论文部分内容阅读
目的了解脑卒中高危人群H型高血压患病率及其相关危险因素。方法采用整群抽样的方法,抽取南京市江宁区6 061例40岁以上常住居民进行初筛,按照卫计委制定的脑卒中危险因素风险评估标准筛查出845例脑卒中高危人群并对其复筛,包括一般的人口学信息、既往疾病史、家族史、生活方式信息、体格检查、实验室检查。通过χ~2检验和logistics回归分析H型高血压的危险因素。结果 845例脑卒中高危人群中,H型高血压448例(53.02%),其中男性244例,女性204例,男性患病率高于女性(63.71%vs 44.16%,P<0.01);年龄≥60岁、男性、吸烟、饮酒、口味偏咸、血脂异常、糖尿病史、脑卒中史、高血压家族史患者H型高血压患病率升高(P<0.05);多因素logistic逐步回归分析结果显示男性、年龄≥60岁、血脂异常、糖尿病史、高血压家族史是H型高血压的重要危险因素。结论该区脑卒中高危人群H型高血压患病率较高,应采取有效的防控措施,降低脑卒中风险,提高居民生活质量。
Objective To understand the prevalence of Hypertension and its related risk factors in high risk stroke population. Methods A total of 6 061 permanent residents above 40 years old in Jiangning District of Nanjing were enrolled in this study. A total of 845 high risk groups of stroke were screened out according to the risk assessment criteria for stroke risk developed by the State Health Planning Commission Screening, including general demographic information, past disease history, family history, lifestyle information, physical examination, laboratory tests. The risk factors of Hypertension were analyzed by χ ~ 2 test and logistic regression. Results There were 448 cases (53.02%) of H-type hypertension among the 845 high-risk stroke population, including 244 males and 204 females. The prevalence rate of males was higher than that of females (63.71% vs 44.16%, P <0.01) The prevalence of Hypertension was significantly higher in men aged 60, male, smoking, alcohol consumption, salty taste, dyslipidemia, diabetes mellitus, stroke history and family history of hypertension (P <0.05). Multivariate logistic stepwise regression analysis Show men, age ≥ 60 years old, dyslipidemia, history of diabetes, family history of hypertension is an important risk factor for H-type hypertension. Conclusion The prevalence of Hypertension in high risk stroke population in this district is high. Effective prevention and control measures should be taken to reduce the risk of stroke and improve the life quality of residents.