摘要
目的分析合肥部分社区2596例高血压前期及高血压病人心血管危险因素及靶器官损伤情况。方法选取2016年1月—2019年1月合肥部分社区2596例高血压前期及高血压的病人,分析病人一般资料、生化指标、影像学指标及中医体质等情况,采用多元Logistic回归方法分析高血压前期及高血压病人心血管危险因素及靶器官损伤。结果2596例高血压前期及高血压病人,高血压前期539例(20.76%),高血压1级907例(34.94%),高血压2级687例(26.46%),高血压3级463例(17.84%),多元Logistic回归分析结果显示,性别(P=0.001,OR=1.234)、年龄(P=0.021,OR=1.733)、总胆固醇(P=0.019,OR=1.982)、同型半胱氨酸(P=0.012,OR=2.673)、血尿酸(P=0.034,OR=2.763)、血细胞沉降率(P=0.010,OR=3.332)、体质指数(P=0.031,OR=2.830)、左心室质量指数(P=0.030,OR=1.892)、颅脑CT(P=0.037,OR=1.782)、中医体质(P=0.025,OR=2.892)是高血压病人的危险因素。结论性别、年龄、总胆固醇、同型半胱氨酸、血尿酸、血细胞沉降率、体质指数、心脏彩超、颅脑影像学改变及中医体质是高血压发病的危险因素。
Objective To analyze cardiovascular risk factors and conditions of target organ damage in 2596 patients with prehypertension and hypertension in some communities of Hefei.Methods From January 2016 to January 2019,2596 patients with prehypertension and hypertension in some communities of Hefei were choosed,the general data,biochemical indexes,imaging indexes,and corporeity of traditional Chinese medicine were investigated.The cardiovascular risk factors and conditions of target organ damage in patients with prehypertension or hypertension were analyzed by the mutiple Logistic regression method.Results A total of 2596 patients with prehypertension or hypertension were enrolled,including 539 cases(20.76%)with prehypertension,907 cases(34.94%)with hypertension grade 1 patients,687 cases(26.46%)hypertension grade 2 patients,and 463 cases(17.84%)hypertension grade 3 patients.Multiple Logistic regression analysis indicated gender(P=0.001,OR=1.234),age(P=0.021,OR=1.733),total cholesterol(P=0.019,OR=1.982),homocysteine(P=0.012,OR=2.673),uric acid(P=0.034,OR=2.763),erythrocyte sedimentation rate(P=0.010,OR=3.332),body mass index(P=0.031,OR=2.830),left ventricular mass index(P=0.030,OR=1.892),cranial CT(P=0.037,OR=1.782),and traditional Chinese medicine corporeity(P=0.025,OR=2.892)were risk factors of hypertension.Conclusion Gender,age,total cholesterol,homocysteine,uric acid,erythrocyte sedimentation rate,body mass index,heart color Doppler ultrasound,brain imaging changes,and traditional Chinese medicine corporeity are the significant and relative risk factors of hypertension.
作者
戴小华
曹刚
杨帆
王银燕
付军
梁国庆
邵正斌
董梅
顾健霞
袁良
朱斌
戚先伟
冉永玲
DAI Xiaohua;CAO Gang;YANG Fan;WANG Yinyan;FU Jun;LIANG Guoqing;SHAO Zhengbin;DONG Mei;GU Jianxia;YUAN Liang;ZHU Bin;QI Xianwei;RAN Yongling(First Hospital Affiliated to Anhui University of Traditional Chinese Medicine,Hefei 230031,Anhui,China;Institute of Cardiovascular Diseases of Anhui Academy of Traditional Chinese Medicine,Hefei 230031,Anhui,China)
出处
《中西医结合心脑血管病杂志》
2021年第1期23-26,共4页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
基金
安徽省高校自然科学研究重大项目(No.KJ2017ZD21)。
关键词
高血压前期
高血压
靶器官损伤
危险因素
总胆固醇
同型半胱氨酸
血尿酸
体质指数
prehypertension
hypertension
target organ damage
risk factors
total cholesterol
homocysteine
blood uric acid
body mass index
