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目的探讨上海市人群高血压发生的危险因素。方法采用病例对照方法对507名新诊断的高血压患者和11832名对照人群的危险因素用SPSS软件进行单因素和多因素Logistic回归。结果经单因素筛选,有14个暴露因素与高血压有关。多因素分析显示,年龄(OR=1.366,95%CI:1.199～1.555)、脑血管疾病家族史(OR=2.766,95%CI:1.504～5.087)、睡眠时间缩短(OR=1.936,95%CI:1.167～3.213)和体重超标(OR=1.908,95%CI:1.323～2.750)是高血压发生的独立危险因素。结论高血压是遗传与环境共同作用的结果。控制体重、改善睡眠可预防和减少高血压的发生。
Objective To investigate the risk factors of hypertension in Shanghai. Methods A total of 507 newly diagnosed hypertensive patients and 11832 control subjects were enrolled in the study. The risk factors of 507 newly diagnosed hypertensive patients and 11832 control subjects were analyzed by SPSS software. Results Single factor screening, 14 exposure factors and hypertension. Multivariate analysis showed that the age (OR = 1.366, 95% CI: 1.199-1.555), family history of cerebrovascular disease (OR = 2.766, 95% CI: 1.504-5.087) and shortened sleep time (OR = 1.936, 95% CI : 1.167 ~ 3.213) and overweight (OR = 1.908, 95% CI: 1.323 ~ 2.750) were independent risk factors for hypertension. Conclusion Hypertension is the result of a combination of genetic and environmental factors. Weight control, improve sleep can prevent and reduce the incidence of hypertension.