研究目的探索城市居民高血压发病的危险因素,为本病的防治提供依据。研究设计病例对照研究研究对象河南省驻马店市西园街20岁以上居民。按照诊断标准(收缩压≥18.8kPa或舒张压≥12.1kPa,排除继发性高血压)筛选出140例高血压病例,每一病例选择一名性别相同,年龄及职业相似、血压正常者作为对照。处理方法 x~2检验、t检验结果高血压病的发生与遗传(P<0.01)、体型肥胖(P<0.001)及脂肪摄入较多(P<0.01)有密切联系,与口味偏咸、饮酒、吸烟、饮茶、失眠及膳食中蔬菜较少等因素之间无统计学联系。结论高血压病有一定的遗传倾向,肥胖及高脂肪膳食可能是高血压病的重要易患因素。 Objectives To explore the risk factors of hypertension in urban residents and provide basis for the prevention and treatment of this disease. Study Design Case-Control Study Subjects Residents over the age of 20 in Xiyuan Street, Zhumadian City, Henan Province. In accordance with the diagnostic criteria (systolic blood pressure ≥ 18.8kPa or diastolic blood pressure ≥ 12.1kPa, excluding secondary hypertension) 140 cases of hypertension were screened, each case choose a same gender, age and occupational similarities, normotensives as a control . Treatment methods x ~ 2 test, t test results Hypertension and heredity (P <0.01), body fat (P <0.001) and fat intake more (P <0.01) are closely linked with the taste of salty, There was no statistical relationship between alcohol consumption, smoking, drinking tea, insomnia and less vegetables in the diet. Conclusion Hypertension has a certain genetic predisposition, obesity and high-fat diet may be an important predisposing factor for hypertension.