山東省縣級社區(qū)高血壓與正常高值血壓流行病學調查報告
發(fā)布時間：2018-11-06 12:12
【摘要】：目的:應用橫斷面調查方法,對縣級社區(qū)機關事業(yè)單位人群的血壓水平、高血壓和正常高值血壓的流行病學現狀以及危險因素進行調查,通過分析高危人群及高血壓患者認知行為現狀與防治中的薄弱環(huán)節(jié),為制定適合于山東省西北部縣級社區(qū)的高血壓和正常高值血壓防治策略提供科學依據。方法:選取山東省西北部縣級社區(qū)德州市平原縣區(qū),以機關事業(yè)單位在職人群為研究人群進行流行病學調查,通過標準問卷調查形式收集年齡、性別、生活習慣、家族病史、個人慢性病史、治療現狀等基線資料,并按標準化測量方法測量血壓,通過匯總數據綜合分析高血壓及正常高值血壓的流行病學特征及影響因素。結果:(1)山東省德州市平原縣機關事業(yè)單位在職人群收縮壓(SBP)及舒張壓(DBP)的平均水平分別為127mmHg和83mmHg,其中男性SBP平均水平為132.9±15.9mmHg、DBP平均水平為88.3±11.6mmHg;女性SBP平均水平為117.4±14.6mmHg、DBP平均水平為76.4±9.8mmHg,男性SBP和DBP平均水平明顯高于女性。男、女SBP和DBP平均水平均隨年齡增高而升高。(2)高血壓患病率為34.2%,其中男性為52.1%,女性為14.2%,男性明顯高于女性(P0.01),隨年齡的增長,男女患病率均趨于增高。調查地區(qū)1、2、3級高血壓患病率分別為23.5%,8.7%,2.0%。(3)正常高值血壓檢出率為27.3%,男、女分別為30.0%和24.3%,男性顯著高于女性(P0.01)。男性檢出率隨年齡增長呈現出逐漸降低的趨勢,女性檢出率在40歲以后隨年齡增長呈現逐漸降低的趨勢。(4)從單因素logistic回歸分析可知,性別、年齡、吸煙、飲酒、家族高血壓病史、家族冠心病病史和血脂異常病史是正常高值的危險因素;性別、年齡、吸煙、飲酒、家族高血壓病史、家族冠心病病史、血脂異常病史、家族中風病病史和家族肥胖是高血壓的危險因素。從多因素logistic回歸分析可知家族高血壓病史、性別、年齡和血脂異常病史是正常高值血壓的危險因素;而家族高血壓病史、吸煙、飲酒、年齡、性別和血脂異常病史是高血壓的危險因素。(5)高血壓知曉率、治療率、控制率分別為51.1%、31.6%、7.1%,中醫(yī)藥參與率極低。女性知曉率、治療率及控制率均顯著高于男性(P0.01)。無論男性還是女性,隨著年齡的增加,高血壓的知曉率、治療率和控制率均升高。結論:(1)山東省德州市平原縣機關事業(yè)單位在職人群中高血壓及正常高值血壓已成為的主要公共衛(wèi)生問題,其中高血壓患病率明顯高于全國水平,高血壓知曉率、治療率和控制率均較低,總體來看高血壓流行呈“一高三低”(即高患病率,低知曉率、治療率和控制率)狀態(tài),這與該地區(qū)飲食習慣及該人群的工作性質有關;而正常高值血壓檢出率接近全國平均水平,提示早期重視并采取及時有效的預防措施,對于防止更多的健康和亞健康人群發(fā)展成為高血壓具有重要作用。(2)高血壓及正常高值血壓的影響因素有一定的相關性,性別、年齡、家族高血壓病史和血脂異常病史是正常高值和高血壓的共同危險因素。
[Abstract]:Objective: To investigate the epidemiological status and risk factors of blood pressure level, high blood pressure and normal high-value blood pressure in the people and institutions of the county level by means of cross-sectional investigation. By analyzing the current situation of cognitive behavior and the weak link in the prevention and treatment of high-risk population and hypertension, the paper provides a scientific basis for developing the strategy of hypertension and normal high-value blood pressure in the community in the northwest of Shandong province. Methods: To select the district of Pingyuan County, the county-level community in the northwest of Shandong Province, to conduct an epidemiological survey for the study population in the on-the-the-job population of the public institutions and institutions, and to collect the age, sex, living habits, family history and the history of individual chronic diseases through the standard questionnaire. The baseline data, such as the current status of treatment, were measured and the blood pressure was measured according to the standardized measurement method. The epidemiological characteristics and influencing factors of hypertension and normal high-value blood pressure were comprehensively analyzed by the pooled data. Results: (1) The average level of systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the in-service population in Pingyuan County, Dezhou City, Shandong Province was 127mmHg and 83mmHg, respectively, in which the average of SBP of male was 132.9mm15.9mmHg, the average of DBP was 88. 3/ 11. 6mmHg, and the average level of SBP was 117.4 and 14.6mmHg, respectively. The average of DBP was 76. 4 to 9.8mmHg, and the average of SBP and DBP in men was significantly higher than that of female. The average level of SBP and DBP increased with age. (2) The prevalence of hypertension was 35.2%, of which, the male was 52.1%, the female was 14. 2%, the male was significantly higher than that of the female (P0.01), and the prevalence of both men and women tended to increase with age. The prevalence of hypertension in the first, second and third stages of the survey was 23. 5%, 8. 7%, and 2.0%, respectively. (3) The positive rate of the normal high-value blood pressure was 27. 3%, the male and female were 30. 0% and 24. 3%, respectively, and the male was significantly higher than that of the female (P 0.01). The male rate of male was decreasing with age, and the rate of female was gradually decreasing with age after the age of 40. (4) From the single-factor logistic regression analysis, the history of sex, age, smoking, drinking, family hypertension, family history of coronary heart disease and the history of dyslipidemia are the risk factors of normal high value; sex, age, smoking, alcohol consumption, family hypertension history, family history of coronary heart disease, History of dyslipidemia, history of stroke in the family and family obesity are the risk factors for hypertension. The history of family hypertension, sex, age and dyslipidemia are the risk factors of normal high blood pressure, and the history of family hypertension, smoking, alcohol consumption, age, sex and dyslipidemia are the risk factors of hypertension. (5) The rate of hypertension, the rate of treatment and control were 51.1%, 31.6%, 70.1%, respectively, and the rate of Chinese medicine participation was very low. The rate of women's awareness, treatment and control was significantly higher than that of male (P0.01). In both men and women, with the increase of age, the awareness rate, treatment rate and control rate of hypertension were all increased. Conclusion: (1) The hypertension and normal high-value blood pressure in the in-service population of Pingyuan County, Dezhou City, Shandong Province has become the main public health problem, among which the prevalence of hypertension is significantly higher than that of the whole country, the awareness rate of hypertension, the treatment rate and the control rate are lower, in general, that prevalence of hypertension is a low (i. e., high prevalence, low awareness rate, treatment rate and control rate) state, which is related to the dietary habit of the region and the working nature of the population; and the normal high-value blood pressure detection rate is close to the national average level, It is suggested that early attention should be paid and effective prevention measures should be taken in order to prevent more health and sub-health population from being developed into hypertension. (2) The influence factors of hypertension and normal high-value blood pressure have certain correlation, sex, age, history of family hypertension and the history of dyslipidemia are the common risk factors of normal high value and high blood pressure.
【學位授予單位】：山東中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R544.1;R181.3
[Abstract]:Objective: To investigate the epidemiological status and risk factors of blood pressure level, high blood pressure and normal high-value blood pressure in the people and institutions of the county level by means of cross-sectional investigation. By analyzing the current situation of cognitive behavior and the weak link in the prevention and treatment of high-risk population and hypertension, the paper provides a scientific basis for developing the strategy of hypertension and normal high-value blood pressure in the community in the northwest of Shandong province. Methods: To select the district of Pingyuan County, the county-level community in the northwest of Shandong Province, to conduct an epidemiological survey for the study population in the on-the-the-job population of the public institutions and institutions, and to collect the age, sex, living habits, family history and the history of individual chronic diseases through the standard questionnaire. The baseline data, such as the current status of treatment, were measured and the blood pressure was measured according to the standardized measurement method. The epidemiological characteristics and influencing factors of hypertension and normal high-value blood pressure were comprehensively analyzed by the pooled data. Results: (1) The average level of systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the in-service population in Pingyuan County, Dezhou City, Shandong Province was 127mmHg and 83mmHg, respectively, in which the average of SBP of male was 132.9mm15.9mmHg, the average of DBP was 88. 3/ 11. 6mmHg, and the average level of SBP was 117.4 and 14.6mmHg, respectively. The average of DBP was 76. 4 to 9.8mmHg, and the average of SBP and DBP in men was significantly higher than that of female. The average level of SBP and DBP increased with age. (2) The prevalence of hypertension was 35.2%, of which, the male was 52.1%, the female was 14. 2%, the male was significantly higher than that of the female (P0.01), and the prevalence of both men and women tended to increase with age. The prevalence of hypertension in the first, second and third stages of the survey was 23. 5%, 8. 7%, and 2.0%, respectively. (3) The positive rate of the normal high-value blood pressure was 27. 3%, the male and female were 30. 0% and 24. 3%, respectively, and the male was significantly higher than that of the female (P 0.01). The male rate of male was decreasing with age, and the rate of female was gradually decreasing with age after the age of 40. (4) From the single-factor logistic regression analysis, the history of sex, age, smoking, drinking, family hypertension, family history of coronary heart disease and the history of dyslipidemia are the risk factors of normal high value; sex, age, smoking, alcohol consumption, family hypertension history, family history of coronary heart disease, History of dyslipidemia, history of stroke in the family and family obesity are the risk factors for hypertension. The history of family hypertension, sex, age and dyslipidemia are the risk factors of normal high blood pressure, and the history of family hypertension, smoking, alcohol consumption, age, sex and dyslipidemia are the risk factors of hypertension. (5) The rate of hypertension, the rate of treatment and control were 51.1%, 31.6%, 70.1%, respectively, and the rate of Chinese medicine participation was very low. The rate of women's awareness, treatment and control was significantly higher than that of male (P0.01). In both men and women, with the increase of age, the awareness rate, treatment rate and control rate of hypertension were all increased. Conclusion: (1) The hypertension and normal high-value blood pressure in the in-service population of Pingyuan County, Dezhou City, Shandong Province has become the main public health problem, among which the prevalence of hypertension is significantly higher than that of the whole country, the awareness rate of hypertension, the treatment rate and the control rate are lower, in general, that prevalence of hypertension is a low (i. e., high prevalence, low awareness rate, treatment rate and control rate) state, which is related to the dietary habit of the region and the working nature of the population; and the normal high-value blood pressure detection rate is close to the national average level, It is suggested that early attention should be paid and effective prevention measures should be taken in order to prevent more health and sub-health population from being developed into hypertension. (2) The influence factors of hypertension and normal high-value blood pressure have certain correlation, sex, age, history of family hypertension and the history of dyslipidemia are the common risk factors of normal high value and high blood pressure.
【學位授予單位】：山東中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R544.1;R181.3
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