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目的了解海岛地区人群高血压的危险因素,为海岛地区高血压的防治提供科学依据。方法采用整群随机抽样法对大连市长海县大长山岛镇的海岛居民进行问卷调查和相关体格检查。对检出病例按1∶1选择同性别、年龄±5岁、居住地相同或相近的对照进行匹配,并进行危险因素分析。结果单因素Logistic回归分析结果表明,体质指数、体重、腰围、臀围、家族史、糖尿病、血糖、甘油三酯、胆固醇、高密度脂蛋白、低密度脂蛋白、尿酸与海岛居民高血压的发生有关。多因素Logistic回归分析结果表明体质指数(OR=1.144,95%CI=1.062~1.233)、甘油三酯异常(OR=2.253,95%CI=1.087~4.671)及兄弟姐妹患高血压(OR=3.167,95%CI=1.766~5.677)是海岛居民高血压发生的主要危险因素。结论肥胖、家族史、甘油三酯升高是海岛居民高血压的主要危险因素,应采取针对性的措施进行干预。
Objective To understand the risk factors of hypertension in island area and to provide a scientific basis for the prevention and treatment of hypertension in island area. Methods The cluster random sampling method was used to conduct questionnaire and related physical examination on the island residents of Da Chang Shan Island in Changhai County, Dalian. The detected cases were selected by 1: 1 same-sex, age ± 5 years old, living in the same or similar control matching and risk factor analysis. Results The results of univariate Logistic regression analysis showed that body mass index, body weight, waist circumference, hip circumference, family history, diabetes, blood glucose, triglycerides, cholesterol, HDL, LDL, uric acid and island residents’ related. Multivariate logistic regression analysis showed that body mass index (OR = 1.144, 95% CI = 1.062-1.233), triglyceride abnormalities (OR = 2.253, 95% CI = 1.087-4.671) and sibling hypertensive patients (OR = 3.167 , 95% CI = 1.766 ~ 5.677) is the main risk factor of island residents hypertension. Conclusion Obesity, family history and elevated triglycerides are the main risk factors of hypertension in island residents. Intervention should be taken with specific measures.