内蒙古绝经后女性正常高值血压危险因素分析

目的探讨绝经后女性正常高值血压的危险因素。方法以2015年4月在内蒙古呼和浩特市赛罕区健康档案的非高血压女性人群共计2 592人,平均年龄(43±12)岁,其中未绝经女性1 895名,(37±8)岁,绝经女性697名,(58±6)岁为研究对象,通过t检验、χ~2检验和Logistic回归等方法分析绝经女性正常高值血压相关危险因素。结果绝经组收缩压、舒张压、体质指数(BMI)、空腹血糖、三酰甘油和低密度脂蛋白水平较未绝经组明显升高(P0.05);绝经组正常高值血压患病率、超重、肥胖患病率、空腹血糖受损患病率、糖尿病患病率、血脂异常患病率、三酰甘油异常患病率和低密度脂蛋白异常患病率均较未绝经组明显升高(P0.05);年龄段在55~59岁、60~64岁和65岁以上,超重、肥胖、空腹血糖受损和糖尿病为正常高值血压的独立危险因素。结论年龄≥55岁、超重、肥胖、空腹血糖受损和糖尿病为绝经女性正常高值血压的独立危险因素。

The risk factors of perhypertension in postmenopausal women in Inner Mongolia

Objective To investigate the risk factors of prehypertension among postmenopausal women.Methods2 592[(43±12)years old] health women were collected as the research object in Saihan District of Hohhot in Inner Mongolia Autonomous Region in April 2015,including 697[(58±6)years old] postmenopausal subjects and 1 895[(37±8)years old] premenopausal subjects.T test was used to compare means of blood pressure, fasting blood glucose (FBG), blood lipid, and body massive index (BMI) between postmenopausal group and premenopausal group and to compare prevalence of prehypertension, hyperglycemias, dyslipidemias, overweight, and obesity between two groups.Logistic Regression was implemented to analyze the relationship between different risk factors and prehypertension among postmenopausal women.Results Compared with premenopausal women, the systolic pressure, diastolicpressure, BMI, FBG, triacylglycerol (TG), low density lipoprotein (LDL) in postmenopausal women were significantly higher(P<0.05).Prevalence of prehypertension, impaired fasting glucose (IFG), diabetes, TG abnormalities, LDL abnormalities, overweight, and obesity in postmenopausal women were significantly higher than in premenopausal women(P<0.05).Age 55 to 59, 60 to 64 and above 65 years overweight, obesity, IFG and diabetes were independent risk factors of prehypertension among postmenopausalwomen.Conclusions Age 55 yearsand above, overweight, obesity, IFG and diabetes are the independent risk factors of prehypertension among postmenopausal women.