2010年某综合医院高血压患者高脂血症影响因素分析

目的探讨高血压患者的血脂情况,旨在为高血压患者合并高血脂患者的治疗提供一定的实验数据。方法对2010年1月1日～2010年12月31日在某院心内科住院治疗的1217例高血压患者的临床资料进行收集并分析。结果单因素Logistic回归分析发现:体重指数、家族史、长期大量饮酒、长期吸烟、肾功能减退及肝功能异常是高血压患者合并高脂血症的危险因素;低脂饮食及每周运动是高血压合并高脂血症的保护因素。多因素Logistic回归分析发现:体重指数、家族史及长期大量饮酒是高血压患者合并高脂血症的危险因素;低脂饮食及每周运动是高血压合并高脂血症的保护因素。结论高血压患者应该低盐饮食并坚持体育锻炼及减轻体重有利于高血压患者血脂的控制,而长期大量饮酒影响高血压患者的血脂的控制。

Analysis of the influential factors of hyperlipidemia of patients with hypertension in a comprehensive hospital in 2010

OBJECTIVE To analyze serum lipids level of the elder patients with hypertension,so as to provide evidence for prevention and treatment in patients with hypertension and hyperlipidemia.METHODS 1 217 cases of hypertension were treated in the Department of Cardiology in our hospital from January 1,2010 to December 31,2010,then we collected and analyzed clinical data of the elder patients with hypertension.RESULTS Univariate logistic analysis showed that body mass index,family history,long-term heavy drinking,long-term smoking,renal dysfunction and abnormal liver function were the risk factors for hyperlipidemia of patients with hypertension,low-fat diet and taking physical exercise in every week had the protective effects on hyperlipidemia of patients with hypertension.Multivariate logistic analysis indicated that body mass index,family history and long-term heavy drinking had the risk effects on hyperlipidemia of patients with hypertension,low-fat diet and taking physical exercise in every week were protective for hyperlipidemia of patients with hypertension.CONCLUSION Proper diet,keeping our exercise and losing weight are both important for hyperlipidemia of the elder patients with hypertension,long-term heavy drinking has adverse effects on hyperlipidemia of the elder patients with hypertension.