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目的了解浙江省杭州市区企业退休人员正常高值血压的发生率及相关的危险因素,为高血压和相关的心脑血管疾病在社区的防治提供依据。方法用整群抽样方法随机抽取4个社区的企业退休人员1 959人,进行问卷调查、体格检查以及实验室检查。结果杭州市区企业退休人员正常高值血压率为30.6%;多元Logistic回归分析发现,正常高值血压的危险因素主要是超重(OR=1.874,95%CI=1.376~2.553)、肥胖(OR=2.211,95%CI=1.034~4.726)、饮酒(OR=1.420,95%CI=1.001~2.015)、血糖异常(OR=1.760,95%CI=1.050~2.949)、甘油三酯异常(OR=1.358,95%CI=1.045~1.765)及年龄增高(60岁~OR=1.576,95%CI=1.179~2.106;70岁~OR=1.957,95%CI=1.375~2.786)。结论企业退休人员正常高值血压率较高,存在多种危险因素。应提倡健康的生活方式,防止高血压和心脑血管疾病的发生。
Objective To understand the incidence of hypertension and related risk factors of retired workers in Hangzhou, Zhejiang Province, and to provide basis for the prevention and treatment of hypertension and related cardiovascular and cerebrovascular diseases in the community. Methods A total of 1 959 enterprise retirees in 4 communities were randomly selected by cluster sampling method, and questionnaires, physical examination and laboratory tests were conducted. Results The normal high-value blood pressure was 30.6% in Hangzhou retiree. Logistic regression analysis showed that the risk factors of normal high-value blood pressure were mainly overweight (OR = 1.874, 95% CI = 1.376-2.553), obesity (OR = (OR = 1.720, 95% CI = 1.050-2.949), triglyceride abnormality (OR = 1.358, P0.05) , 95% CI = 1.045-1.765) and age (age 60 to OR = 1.576, 95% CI = 1.179 to 2.106; age 70 to OR = 1.957, 95% CI = 1.375 to 2.786). Conclusion The normal high-value blood pressure of retirees in enterprises is high, and there are many risk factors. Should promote a healthy lifestyle, to prevent the occurrence of hypertension and cardiovascular disease.