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中国临床研究英文版:2021,34(5):659-663
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南京市五种人群高血压及高血压前期流行病学特征及影响因素分析
(南京大学医学院附属鼓楼医院老年科,江苏 南京 210008)
Analysis of epidemiological characteristics and influencing factors of hypertension and prehypertension in five populations in Nanjing
(Department of Geriatrics,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing,Jiangsu 210008,China)
摘要
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Received:September 02, 2020   Published Online:May 20, 2021
中文摘要: 目的 通过对南京市2008年至2016年5种人群体检报告中有关高血压及高血压前期流行病学特征及影响因素的研究,为政府及单位针对性开展高血压防控措施提供依据。方法 选取南京市公安系统、教育系统、医疗卫生系统、普通公务人员、其他事业单位5种人群2008年至2016 年的体检数据中血液指标及血压、BMI值,建立数据库进行回顾性分析。结果 共纳入体检83 377人次,男性61 001人次,女性22 376人次,平均年龄56.63岁;高血压患病率在>80岁组逐年增长;高血压前期患病率在≤40岁组逐年增长,>80岁组逐年减少,差异有统计学意义(P<0.05)。公安系统的高血压患病率逐年减少,公安系统的高血压前期患病率逐年增加,差异有统计学意义(P<0.05)。高血压患病率与高龄、男性、卫生和教育行业、BMI≥24、HDL-C降低、LDL-C升高、TC升高、TG升高、空腹血糖升高、糖化血红蛋白升高、尿酸升高、肌酐升高有关,差异有统计学意义(P<0.01)。结论 本研究纳入人群的高血压患病率显著高于我国现有报道的成人高血压患病率,各行业间高血压及高血压前期患病率存在差异,高血压及高血压前期患病率在各年龄组存在差异。
中文关键词: 高血压  高血压前期  影响因素
Abstract:Objective Through the analysis of the epidemiological characteristics and influencing factors of hypertension and prehypertension in five population inspection reports in Nanjing from 2008 to 2016,to provide a basis for the government and units to carry out targeted hypertension prevention and control measures.Methods The blood indicators,blood pressure,and BMI values of the five populations of Nanjing public security system,education system,medical and health system,general public servants,and other public institutions from 2008 to 2016 were selected,and a database was established for retrospective analysis.Results A total of 83 377 physical examinations were included,including 61 001 males and 22 376 females,with an average age of 56.63 years.The prevalence of hypertension increased year by year in the group >80 years old,and the prevalence of prehypertension increased year by year in the group ≤40 years old.The 80-year-old group decreased year by year,and the difference was statistically significant (P<0.05 ).The prevalence of hypertension in the public security system was decreasing year by year,and the prevalence of prehypertension in the public security system was increasing year by year,the difference is statistically significant (P<0.05 ).The prevalence of hypertension is related to advanced age,men,health and education industries,BMI≥24,decreased HDL-C,increased LDL-C,increased TC,increased TG,increased fasting blood glucose,increased glycosylated hemoglobin,and increased uric acid High and increased creatinine were related,and the difference was statistically significant (P<0.01 ).Conclusion The prevalence of hypertension in the population included in this study is significantly higher than the prevalence rates of adult hypertension reported in my country.There are differences in the prevalence of hypertension and prehypertension among industries,and the prevalence of hypertension and prehypertension There are differences in each age group.
文章编号:     中图分类号:R589    文献标志码:B
基金项目:南京市科学技术发展重点项目(ZKX15016)
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