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目的了解2013-2014年北方农村地区≥35岁居民的高血压患病情况,主要探讨体质指数(body mass index,BMI)和高血压的关系,为高血压的防治提供依据。方法以凤城市为中心,在其东西南北中五个不同的方位抽取10个乡镇。将10个乡镇中所有参与健康家庭档案建立的体检者,且年龄≥35岁的居民作为研究对象,提取体检资料中居民的患病情况、年龄、血压和BMI等资料,进行统计学分析。结果体检人数共36 644人,男性18 366人,女性18 278人,高血压患病率为28.1%。不同BMI分级的高血压患病率差异均有统计学意义(均有P<0.05),高BMI水平高血压患病率高于低BMI水平。多因素Logistic回归分析结果显示,调整了其他因素后,高BMI水平是高血压的危险因素。结论与全国高血压患病率相比,辽宁省凤城市农村地区的高血压患病率比较高,高BMI水平是高血压的危险因素。需要根据地区的特点制定适合本地区的干预措施,有效的控制高血压。
Objective To investigate the prevalence of hypertension among rural residents aged 35 to 35 years old in rural areas of northern China from 2013 to 2014. The relationship between body mass index (BMI) and essential hypertension was mainly discussed to provide evidence for the prevention and treatment of hypertension. Methods Taking Fengcheng City as the center, 10 villages and towns were drawn in five different orientations in the east, west, north and south. All the 10 township residents who participated in the establishment of the healthy family archives and residents aged 35 years or older were selected as research subjects, and the prevalence, age, blood pressure and BMI among residents in the physical examination data were extracted for statistical analysis. Results There were 36 644 medical examinations, 18 366 males and 18 278 females. The prevalence of hypertension was 28.1%. The prevalence rates of hypertension with different BMI were statistically significant (both P <0.05), and the prevalence of hypertension with high BMI was higher than that with low BMI. Multivariate logistic regression analysis showed that after adjusting for other factors, high BMI was a risk factor for hypertension. Conclusion Compared with the prevalence of hypertension in rural areas of Fengcheng in Liaoning province, the prevalence of hypertension is high, and the high BMI level is a risk factor for hypertension. According to the characteristics of the region need to develop appropriate interventions in the region, effective control of hypertension.