中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (24): 4528-4532.doi: 10.3969/j.issn.1673-8225.2010.24.037

• 组织构建临床实践 clinical practice in tissue construction • 上一篇    下一篇

北京市城乡高血压前期流行情况及其危险因素

胡  泊，李  卫，刘  冰，陈  涛，孙  毅   

  1. 北京协和医学院，中国协和医学院＆阜外心血管病医院防治中心生物统计部，北京 100037
  • 出版日期:2010-06-11 发布日期:2010-06-11
  • 通讯作者: 李 卫，博士，研究员，主要从事生物统计学和流行病学方面的研究。 liwei0325@yahoo.com.cn
  • 作者简介:胡 泊☆，男，1976年生，河北省唐山市人，汉族，在读博士，主要从事慢病预防控制的研究。 lxy_hb007@126.com

Prevalence and risk factors of pre-hypertension in urban and rural population of Beijing 

Hu Bo, Li Wei, Liu Bing, Chen Tao, Sun Yi   

  1. Department of Biostatistics, Centre for Disease Control, Peking Union Medical College, Chinese Academy of Medical Sciences & Fuwai Cardiovascular Disease Hospital, Beijing  100037, China
  • Online:2010-06-11 Published:2010-06-11
  • Contact: Li Wei, Doctor, Investigator, Department of Biostatistics, Centre for Disease Control, Peking Union Medical College, Chinese Academy of Medical Sciences & Fuwai Cardiovascular Disease Hospital, Beijing 100037, China liwei0325@yahoo.com.cn
  • About author:Hu Bo☆, Studying for doctorate, Department of Biostatistics, Centre for Disease Control, Peking Union Medical College, Chinese Academy of Medical Sciences & Fuwai Cardiovascular Disease Hospital, Beijing 100037, China lxy_hb007@126.com

PDF

354

被引次数

24

摘要：

背景：为早期预防高血压、减少和延缓高血压的发生人数，高血压前期的调查十分重要，但目前国内大规模人群调查中，有关对高血压前期的研究报道较少。
目的：对比北京城市和农村高血压前期的流行情况及其危险因素，探讨城市化对高血压前期的影响，为预防和控制提供依据。
方法：采用整群抽样的方法于2005年春秋两季对北京市城市和农村的40~65岁人群中进行横断面调查。采集受试者的基本信息和血压情况，诊断标准依据2005年中国高血压防治指南。采用Logistic回归方法进行多因素分析。
结果与结论：完成问卷和体检的3 268人中，城市受试者高血压前期的患病率低于农村受试者(P < 0.05)。男性腰臀比每增加0.1个单位，高血压前期的风险增加1.411(95% CI: 1.031~1.931)倍，现在饮酒的人为高血压前期的风险是从不饮酒的0.648(95% CI: 0.437~0.961)倍。女性腰臀比每增加0.1个单位，高血压前期的风险增加1.489(95% CI: 1.006~2.203)倍，而三酰甘油每增加1个单位，高血压前期的风险增加1.194(95% CI: 1.000~1.426)倍。因此说明肥胖是高血压前期重要的危险因素。

关键词: 高血压前期, 检出率, Logistic回归, 整群抽样, 城乡

Abstract:

BACKGROUND: Pre-hypertension investigation plays an important role in preventing, reducing and delaying hypertension. However, there are few reports concerning the pre-hypertension in national large-scale investigations.
OBJECTIVE: To compare the prevalence and risk factors of pre-hypertension in urban and rural population of Beijing, to explore the effects of urbanization on the pre-hypertension, in addition, to provide guidance for disease prevention and control. 
METHODS: A cluster sampling was used to establish a study population of inhabitants aged 40-65. The definition of pre-hypertension was determined by National Revision Committee of the Guidelines of Hypertension Prevention and Control in 2005. Logistic regression model was used to find the risk factors of pre-hypertension.
RESULTS AND CONCLUSION: A cohort of 3 268 middle-aged participants were enrolled in the investigation. The prevalence of hypertension in urban was lower than in rural (P < 0.05). Multivariate logistic analysis revealed that, in males, the 0.1 unit increase in waist-hip ratio led to 1.411 increase in risk factor (95% CI: 1.031-1.931), and the current drinking people suffered 0.648 risk factors than that never drinking (95% CI: 0.437-0.961). In females, the 0.1 unit increase in waist-hip ratio resulted in 1.489 increase in risk factor (95% CI: 1.006-2.203), and 1 unit increase in triglyceride caused 1.194 increase in risk factor (95% CI: 1.000-1.426). Accordingly, obesity is a major risk factor for pre-hypertension. 

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