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铁路机车司机高血压患病情况及危险因素分析
引用本文:孙庆华.铁路机车司机高血压患病情况及危险因素分析[J].中国职业医学,2008,35(5).
作者姓名:孙庆华
作者单位:济南铁路疾病控制所青岛分所,济南,青岛,266012
摘    要:目的了解某铁路机车司机高血压患病情况及其主要危险因素。方法对1585名机车司机进行调查,包括病史询问、体格检查(包括血压、身高、体重);40岁以上者,增加总胆固醇、三酰甘油及血糖测定。采用Excel2003和SPSS10.0软件进行单因素和多因素togistic回归分析。结果高血压患病率为51.86%。单因素分析:与高血压患病可能有关的危险因素有年龄、文化程度、吸烟、饮酒、体重指数(BMI)、总胆固醇、三酰甘油及血糖等;logistic回归分析:机车司机高血压主要影响因素有年龄、饮酒、BMI,其OR值依次为1.501、1.347和1.857;40岁以上人群高胆固醇血症、高三酰甘油血症及空腹血糖异常也是高血压危险因素。结论机车司机高血压患病率较高。降低BMI值和重视血脂、血糖异常的检测干预是预防高血压发病的重要环节。

关 键 词:高血压  患病率  危险因素

Analysis on the prevalence and risk factors of hypertension in engine drivers
SUN Qing-hua.Analysis on the prevalence and risk factors of hypertension in engine drivers[J].China Occupational Medicine,2008,35(5).
Authors:SUN Qing-hua
Abstract:Objective To estimate the prevalence and main risk factors of hypertension in engine drivers.Methods 1 585 drivers were questioned and measured for their blood pressure,weight and height.Men above 40 years old were also measured total cholesterol,plasma triglyceride and fasting plasma glucose.Anova and logistic regression were analyzed by Excel 2003 and SPSS 10.0 package.Results The prevalence rate of hypertension was 51.86%.Anova analysis showed that hypertension was probably related to age,education,smoking,alcohol drinking,body mass index(BMI),total cholesterol,plasma triglyceride and fasting plasma glucose.Logistic regression analysis demonstrated that age,alcohol drinking and BMI were all the risky factors of hypertension,their odds rates being 1.501,1.347 and 1.857 respectively.Hypercholesterolemia,hypertriglyceridemia and impaired fasting glucose were also the main influence factors in the engine drivers over 40 years old.Conclusion Engine drivers have a high prevalence of hypertension.It is important to control BMI,plasma lipid,and plasma glucose in preventing hypertension.
Keywords:Hypertension  Prevalence  Risk factors
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