14041例体检职工血压水平分析

目的:了解2010-03-2011-09某单位体检人群血压水平分布,分析影响人群血压水平、高血压流行的相关危险因素,为防治人群高血压和控制其危险因素提供科学依据。方法:安排在职职工和离退休职工进行体检,符合本次研究要求且资料完整者14 041人。体检内容包含体格检查和相关实验室检测,无问卷调查资料。采用专用体检记录电脑软件录入体检者资料,体检全部结束后导出数据,用SPSS分析软件分析血压水平的分布特征及相关因素。结果:体检人群达高血压水平者35.76%。血压水平、高血压患病率、血压分级水平差异具有统计学意义。30岁以后舒张压随年龄增长而升高,但60岁以后随年龄增长而下降;40岁以后收缩压随年龄增长而升高,50岁以后脉压差随年龄增长而升高。人群血压水平、高血压比例随体重的增加而升高,肥胖者高血压达62.3%。多因素分析示,血压水平与年龄、BMI、空腹血糖(FPG)、血清尿酸(UA)、TC、TG、LDL正相关,与HDL、性别负相关。结论:体检人群达高血压水平的比率显著高于全国高血压患病率,存在显著性别和年龄差异,与年龄、BMI、FPG、UA、TC、TG、LDL呈正相关,与HDL、性别呈负相关。

Analysis on the blood pressure levels of 14 041 cases of physical examination population

Objective:To investigate the blood pressure level distribution of the physical examination population in an unit from March 2010 to September 2011,and analyse the relative risk factors affecting blood pressure level and prevalence of hypertension in the population,in order to obtain the scientific bases on curing hypertension and controlling the risk factors. Method:Fourteen thousand and forty-one workers with complete data were included in this study.The physical examination included clinical physical examinations and correlative laboratory testing,without questionnaire-survey materials about illness history or medication history.By the aid of specific physical examination record software,all the records of the physical examination population were output after the physical examination.The distribution characteristics and relative factors of the blood pressure levels were analysed by SPSS Analysis Software. Result:There were 35.76% of the physical examination population suffered from high blood pressure.The differences of blood pressure level,rate of hypertension and classification level of hypertension were statistically significant.DBP increased with age after the age of 30 years,but decreased after 60 years.SBP increased with age after the age of 40 years.The difference of pulse pressure increased with age after the age of 50 years.Among the group,blood pressure level and hypertension proportion incresad as weight increasing,and the hypertension proportion with fat reached 62.3%.By analysis of variable factors,the blood pressure level was positively correlated with age,BMI,FPG,UA,TC,TG,LDL,and negatively correlated with HDL and sexuality. Conclusion:The hypertension rate of the physical examination population is remarkable higher than the average rate in China,with significant differences in sexuality and age.The blood pressure level is positively correlated with age,BMI,FPG,UA,TC,TG,LDL,and negatively correlated with HDL and sexuality.