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目的了解辽宁省农村男性居民血压正常高值的流行病学特征及相关危险因素,为防治与其相关的高血压和心血管疾病提供依据。方法采用分层整群随机抽样对辽宁省阜新市7个乡镇≥35岁15 122名农村常住(≥5年)男性居民进行调查。由培训过的医师对调查对象进行血压测量和资料的收集。结果辽宁省农村男性居民血压正常高值率为51.2%,高血压患病率为35.8%。随着年龄的增高,血压正常高值率呈下降趋势,高血压患病率呈增高趋势。多元Logistic逐步回归分析发现,超重、肥胖、蒙古族、饮酒与血压正常高值患病率显著相关。结论辽宁省农村男性居民血压正常高值率高,存在多种危险因素,应积极开展宣教工作,改变当地居民的生活方式,如减轻体重、限酒等,以防止高血压和心脑血管疾病的发生。
Objective To understand the epidemiological characteristics and related risk factors of normotensive BPH in rural men in Liaoning Province and provide evidences for prevention and treatment of hypertension and cardiovascular diseases related to them. Methods A stratified cluster random sampling survey was conducted on 15 122 rural residents (≥ 5 years) male residents ≥35 years old in seven townships in Fuxin City of Liaoning Province. The trained physicians performed blood pressure measurements and data collection on the subjects. Results The prevalence of high blood pressure in rural male residents in Liaoning Province was 51.2% and the prevalence of hypertension was 35.8%. With increasing age, high normal blood pressure showed a downward trend, the prevalence of hypertension showed an upward trend. Multivariate Logistic stepwise regression analysis found that overweight, obesity, Mongolian, drinking and high prevalence of blood pressure was significantly associated with the prevalence. Conclusions There are many risk factors for the high normal blood pressure of male residents in rural areas in Liaoning Province. They should actively carry out mission work to change the lifestyle of local residents such as weight loss and alcohol restriction so as to prevent hypertension and cardiovascular and cerebrovascular diseases occur.