本文選題：高血壓 + 正常高值血壓��； 參考：《中國老年學(xué)雜志》2017年16期

【摘要】：目的探討青島地區(qū)正常高值血壓及高血壓人群患病情況及全身血管損傷情況。方法對青島市30歲以上人群進(jìn)行橫斷面調(diào)查,調(diào)查內(nèi)容包括基本情況、血壓、臨床生化指標(biāo)檢測、尿白蛋白肌酐比值(UACR)、肱踝脈搏波傳導(dǎo)速度(ba PWV)、網(wǎng)膜中央動(dòng)脈直徑(CRAE)及合并心血管危險(xiǎn)因素情況。結(jié)果 4 346名調(diào)查者中,正常高值血壓1 165人(26.8%),高血壓1 739例(40.0%),男性高血壓患病率44.8%,女性36.8%,30~39歲人群高血壓患病率9.7%,40~49歲22.4%,50~59歲42.1%,60~69歲(63.2%),≥70歲74.6%。正常高值血壓組與高血壓組人群年齡、體重指數(shù)(BMI)、腰圍、收縮壓、舒張壓、總膽固醇(TC)、低密度脂蛋白膽固醇(LDL-C)、空腹血糖(FPG)、糖化血紅蛋白(Hb A1c)、尿酸(UA)水平均高于正常血壓組,高血壓組均高于正常高值血壓組(P0.05)。高血壓組合并3種及≥4種危險(xiǎn)因素人數(shù)比例高于正常高值血壓組及正常血壓組(P0.05)。高血壓組UACR、ba PWV、CRAE異常率高于正常高值血壓組及正常血壓組(P0.05)。多因素Logistic回歸分析發(fā)現(xiàn),正常高值血壓及高血壓均是UACR、ba PWV、CRAE的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論青島市男性高血壓患病率高于女性,隨著年齡增長,高血壓患病率呈不斷上升趨勢,正常高值血壓人群及高血壓人群均合并有多種代謝異常及多種心血管疾病危險(xiǎn)因素,且已經(jīng)發(fā)生血管損傷,應(yīng)加強(qiáng)對正常高值血壓人群及高血壓人群的健康教育,積極控制血壓,降低心腦血管事件發(fā)生率。
[Abstract]:Objective to investigate the prevalence of high blood pressure, hypertension and systemic vascular injury in Qingdao area. Methods A cross-sectional survey was carried out among people over 30 years old in Qingdao. The survey included basic information, blood pressure, and clinical biochemical indexes. Urinary albumin creatinine ratio (UACRA), brachial ankle pulse wave velocity (BMPV), central omental artery diameter (CRAE) and cardiovascular risk factors were observed. Results among the 4 346 respondents, 1 165 subjects with normal high blood pressure were found to have high blood pressure (1 165), 1 739 cases had high blood pressure (n = 1 739), the prevalence rate of hypertension was 44.8% in males, and 9. 7% in females aged 22. 449 years old, 22. 440 years old, 59 years old and 42. 1 0 years old. The prevalence rate of hypertension was 9. 7% in women aged 22. 449 years and 60. 69 years old, and 74.6T in 鈮，

本文編號：1925307