本文選題：杭州市 + 高血壓��； 參考：《杭州師范大學(xué)》2012年碩士論文

【摘要】：目的：本研究基于杭州市電子健康檔案系統(tǒng)的高血壓和健康人群數(shù)據(jù),探討杭州市不同年齡組高血壓相關(guān)影響因素的差異,從而為杭州市控制高血壓,和制定居民高血壓預(yù)防、管理與控制策略提供科學(xué)依據(jù),服務(wù)于杭州“健康城市”的目標(biāo)。 內(nèi)容和方法：(1)通過(guò)文獻(xiàn)研究和對(duì)杭州市電子健康檔案的系統(tǒng)學(xué)習(xí),完成高血壓的影響因素研究進(jìn)展綜述,確定研究的思路、研究對(duì)象,并結(jié)合專(zhuān)家咨詢(xún),最終形成論文的基本框架和技術(shù)路線；(2)在論文思路的指導(dǎo)下,采用整群分層隨機(jī)抽樣方法抽取研究對(duì)象,通過(guò)編輯SQL數(shù)據(jù)查詢(xún)語(yǔ)言抽取杭州市電子健康檔案系統(tǒng)里包括西湖區(qū)、上城區(qū)、下城區(qū)、拱墅區(qū)、江干區(qū)、濱江區(qū)等14g個(gè)區(qū)及市的高血壓人群和健康人群對(duì)照樣本,進(jìn)行病例對(duì)照研究；(3)運(yùn)用描述統(tǒng)計(jì)、單因素分析、logistic回歸等分析杭州市不同年齡組高血壓影響因素分布差異；采用歸納方法形成論文。 結(jié)果：本研究結(jié)果顯示,單因素分析有11個(gè)變量可能與高血壓有關(guān),即地區(qū)、分組、性別、年齡、婚姻、文化程度、居住地、生活習(xí)慣、是否吸煙、是否飲酒、體育鍛煉等11個(gè)有意義的影響因素(P0.05)；對(duì)這11個(gè)變量進(jìn)行多因素logistic逐步回歸分析,不同年齡組高血壓影響因素得出：杭州市城鄉(xiāng)居民35歲～44歲年齡組高血壓主要影響因素是地區(qū)、性別、婚姻狀況、文化程度、生活習(xí)慣、飲酒狀況、體育鍛煉；45歲～54歲年齡段高血壓的主要影響因素是地區(qū)、性別、文化程度、居住地、生活習(xí)慣、飲酒；55歲～64歲高血壓的主要影響因素有地區(qū)、性別、文化程度、居住地、生活習(xí)慣、吸煙、體育鍛煉；65歲～74歲年齡組高血壓的主要影響因素分析是地區(qū)、性別、婚姻、文化程度、居住地、生活習(xí)慣、吸煙、體育鍛煉；75歲以上年齡段高血壓影響因素是地區(qū)、婚姻、文化程度、居住地、生活習(xí)慣、體育鍛煉。 結(jié)論：(1)不同年齡組之間高血壓影響因素是有差異的。(2)不同年齡組影響因素分析比較一致性結(jié)論為：地區(qū)方面,臨安、建德相對(duì)于上城高血壓的風(fēng)險(xiǎn)在各個(gè)組都是最高的,富陽(yáng)最低；大學(xué)本科及以上相對(duì)于文盲高血壓風(fēng)險(xiǎn)是最低；偏油患高血壓風(fēng)險(xiǎn)高于其他習(xí)慣；每周一次以上即經(jīng)常鍛煉相對(duì)于不運(yùn)動(dòng)患高血壓的風(fēng)險(xiǎn)最低；35歲～44歲和45歲～54歲年齡組經(jīng)常飲酒(2～3次/每周)患高血壓的風(fēng)險(xiǎn)相對(duì)于不飲酒時(shí)高于每天飲酒。(3)不同年齡組影響因素有差異的結(jié)論：35歲～44歲、45～54歲、65～74歲三個(gè)年齡組的男性患高血壓的風(fēng)險(xiǎn)大于女性,而55歲～64歲年齡段男性患高血壓的風(fēng)險(xiǎn)小于女性,初步判斷可能是受女性更年期的影響；45～54歲年齡組城市居民患高血壓的風(fēng)險(xiǎn)大于農(nóng)村,55歲以上農(nóng)村居民的風(fēng)險(xiǎn)大于城市；65～74歲和75歲以上離婚和喪偶相對(duì)于未婚是最高的,而35歲～44歲年齡組已婚患高血壓的風(fēng)險(xiǎn)相對(duì)于未婚是高的；吸煙55歲～64歲和65歲～74歲年齡組分析結(jié)果相矛盾,有待進(jìn)一步研究。
[Abstract]:Objective: Based on the data of hypertension and healthy population in Hangzhou electronic health archives system, this study explored the difference of hypertension related factors in different age groups in Hangzhou, so as to provide scientific basis for the control of hypertension in Hangzhou, the prevention of hypertension, management and control strategy for residents, and to serve the "healthy city" in Hangzhou. Target.
Content and methods: (1) through literature research and the systematic study of Hangzhou electronic health archives, the research progress of the influencing factors of hypertension is completed, the thinking of the study, the research object, and the expert consultation, the basic framework and technical route of the paper are formed, and (2) under the guidance of the thesis, the cluster stratification is adopted. Sampling method was used to extract the subjects. By editing the SQL data query language, the Hangzhou electronic health archives system including Xihu District, Shangcheng District, lower urban area, Gongshu District, Jianggan District, Binjiang District, and other regions and cities of hypertension and healthy people were sampled for a case-control study. (3) the use of descriptive statistics, single factor scores. Logistic regression analysis was used to analyze the distribution of hypertension among different age groups in Hangzhou.
Results: the results of this study showed that there were 11 variables in the single factor analysis that may be related to hypertension, namely, areas, groups, sex, age, marriage, education, living habits, smoking, drinking, physical exercise, and other 11 significant factors (P0.05), and multiple factors logistic stepwise regression analysis of the 11 variables, The influencing factors of hypertension in different age groups showed that the main influencing factors of hypertension in Hangzhou urban and rural residents aged 35 to 44 years old were regional, sex, marital status, educational level, living habits, drinking condition, physical exercise, and the main factors of hypertension in 45 to 54 years old were region, sex, education level, residence, life. Habits and drinking; the main influencing factors of high blood pressure from 55 to 64 years old were regional, gender, education, residence, living habits, smoking, physical exercise, and the analysis of the main factors of hypertension in the age group of 65 to 74 years of age, sex, marriage, education, living habits, smoking, physical exercise, and higher age over 75 years of age. The influencing factors of blood pressure are areas, marriage, educational level, residence, lifestyle and physical exercise.
Conclusion: (1) there are differences in the influencing factors of hypertension among different age groups. (2) the conclusion of the influence factors of different age groups is that the risk of hypertension in Ling'an and Jiande is the highest in all groups, the lowest in Fuyang, and the risk of university undergraduate and above is the lowest relative to illiterate hypertension; The risk of hypertension in hypertension was higher than that of other habits; the risk of frequent exercise relative to non exercise hypertension was the lowest one time per week; the risk of frequent drinking (2~3 / weekly) for hypertension in 35 to 44 years and 45 to 54 years old was higher than that of daily drinking. (3) there were differences in factors of different age groups. The risk of high blood pressure in men aged 35 to 44, 45~54 and 65~74 years old and three age groups is greater than that of women, while the risk of hypertension in men from 55 to 64 years is less than that of women. The preliminary judgment may be influenced by female climacteric. The risk of hypertension in urban residents of 45~54 years old is greater than that in rural areas and over 55 years old. The risk of residents is greater than that of the city; divorced and widowed at the age of 65~74 and over 75 years older than unmarried is the highest, while the risk of married hypertension from 35 to 44 years old is higher than that of unmarried couples; smoking from 55 to 64 years and 65 to 74 years old is in contradiction with the results of a study.
【學(xué)位授予單位】：杭州師范大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類(lèi)號(hào)】：R544.1

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