摘要
目的了解慢阻肺与高血压共患特征,初步探讨相关危险因素,为慢阻肺与高血压患者管理提供科学依据。方法利用上海市慢性病健康管理资料,辅以调查问卷等手段,收集2290例患者(1145例慢阻肺与高血压共患、1145例单纯高血压患者)的基本信息和疾病相关因素,并进行单因素和多因素分析。结果单因素分析显示:在性别、年龄、文化程度、体质量指数(BMI)、中心性肥胖、吸烟状况、饮酒频率方面,慢阻肺高血压共患组与单纯高血压患者组的差异具有统计学意义(P<0.001)。Logistic回归分析显示:男性(OR=2.517,95%CI:1.985~3.091)、年龄≥55岁与慢阻肺高血压共患风险增高有关;大学及以上学历(OR=0.118,95%CI:0.034~0.414)、超重(OR=0.712,95%CI:0.561~0.902)和肥胖(OR=0.515,95%CI:0.336~0.789)与慢阻肺高血压共患风险降低有关。结论相对于不合并慢阻肺的高血压患者,男性、年龄≥55岁与慢阻肺高血压共患风险增高有关;大学及以上学历、超重和肥胖与共患风险降低有关。应重点关注这些因素,对患者进行综合评估和个性化管理,提升患者生存质量。
Objective To explore the characteristics and influencing factors of chronic obstructive pulmonary disease patients complicated with hypertension,and to provide scientific bases for patient management.Methods Based on health management data about chronic disease of Shanghai province and information collected by questionnaire survey,the basic information and influencing factors of 2290 chronic obstructive pulmonary disease patients complicated with hypertension were explored by univariate and multivariate analyses.Conclusion Univariate analysis showed that there were statistically significant differences in gender,age,education degree,BMI index and status of central obesity,smoking and drinking between the COPD complicated with hypertension group and the single hypertension group(P<0.01).Logistic regression analysis showed that male(OR=2.517,95%CI:1.985~3.091)and age more than or equal to 55 were associated with increased risk of COPD complicated with hypertension,while university degree or above(OR=0.118,95%CI:0.034~0.414),overweight(OR=0.712,95%CI:0.561~0.902)and obesity(OR=0.515,95%CI:0.336~0.789)were associated with decreased risk.Conclusion Compared with hypertension without chronic obstructive pulmonary disease,male and age more than or equal to 55 are associated with increased risk of COPD complicated with hypertension,while university degree or above,overweight and obesity are associated with decreased risk.These influencing factors should be focused on to conduct comprehensive assessment and individualized management of the patients and improve patients′quality of life.
作者
张柯
陆杰
吴周理
吴雅
黄艺文
王玥
陆叶
任志华
ZHANG Ke;LU Jie;WU Zhouli;WU Ya;HUANG Yiwen;WANG Yue;LU Ye;REN Zhihua(Department of Chronic Disease and Injury Prevention and Control,Qingpu District Center for Disease Control and Prevention,Shanghai 201700,China)
出处
《临床肺科杂志》
2024年第10期1511-1515,共5页
Journal of Clinical Pulmonary Medicine
关键词
慢阻肺
高血压
共病
影响因素
chronic obstructive pulmonary disease
hypertension
comorbidity
influencing factors
