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| 上海市某院2015年体检人群H型高血压的患病率及其影响因素分析 |
| Prevalence rate of H-type hypertension and its risk factors among medical examination population in a hospital of Shanghai in 2015 |
| 投稿时间：2016-12-17 |
| DOI：10.3969/j.issn.1000-0399.2017.11.020 |
| 中文关键词: H型高血压 同型半胱氨酸 危险因素 |
| 英文关键词: H-typehypertension Homocysteine Risk factor |
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| 中文摘要: |
| 目的 了解上海市某院2015年体检人群H型高血压的患病率及其影响因素。方法 采用完全随机抽样的方法,从华东疗养院2015年体检人群近4万人群中按10%的比例抽取3 963人为研究对象。收集研究对象的性别、年龄、糖尿病史、吸烟史、饮酒史、血压、体质指数、血脂、血清肌酐、血清尿酸、同型半胱氨酸等指标,用多因素logistic回归分析上述指标与H型高血压患病的关系。结果 3 963人中,H型高血压患者873例,患病率22.03%,H型高血压占所有高血压患者的比例为77.12%。多因素分析结果显示,男性、年龄 ≥ 45岁、超重、肥胖、大量饮酒、高血压级别 ≥ 2级、患有糖尿病、三酰甘油（TG）升高、尿酸升高是H型高血压的危险因素（P<0.05）。结论 上海市体检人群H型高血压患病率高,危险因素大多可控,应提高对H型高血压的重视,及早干预。 |
| 英文摘要: |
| Objective To investigate the prevalence rate of H-type hypertension and its risk factors among medicalexamination populationin a hospital of Shanghai in 2015. Methods Bymeans oftotal randomized sampling, 3,963 people were selectedasthe studyobjects fromalmost 40thousandmedical examination populationsintheHuadong Sanatorium of Shanghai in 2015,with a sampling ratio of 10%.The data of gender, age,history of diabetes, history of smoking, history of drinking, blood pressure, body mass index, and serumlevels oflipids, creatinine, uric acid, homocysteinein all study objectswere collected, and relationship between these data and prevalence of H-type hypertension wasidentified by multivariateLogistic regression analysis.Results 873 caseswith H-type hypertension were found in the 3,963 study objects,witha prevalence rate of 22.03%, and thesecases with H-type hypertension accounted for 77.12% of all hypertension patients. Multivariate Logistic regression analysis showed that male, age ≥ 45 years old, overweight or obese, heavy drinking, hypertension grade ≥ 2, diabetes, elevatedlevels oftriglyceride and uric acid were the risk factors of H-type hypertension(P<0.05). Conclusion The prevalence rateof H-type hypertension among medical examinationpopulationof Shanghaiis higher, butmost risk factors are controllable, so intensive attention and earlier medical interventionsforH-type hypertension should be carriedout. |
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