本文選題：高血壓　切入點(diǎn)：危險(xiǎn)因素　出處：《鄭州大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的本研究旨在通過調(diào)查三門峽市湖濱區(qū)居民高血壓的患病情況,以掌握該區(qū)高血壓危險(xiǎn)因素的流行狀況及分布特征,通過探討高血壓危險(xiǎn)因素和患病率的關(guān)聯(lián)情況,為該區(qū)高血壓防治策略的制定和干預(yù)措施的實(shí)施提供科學(xué)依據(jù)。方法采用多階段隨機(jī)抽樣的方法,抽取湖濱區(qū)18歲以上常住居民3017人作為調(diào)查對(duì)象,通過問卷調(diào)查和體格檢查獲取資料。應(yīng)用Epi Data3.1軟件建立數(shù)據(jù)庫,數(shù)據(jù)雙遍盲法錄入,使用SPSS17.0軟件進(jìn)行統(tǒng)計(jì)學(xué)分析,單因素分析用χ2檢驗(yàn),多因素分析用Logistic回歸分析,α=0.05為檢驗(yàn)水準(zhǔn)。結(jié)果1.湖濱區(qū)人群高血壓患病率28.11%,高血壓前期在人群中所占比例為14.92%,高血壓知曉率、治療率及控制率分別為51.30%、66.04%和29.25%。高血壓患病率男性高于女性,患病率隨年齡的增加而升高,50歲之后患病率性別無差異。2.湖濱區(qū)人群吸煙率22.27%、二手煙暴露率32.71%,成功戒煙率9.82%;男性吸煙率、現(xiàn)在吸煙率及現(xiàn)在每日吸煙率分別為46.73%、41.82%和28.43%,均高于女性,且隨年齡增加呈先上升后下降趨勢;女性二手煙暴露率為40.45%。飲酒率20.98%,經(jīng)常飲酒率8.52%,過量飲酒率2.02%;男性飲酒率、經(jīng)常飲酒率及過量飲酒率分別為39.41%、17.60%和3.97%,均高于女性,且隨年齡增加呈先上升后下降趨勢。平均蔬菜、水果及肉類攝入量分別為296.47±150.36g、172.73±135.71g和66.96±65.36g,攝入不足比例分別為46.30%、57.84%和52.04%;口味偏咸比例為20.88%。39.28%人群有從事低強(qiáng)度及以下勞動(dòng),28.37%人群無交通性身體活動(dòng),59.33%人群無中等及以上強(qiáng)度鍛煉。平均BMI為23.38±3.32 kg/m2,肥胖和超重人群共占40.40%;平均腰圍為80.29±9.65cm,中心型肥胖率43.09%。糖尿病患病率11.73%,性別無差異,糖尿病患病率隨年齡增加而上升。3.多因素logistic回歸分析結(jié)果顯示,湖濱區(qū)人群高血壓危險(xiǎn)因素主要包括:家族史、性別、年齡、飲食口味、交通性身體活動(dòng)、BMI、中心型肥胖和糖尿病。結(jié)論1.湖濱區(qū)人群高血壓患病率較高,高血壓前期所占比例較大,高血壓知曉率、治療率和控制率相對(duì)不高。2.湖濱區(qū)人群煙草危害比例大,男性吸煙率較高,女性受二手煙危害嚴(yán)重;人群蔬菜、水果及肉類攝入不足情況明顯;人群身體活動(dòng)率相對(duì)較低;人群肥胖和超重比例較高,中心型肥胖率較高;人群糖尿病患病率較高。3.湖濱區(qū)人群的高血壓危險(xiǎn)因素主要包括:有家族史、男性、中老年、飲食口味偏咸、無交通性身體活動(dòng)、BMI肥胖和超重、中心型肥胖和糖尿病。
[Abstract]:Objective to investigate the prevalence and distribution of hypertension risk factors in Hubin District of Sanmenxia City, and to explore the correlation between hypertension risk factors and prevalence rate. Methods 3017 residents aged over 18 years old in lakeside area were selected by multi-stage random sampling to provide scientific basis for the formulation of hypertension prevention and treatment strategy and the implementation of intervention measures. The data were obtained by questionnaire and physical examination. The database was established by Epi Data3.1 software, the data was inputted by double blind method, the statistical analysis was carried out by SPSS17.0 software, and the 蠂 2 test was used for univariate analysis. Multivariate analysis using Logistic regression analysis, 偽 0. 05 was the test level. Results 1. The prevalence rate of hypertension in lakeside population was 28.11, the proportion of prehypertension was 14.92%, and the awareness rate of hypertension was 14.92%. 2. The rates of treatment and control were 51.30% and 29.25% respectively. The prevalence of hypertension in males was higher than that in females. The prevalence rate increased with the increase of age. 2. The smoking rate, secondhand smoke exposure rate, smoking cessation rate and male smoking rate were 22.27, 32.71, 9.82, 9.82%, 9.82%, 9.82%, 9.82% and 9.82%, respectively. The current smoking rate and the current daily smoking rate were 46.73% and 28.43%, respectively, which were higher than those of women, and increased first and then decreased with the increase of age, and the rate of exposure to second-hand smoke in women was 40.45.The drinking rate was 20.98%, the regular drinking rate was 8.52%, and the excessive drinking rate was 2.02%; the male drinking rate was, The rates of frequent drinking and excessive drinking were 39.41% and 3.97%, respectively, which were higher than those of women, and increased first and then decreased with the increase of age. The intake of fruit and meat were 296.47 鹵150.36g / L 172.73 鹵135.71g and 66.96 鹵65.36g, respectively, and the inadequate intake rates were 46.303057.84% and 52.04g respectively, and the proportion of salty taste was 20.88.39.28% of the population had low intensity labor and 28.37% people had no traffic physical activity. 59.33% people had no moderate or above intensity forging. The average BMI was 23.38 鹵3.32 kg 路m ~ (2), the total proportion of obesity and overweight was 40.40, the average waist circumference was 80.29 鹵9.65 cm, the rate of central obesity was 43.09. The prevalence of diabetes was 11.733.There was no difference in sex. The prevalence of diabetes increased with age. The multivariate logistic regression analysis showed that the risk factors of hypertension in lakeside population included family history, sex, age, diet taste, family history, age and taste. BMI, central obesity and diabetes mellitus. Conclusion: 1. The prevalence of hypertension is higher, the proportion of prehypertension is larger, the awareness rate of hypertension is higher in lakeside population. 2. The treatment rate and control rate are relatively low. 2. The proportion of tobacco hazards is large in the lakeside population, the male smoking rate is higher, the female is seriously affected by second-hand smoke, the intake of vegetables, fruits and meat is obvious, and the body activity rate of the population is relatively low. The prevalence of diabetes was higher. 3. The risk factors of hypertension in lakeside population mainly included: family history, male, middle and old age, salty diet. Non-communicating physical activity has a BMI of obesity and overweight, central obesity and diabetes.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R544.1

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