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目的调查深圳华侨城地区高血压患病率及高血压患者多代谢异常的流行病学特征分布情况,探索高血压患者合并代谢异常的相关因素。方法调查2006年3月至2007年3月来深圳华侨城医院体检人群高血压患病率,并对该人群中1075名原发性高血压患者合并多代谢异常的分布特点进行了分析。研究的主要代谢异常包括脂代谢异常、糖尿病及肥胖。结果高血压患病率为11.4%,并显示随年龄增加而增高的趋势。高血压及合并各种代谢异常的发病率均显示男性高于女性。患者中合并一种、两种、三种代谢异常者的比例分别为43.5%、29.0%和10.3%,至少合并一种代谢异常高达82.8%。结论该地区高血压患病率虽低于国内其他地区,但高血压合并代谢异常仍处高水平,并均显示男性高于女性的特征。提示在该高血压患者人群中除进行常规降压治疗外应同时控制脂质代谢紊乱、糖尿病,以减少血管事件的发生,同时对男性应有更多的关注。
Objective To investigate the distribution of epidemiological characteristics of hypertension and multi-metabolic abnormalities in patients with hypertension in Shenzhen OCT area and explore the related factors of hypertension complicated by metabolic abnormalities. Methods The prevalence of hypertension in physical examination population of OCT Hospital of Shenzhen from March 2006 to March 2007 was investigated and the distribution characteristics of multi-metabolic abnormalities in 1,075 essential hypertension patients in this population were analyzed. The main metabolic abnormalities studied include dyslipidemia, diabetes and obesity. Results The prevalence of hypertension was 11.4% and showed an increasing trend with age. Hypertension and the incidence of various metabolic abnormalities showed that men than women. Patients with one, two, three metabolic abnormalities were 43.5%, 29.0% and 10.3%, respectively, with at least a metabolic abnormalities up to 82.8%. Conclusion Although the prevalence of hypertension in this area is lower than that in other parts of the country, the metabolic abnormalities of hypertension are still at a high level and all show the characteristics of males higher than females. Prompt in this population of hypertensive patients in addition to conventional antihypertensive therapy should also control lipid metabolism disorder, diabetes, to reduce the incidence of vascular events, while men should pay more attention.