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目的研究高血压初次诊断的年龄风险。方法采取分层随机整群抽样的方法,对年龄在18岁以上的非高血压者和确诊的高血压患者共6091人进行人户问卷调查和血压测量。采用生存分析方法探讨高血压初次诊断的年龄风险。结果武汉市成人高血压的患病率为19.9%,患者的平均初次诊断年龄为(52.0±13.12)岁,从35岁开始发病风险明显增加,并呈持续上升趋势,男性80岁时风险升到最高(40%),女性在75岁达到最高(26%),之后开始下降,但男女性间的差别无统计学意义(P=0.134)。结论高血压发病风险的出现与年龄存在着密切关系,随着年龄增高,发病风险增大,特别是35岁以后。提示高血压的预防要从青少年时期做起。
Objective To study the age risk of primary diagnosis of hypertension. Methods stratified stratified random cluster sampling method for non-hypertensive patients over the age of 18 and diagnosed with a total of 6,091 hypertensive patients for household surveys and blood pressure measurements. To explore the age risk of primary diagnosis of hypertension using survival analysis. Results The prevalence of adult hypertension in Wuhan was 19.9%. The mean age of first diagnosis was (52.0 ± 13.12) years old in Wuhan. The risk of onset was significantly increased from the age of 35 and continued to increase. The risk of men increased to 80 years The highest (40%), women reached the highest (26%) at 75 years of age, then began to decline, but the difference between men and women was not statistically significant (P = 0.134). Conclusions There is a close relationship between the occurrence of hypertension and age. The risk of developing hypertension increases with age, especially after the age of 35. Tip prevention of hypertension to start from adolescence.