[1]李　娟,李倩倩,王春枝,等.河南新乡县农村居民高血压前期和高血压患病状况及影响因素分析[J].新乡医学院学报,2021,38(10):935-939.[doi:10.7683/xxyxyxb.2021.010.07]
　LI Juan,LI Qianqian,WANG Chunzhi,et al.Analysis of the prevalence and influencing factors of pre-hypertension and hypertension of rural residents in Xinxiang county,Henan province[J].Journal of Xinxiang Medical University,2021,38(10):935-939.[doi:10.7683/xxyxyxb.2021.010.07]
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河南新乡县农村居民高血压前期和高血压患病状况及影响因素分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年10
页码:
935-939
栏目:
临床研究
出版日期:
2021-10-05

文章信息/Info

Title:
Analysis of the prevalence and influencing factors of pre-hypertension and hypertension of rural residents in Xinxiang county,Henan province
作者:
李　娟; 李倩倩; 王春枝; 姜　静; 宋　杰; 安　珍; 吴卫东
（新乡医学院公共卫生学院，河南　新乡　450003）
Author(s):
LI Juan; LI Qianqian; WANG Chunzhi; JIANG Jing; SONG Jie; AN Zhen; WU Weidong
(School of Public Health,Xinxiang Medical University,Xinxiang 453003,Henan Province,China)
关键词:
高血压; 高血压前期; 危险因素
Keywords:
hypertension; pre-hypertension; risk factors
分类号:
R544.1
DOI:
10.7683/xxyxyxb.2021.010.07
文献标志码:
A
摘要:
目的　调查河南新乡县朗公庙和七里营农村居民高血压前期及高血压的患病状况并分析其影响因素。方法　2017年4月至2017年7月采用随机分层整群抽样方法抽取河南新乡县朗公庙和七里营2个村19～90岁常住居民10 763人为调查对象。采用集中问卷调查方法，收集调查对象的一般人口社会学特征资料（包括性别、年龄、家庭人均月收入、文化程度、职业、婚姻状况）及吸烟、饮酒情况。对所有调查对象进行体格检查，包括身高、体质量、腰围（WC）、臀围、身体脂肪率、内脏脂肪指数、基础代谢率，并计算腰臀比（WHR）和体质量指数（BMI）。采用电子血压计测量所有观察对象血压。采用全自动生物化学仪测定所有调查对象的外周静脉血中肌酐、尿酸、尿素氮、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）、总胆固醇（TC）、三酰甘油（TG）、空腹血糖（FPG）水平。结果　10 595份有效问卷中，血压正常者3 151人（血压正常组），高血压前期患者3 657例（高血压前期组），高血压患者3 787例（高血压组）。高血压前期检出率为34.52%（3 657/10 595），高血压检出率为35.74%（3 787/10 595）。不同吸烟史调查对象的高血压前期患病率比较差异有统计学意义（P<0.05）；不同吸烟史调查对象的高血压患病率比较差异无统计学意义（P>0.05）；不同性别、年龄、家庭人均月收入、饮酒史、文化程度、婚姻状况、职业调查对象的高血压前期和高血压的患病率比较差异均有统计学意义（P<0.05）。高血压前期组与血压正常组调查对象的身高比较差异无统计学意义（P>0.05）；高血压组与血压正常组调查对象的身高比较差异有统计学意义（P<0.05）；血压正常组调查对象的年龄、尿酸、尿素氮、肌酐、TC、TG、HDL-C、LDL-C、FPG 、WHR、BMI、WC、臀围与高血压前期组、高血压组比较差异均有统计学意义（P<0.05）；高血压前期组与高血压组患者的年龄、尿酸、尿素氮、肌酐、TC、TG、LDL-C、WHR、BMI、WC、臀围比较差异均有统计学意义（P<0.05）；高血压前期组与高血压组患者的HDL-C、FPG水平比较差异无统计学意义（P>0.05）。TG、LDL-C、BMI、性别、年龄、婚姻情况为高血压前期的危险因素（P<0.05）。TG、LDL-C、BMI、FPG、WC、婚姻情况、饮酒状况、年龄、性别为高血压的危险因素（P<0.05）。结论　河南新乡县农村居民高血压及高血压前期的患病率均较高，TG、LDL-C、BMI、婚姻情况、年龄、性别是影响高血压前期及高血压的重要危险因素。
Abstract:
Objective　To investigate the prevalence of pre-hypertension and hypertension of rural residents in Langgongmiao and Qiliying,Xinxiang county,Henan province,and analyze its influencing factors.Methods　A total of 10 763 permanent residents aged 19 to 90 years in 2 villages of Langgongmiao and Qiliying in Xinxiang county,Henan province from April 2017 to July 2017 were selected as the survey subjects by the random stratified cluster sampling method.The general demographic and sociological characteristics (including gender,age,monthly household income,education level,occupation,marital status),smoking and drinking status of the survey subjects were collected by the centralized questionnaire survey method.All survey subjects underwent physical examination,including height,body weight,waist circumference (WC),hip circumference,body fat percentage,visceral fat index and basal metabolic rate,and the waist to hip ratio (WHR) and body mass index (BMI) were calculated.The blood pressure of all survey subjects was measured by electronic sphygmomanometer.The peripheral venous blood creatinine,uric acid,low-density lipoprotein cholesterol (LDL-C),high-density lipoprotein cholesterol (HDL-C),total cholesterol (TC),triglycerides (TG),fasting blood glucose (FPG) levels were detected by the automatic biochemical analyzer.Results　Among the 10 595 valid questionnaires,3 151 cases had normal blood pressure (normal blood pressure group),3 657 pre-hypertension (pre-hypertension group),and 3 787 cases had hypertension (hypertension group).The detection rate of pre-hypertension was 34.52% (3 657/10 595),the detection rate of hypertension was 35.74% (3 787/10 595).There was statistically significant difference in the prevalence of pre-hypertension among survey subjects with different smoking history (P<0.05)；there was no significant difference in the prevalence of hypertension among survey subjects with different smoking history (P>0.05)；there were statistically significant differences in the prevalence of pre-hypertension and hypertension among survey subjects with different gender,age,family monthly income,drinking history,education level,marital status and occupational (P<0.05).There was no significant difference in height of survey subjects between the pre-hypertension group and the normal blood pressure group (P>0.05)；there was statistically significant difference in height of survey subjects between the hypertension group and the normal blood pressure group (P<0.05)；there were statistically significant differences in the age,uric acid,urea nitrogen,creatinine,TC,TG,HDL-C,LDL-C,FPG,WHR,BMI,WC,hip circumference of survey subjects between the normal blood pressure group and pre-hypertension group,hypertension group (P<0.05);there were statistically significant differences in age,uric acid,urea nitrogen,creatinine,TC,TG,LDL-C,WHR,BMI,WC and hip circumference of survey subjects between the pre-hypertension group and the hypertension group (P<0.05);there was no significant difference in HDL-C and FPG levels of survey subjects between the pre-hypertension group and the hypertension group (P>0.05).The TG,LDL-C,BMI,gender,age and marital status were risk factors for pre-hypertension (P<0.05).The TG,LDL-C,BMI,FPG,WC,marital status,drinking status,age and gender were risk factors for hypertension (P<0.05).Conclusion　The prevalence of hypertension and pre-hypertension in rural residents of Xinxiang county,Henan province is relatively high.TG,LDL-C,BMI,marital status,age and gender are the important risk factors for pre-hypertension and hypertension.

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更新日期/Last Update: 2021-10-05