山东省县级机关人群正常高值血压流行病学调查及影响因素分析

目的 调查分析山东省德州市平原县机关事业单位人群正常高值血压的流行病学现状以及危险因素，为制定适合于县级社区的高血压防治策略提供科学依据。方法 应用横断面调查方法，通过调查问卷和体格检查形式分析正常高值血压的流行病学特征，并采用多元回归分析其影响因素。结果 调查地区正常高值血压粗检出率27.3%，标化率27.8%。多因素分析显示家族高血压病史、年龄、体质量指数、高盐饮食和血脂异常病史是正常高值血压的危险因素，而女性、睡眠规律及运动是正常高值血压的保护因素。单因素分析结果提示吸烟、饮酒是正常高值血压的危险因素。结论 调查地区正常高值血压检出率接近全国平均水平，其发生与多种危险因素相关，提示应提高重视并采取有效预防措施，以防止更多的正常高值血压人群发展成为高血压。

High-normal blood pressure epidemiological survey and analysis of influencing factors of the county authorities crowd in Shandong

Objective To investigate and analyze the epidemiological situation and risk factors of high-normal blood pressure among people working in the government organizations and institutes in Pingyuan County of Dezhou City in Shandong Province, and to lay a solid foundation for the prevention and control of hypertension in county communities. Methods Cross-sectional survey method was applied to analyze high-normal blood pressure epidemiological characteristics through questionnaires and physical examination, and multivariate logistic regression analysis was conducted to evaluate the influencing factors. Results The detection rate of high-normal blood pressure was 27.3%, and the standard rate was 27.8%. Multivariate analysis showed that risk factors of high-normal blood pressure included family history of hypertension, age, body mass index, high-salt diet and a history of dyslipidemia, while the protective factors for women were regular sleep and exercise. Univariate analysis indicated that smoking and drinking were the risk factors for high-normal blood pressure. Conclusion The detection rate of high-normal blood pressure in the surveyed area is similar to the national average. Hypertension is associated with multiple risk factors. Effective measures should be taken to prevent people with high-normal blood pressure to develop hypertension.