深圳中青年健康体检人群高血压患病率及其危险因素分析

摘要

目的：探讨深圳市中青年健康体检人群高血压患病状况及其危险因素，为高血压的防治工作提供基础资料与理论依据。方法以2013年10～11月深圳市平湖镇1498例中青年健康体检人群为研究对象，计算人群中高血压患病率，分析正常血压和高血压人群体质量指数、血脂和血糖等指标关系，并采用logistic回归模型进行危险因素分析。结果高血压总患病率为9．2％；男性为11．9％高于女性的4．8％，差异有统计学意义（P＜0．05）。高血压组的体质量指数、总胆固醇、三酰甘油（T G ）、低密度脂蛋白胆固醇和血糖均高于血压正常组；而高密度脂蛋白胆固醇低于血压正常组，差异均有统计学意义（P＜0．05）。多因素logistic回归分析表明，男性、高 TG、高血糖、超重或肥胖是深圳中青年人群患高血压的危险因素。结论深圳市中青年人群高血压患的主要危险因素是超重或肥胖、高TG、高血糖，应尽早针对相关危险因素采取相应预防措施。%Objective To explore the prevalence and the risk factors of hypertension in young and middle aged population in Shenzhen .Methods A total of 1 498 young and middle aged population were selected in this study .The prevalence was calculated and the relevant risk factors were analyzed with logistic regression .Results The incidence of hypertension was 9 .2% in this population .The incidence of hypertension in male (11 .9% ) was significant higher than that in female(4 .8% ) .The mean levels of fasting plasma glucose ,total cholesterol ,triglycerides ,low-density lip-oprotein cholesterol(HDL-C) and body mass index were higher in hypertension group than that in normal blood pres-sure group ,HDL-C was lower than that in the normal blood pressure group .Logistic regression analysis showed that male ,abdominal obesity ,overweight ,triglycerides were the risk factors of hypertension .Conclusion The abdominal obesity ,overweight ,triglycerides ,fasting plasma glucose and male were the risk factors of hypertension in young and middle aged individuals of Pinghu Area in Shenzhen .