pressure and related risk factors in occupational population in central area of Anhui Province. Methods Totally 2089 workers and staff of all enterprises and institutions (41) who took physical examination in Anhui Provincial Hospital Healthy Physical Examination Center in August 2008 were selected, and 2019 people were actually studied. Measurement of blood pressure, height, weight, heart rate, blood glucose and blood lipids, etc., and personal history of previous blood pressure, diet and alcohol consumption, etc. Questionnaire. Results The prevalence of high blood pressure in occupational population in this area was 30.3%. Among them, the detection rate of males was 34.3%, showing a downward trend with age. The percentage of females was 22.5%. Before 60 years of age, the detection rate increased with the increasing of age. There was a significant difference between males and females (P <0.001). Multivariate logistic regression analysis showed that the risk factors associated with high normotensive patients were age (OR = 1.023, 95% CI: 1.010-1.035), male (OR = 2.992, 95% CI: 2.223-4.0227), heart rate OR = 1.044, 95% CI: 1.030 ~ 1.057), overweight and obesity (OR = 2.523, 95% CI: 1.867-3.408). Conclusion The normal high value rate of blood pressure in occupational population in central Anhui is close to the national average level. There are many risk factors and the body weight should be controlled actively.