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目的:探讨2种标准空腹血糖受损人群高血压分布特征及相关危险因素。方法:对年龄>40岁3 828人进行流行病学调查,分析空腹血糖≥5.6 mmol/L和空腹血糖≥6.1 mmol/L者的血压状况。结果:空腹血糖≥5.6 mmol/L 627例中,高血压患病率为31.74%,男性(34.54%)高于女性(29.89%)(P<0.05);高血压前期患病率为47.05%,男性(51.41%)高于女性(44.18%)(P<0.05);Logistic回归结果分析显示,血压升高的危险因素为高血压家族史、腰围、总胆固醇升高和高密度脂蛋白胆固醇降低。空腹血糖≥6.1mmol/L 245例中,高血压患病率为31.43%,男性(34.55%)高于女性(28.89%)(P<0.05);高血压前期患病率为44.90%,男性(43.64%)低于女性(45.93%)(P>0.05);Logistic回归分析结果显示,血压升高的危险因素为年龄、高血压家族史、腰围和低密度脂蛋白胆固醇升高。结论:分别以空腹血糖≥5.6 mmol/L和≥6.1 mmol/L为诊断切点的空腹血糖受损人群高血压和高血压前期总患病率分别为78.79%和76.33%,可控危险因素主要是中心性肥胖和血脂代谢紊乱。
Objective: To investigate the distribution and related risk factors of hypertension in two kinds of standard impaired fasting blood glucose. Methods: A total of 3828 persons aged> 40 years were subjected to epidemiological investigation to analyze the blood pressure status of fasting blood glucose≥5.6 mmol / L and fasting blood glucose≥6.1 mmol / L. Results: The prevalence rate of hypertension was 31.74% in 627 cases with fasting blood glucose ≥ 5.6 mmol / L, higher than that in female (34.54%) (29.89%) (P <0.05), pre-hypertension prevalence was 47.05% Logistic regression analysis showed that the risk factors for hypertension were family history of hypertension, waist circumference, elevated total cholesterol and decreased high density lipoprotein cholesterol. The prevalence of hypertension was 31.43% in 245 patients with fasting blood glucose≥6.1mmol / L, higher than that in female (34.55%) (28.89%) (P <0.05). Prehypertension rate was 44.90% 43.64%) was lower than that of female (45.93%) (P> 0.05). Logistic regression analysis showed that the risk factors of hypertension were age, family history of hypertension, waist circumference and LDL cholesterol. CONCLUSION: The overall prevalence rates of hypertension and prehypertension in fasting blood glucose-impaired individuals with fasting blood glucose ≥ 5.6 mmol / L and ≥ 6.1 mmol / L as diagnostic cut-off points were 78.79% and 76.33% respectively, and the major risk factors Is central obesity and dyslipidemia.