宁夏地区居民高血压患病现状及其危险因素分析_临床医学论文.docVIP

宁夏地区居民高血压患病现状及其危险因素分析_临床医学论文 宁夏地区居民高血压患病现状及其危险因素分析_临床医学论文 作者：刘华，贾绍斌，徐清斌，马学平，杨锐英，郭忠琴，张学虎，龚杰， 马列 【摘要】 　　目的 了解宁夏地区常住居民高血压流行现状及其危险因素，为其高血压的防治提供依据。方法 采用分层整群随机抽样对宁夏5个县（市）≥18岁的11009名居民进行调查。内容包括一般情况、高血压及心脑血管疾病史，可能与高血压有关的影响因素。研究因素进行单因素分析及多因素非条件Logistic回归分析。结果 血压正常4575人，占41.6%；正常高值血压4471人，占40.6%；宁夏地区高血压标化后的患病率为13.1%，其中男性20.6%，女性22.6%，女性患病率高于男性（χ2=6.220，P=0.013）；回族18.5%,汉族23.9%，回族患病率低于汉族（χ2=45.274，P=0.000）。高血压的危险因素为中心型肥胖、心血管病家族史、高盐饮食、年龄、超重、饮酒、吸烟、嗜肉食、女性、轻体力劳动。结论 宁夏地区高血压患病率高于2002年全国水平，正常高值血压人群比例接近全国水平；肥胖和不健康的行为生活方式是高血压的主要危险因素。 【关键词】 高血压；患病率；危险因素；宁夏 　　Abstract: Objective To investigate the prevalence and risk factor of hypertension in residents of Ningxia ,and to provide scientific basis for preventing and intervening measurement of hypertension. Methods Through cluster multistage and random sampling, 11009 subjects aged ≥18 years old in five counties(cities) of Ningxia were investigated.The blood pressure measurement and correlative risk factors were investigated by trained doctors. Results The standardized prevalence of hypertension in Ningxia province was 13.1%,among which the males was 20.6%, the females was 22.6%. The prevalence of hypertension in females was significantly higher than that in males (χ2=6.220，P=0.013). The prevalence of hypertension was 18.5% in the Huis and 23.9% in the Hans.The prevalence of hypertension in the Huis was significantly lower than that in the Hans(χ2=45.274,P=0.000). The risk factors of hypertension were visceral obesity,cardiovascular disease family history, high sodium diet, ages, overweight, drinking history, smoking habits, high meat diet, female, light activity. Conclusion The proportion with hypertensin or normal high-limit blood pressure in Ningxia is 40.6%. Relatively the control rate of hypertension is depressingly low. Prevention and treatment of hypertension for this population is a critical task. 　　Key words: hypertension;epidemiology;prevalence;risk factor;the Huis 　　高血压病已经成为当今世界一种严重危害人民健康的常见病、多发病，在世界各国患病率均较高。2002年全国营养状况调查［1］显示，我