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目的 :对老年男性单纯收缩期高血压和非单纯收缩期高血压的危险因素进行研究 ,了解之间的差异 ,以加强防治措施。方法 :通过对市区 6 0岁以上男性离休干部用统一的问卷和方法进行调查 ,分析年龄、高血压家族史、体重、吸烟、饮酒、血糖、血脂、纤维蛋白原等 16个变量值 ,统计分析用 L ogistic回归。结果 :单纯收缩期高血压 (ISH) 92人 ,非单纯收缩期高血压 (NISH) 2 34人 ,对照组 110人 ,单因素 logistic回归分析 ,ISH与年龄、体重、血糖关系显著 ,NISH与吸烟、体重关系显著。多因素 logistic回归分析 ,年龄、体重指数、血糖与 ISH关系显著 ;体重指数与 NISH的关系显著。体重增高是两类高血压共同的危险因素。结论 :两种类型高血压危险因素虽然是有差异的 ,但在防治中改变不良的生活习惯 ,控制体重对防治两种类型高血压都是必要的。
OBJECTIVE: To study the risk factors of isolated systolic hypertension and non-isolated systolic hypertension in elderly men and to understand the differences among them, so as to strengthen the prevention and treatment measures. Methods: Sixty-six male urban retired cadres aged 60 years and above were surveyed by a unified questionnaire and method, and 16 variables such as age, family history of hypertension, body weight, smoking, drinking, blood sugar, blood lipid and fibrinogen were analyzed. Analytical L ogistic regression. Results: There were 92 patients with isolated systolic hypertension (ISH), 234 with non-isolated systolic hypertension (NISH) and 110 with control group. One-factor logistic regression analysis showed significant correlation between ISH and age, body weight and blood glucose, , Significant weight relationship. Multivariate logistic regression analysis showed that age, body mass index, blood glucose had a significant relationship with ISH, and body mass index had a significant relationship with NISH. Weight gain is a common risk factor for both types of hypertension. Conclusion Although there are some differences in the risk factors of hypertension between the two types, it is necessary to change the bad habits and control the body weight of both types of prevention and treatment of hypertension.