乌鲁木齐市某三甲医院231例高血压医护人员血脂异常剖析.docVIP

乌鲁木齐市某三甲医院231例高血压医护人员血脂异常剖析 　　[摘要] 目的 了解新疆医科大学第一附属医院医护人员原发性高血压血脂代谢现状，分析其相关因素。 方法 收集2016年医护人员体检报告，对已确诊为原发性高血压的231例医护人员生化指标进行分析，进而分析影响其发生的危险因素。 结果 ①该院原发性高血压医护人员脂代谢异常总体发生率高达70.13%，男性人数多于女性，其中男性的高甘油三酯血症、混合性高脂血症和低高密度脂蛋白血症发生率均高于女性（P 0.05）。②单因素分析显示，性别、空腹血糖、体重指数、吸烟、饮酒、高血压家族史是高血压合并血脂异常的影响因素（P 0.05）。Logistic回归分析显示，男性、空腹血糖异常、吸烟是高血压合并血脂异常的独立危险因素（P 0.05）。 结论 医护人员高血压者合并脂代谢异常发生率较高，受到性别、空腹血糖、吸烟的影响。应针对性做好医护人员的健康管理工作。 　　[关键词] 高血压；血脂异常；医护人员；健康管理 　　[中图分类号] R58 [文献标识码] A [文章编号] 1673-7210（2017）11（b）-0174-04 　　[Abstract] Objective To understand the current situation of dyslipidemia in medical staff with primary hypertension in the First Affiliated Hospital of Xinjiang Medical University， in order to analyze its relevant factors. Methods The medical staff′ medical examination reports in 2016 were collected. The biochemical indexes of 231 cases diagnosed as primary hypertension were analyzed， as well as the dangerous factors that may cause the occurrence of dyslipidemia. Results ①The overall incidence rate of dyslipidemia among medical staff with primary hypertension reached up to 70.13%， and the proportion of men was more than that of women， which the incidence rate of hypertriglyceridemia， mixed hyperlipidemia and low HDL-C cholesterol among men was higher than that of women （ P 0.05）. ②Single factor analysis showed that gender， fasting plasma glucose， BMI， smoking， drinking and family history of hypertension were dangerous factors for dyslipidemia associated with hypertension （P 0.05）. Logistic regression analysis showed that men， impaired fasting plasma glucose， and smoking were independent dangerous factors for dyslipidemia associated with hypertension （P 0.05）. Conclusion Affected by gender， fasting plasma glucose and smoking， the incidence of dyslipidemia associated with hypertension among medical staff is relatively high. Therefore， health management of medical staff should be carefully dealt with. 　　[Key words] Hypertension； Dyslipidemia； Medical staff； Health managemen