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目的了解一汽集团离退休人员中高血压病患病情况及相关危险因素,探讨如何针对其危险因素开展健康宣教。方法在一汽厂区25个工作站随机选取参加健康体检的离退休人员734名,统计高血压病患病情况及控制情况,对比高血压病组与无高血压病组腰围、体质指数(BMI)、空腹血糖、总胆固醇、甘油三酯、血尿酸、同型半胱氨酸、尿微量蛋白、尿N-乙酰-β-D-氨基葡萄糖苷酶等危险因素的差别,为一汽厂区离退休人员的高血压病健康管理工作提供依据。结果共检出高血压患者347名,患病率为47.2%;262名已知患高血压病者,规律管理高血压病者仅为22.9%。高血压病组BMI、腰围、同型半胱氨酸、血糖、血尿酸、总胆固醇、甘油三酯、低密度脂蛋白水平、尿微量蛋白水平均高于无高血压病组(P均<0.05),Logistic回归分析结果发现腰围对于高血压病影响更为明显(OR=1.483),腰围是引起高血压病的重要危险因素。结论目前社区高血压病规律管理率低,高血压病患病率与BMI、腰围、尿微量蛋白、总胆固醇、甘油三酯、高密度脂蛋白、低密度脂蛋白、空腹血糖、血尿酸、同型半胱氨酸的水平关系密切。需针对高血压的危险因素进行宣教,提倡良好生活方式。
Objective To understand the prevalence and related risk factors of hypertension in retirees from FAW Group and to explore how to carry out health education on the basis of their risk factors. Methods Seven hundred and seventy retirees were selected randomly from 25 work stations in FAW Plant. The prevalence and control of hypertension were calculated. The changes of waist circumference, body mass index (BMI), fasting Blood glucose, total cholesterol, triglycerides, serum uric acid, homocysteine, urinary microalbuminuria, urinary N-acetyl-β-D-glucosaminidase and other risk factors for the retired workers in the FAW plant hypertension Disease health management to provide the basis. Results A total of 347 hypertensive patients were detected, with a prevalence of 47.2%. Of the 262 known hypertensive patients, only 22.9% were regular hypertensive patients. Hypertension group BMI, waist circumference, homocysteine, blood glucose, serum uric acid, total cholesterol, triglyceride, low density lipoprotein, urine microalbumin levels were higher than those without hypertension (all P <0.05) Logistic regression analysis showed that waist circumference had a more significant effect on hypertension (OR = 1.483). Waist circumference was an important risk factor for hypertension. Conclusions At present, the prevalence rate of hypertension in the community is low, and the prevalence of hypertension is positively correlated with the prevalence of BMI, waist circumference, urine microalbumin, total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, fasting blood glucose, Cysteine levels are closely related. Mission-specific risk factors for hypertension should be advocated to promote a good lifestyle.