【摘要】 目的了解南京市鼓楼区H型高血压患病率及相关危险因素。方法采用多阶段随机抽样原则,收集5个社区的高血压病患者,采用自行设计问卷进行问卷调查及相关实验室检查。结果筛查纳入1 148例原发性高血压病患者,诊断为H型高血压842例,占73.33%,其中女性为62.94%,男性为77.72%。多因素logistic回归分析显示:男性(OR=3.305,95%CI:1.887~5.376)、年龄(OR=1.082,95%CI:1.042~1.098)、吸烟(OR=1.951,95%CI:1.198~3.322)、BMI升高(OR=1.184,95%CI:1.110~1.253)、低密度脂蛋白升高(OR=1.612,95%CI:1.248~2.112)、eGFR降低(OR=0.978,95%CI:0.968~0.989)以及未进行有效锻炼(OR=1.876,95%CI:1.192~2.952;OR=3.331,95%CI:1.816~6.002)与H型高血压患病有统计学关联。结论南京市鼓楼区高血压人群中H型高血压发生率较高,应根据相关危险因素特征,开展针对性预防及制定治疗方案。更多还原

【Abstract】 Objective To investigate the prevalence and related risk factors of H type hypertension in Gulou district of Nanjing.Methods The multistage random sampling method was used to collect the hypertensive patients in 5 communities,who were subjected to surveys by self-designed questionnaire and related laboratory examinations.Results A total of 1 148 essential hypertensive patients were recruited,among which 842 cases were diagnosed with H type hypertension,accounting for73.33%.The proportion H type hypertension of females and males were 62.94% and 77.72%,respectively.Multivariate logistic regression analysis showed that male(OR =3.305,95%CI:1.887-5.376),age(OR =1.082,95%CI:1.042-1.098),smoking(OR =1.951,95%CI:1.198-3.322),elevated BMI(OR =1.184,95%CI:1.110-1.253),elevated LDL-c(OR =1.612,95%CI:1.248-2.112),lower eGFR(OR=0.978,95%CI:0.968-0.989)and no effective exercise(OR=1.876,95%CI:1.192-2.952;OR=3.331,95%CI:1.816-6.002)were statistically related to H type hypertension.Conclusion H type hypertension prevalence in Gulou district of Nanjing city was relatively high.Targeted prevention and treatment measures should be made based on risk factors.更多还原