灌南县城乡高血压发病情况及危险因素探讨

目的探讨灌南县城乡高血压发病情况及主要危险因素，为加强社区高血压防治工作提供科学依据。方法采用分层随机抽样方法，在灌南县城市和乡村抽取20—69岁居民443人进行流行病学调查并检测空腹血糖（FPS）、尿酸（UA）、总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白胆固醇（HDL—C）、低密度脂蛋白胆固醇（LDL—C）等指标，对高血压危险因素进行多因素非条件Logistic回归分析。结果高血压患病率为35．9％，标化率为28．0％。多因素非条件Logistic回归分析显示，高血压发病与饮酒、高血压家族史、高胆固醇血症、高尿酸血症、体重指数（BMI）、年龄呈正相关，其OR值〉1．0（P〈0．05）。结论高血压主要危险因素为饮酒、高血压家族史、高胆固醇血症、高尿酸血症、BMI、年龄，灌南县城乡高血压患病率高于2002年全国平均水平，部分原因可能与该地区饮酒率高有关。

Analysis on the epidemiology of hypertension and related risk factors in urban and rural populations of Guannan county

Objective To survey the epidemiological features of hypertension and its major risk factors in urben and rural residents and to provide a scientific basis to establish a plan for the prevention and control of hypertension. Methods A total of 443 residents area aged 20 - 69 years from urban and rural were investigated by stratified random sampling. The fasting plasma glucose （ FPG ）, uric acid （UA）, total cholesterol （ TC）, triglyceride （ TG）, high density lipoprotein cho- lesterol （ HDL - C） ,low density lipoprotein cholesterol （ LDL - C） of the study samples were measured. The associated risk factors of hypertension were analyzed with the non - conditional logistic regression. Results The morbidity rate of hypertension （MRH） in this area was 35.9%. The age - standardized MRH was 28.0%. By multiple factorial logistic regression analysis, there was a positive correlation between hypertension and drinking, family history of hypertension, hypercholesterolemia, high UA level, body mass index（BMI） and advanced age （ OR 〉 1.0, P 〈 0.05 ）. Conclusion The major risk factors of hypertenson are drinking, family history of hypertension, hypercholesterolemia, high UA level, BMI and advanced age. Drinking might partly contribute to the higher morbidity rate of hypertension in this area than the average level of whole country in 2002.