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目的了解煤矿职工高血压患病率及危险因素的特殊性,为制定适合煤矿地区的高血压、心、脑血管病的预防措施提供依据。方法采取多阶段分层随机整群抽样方法从某煤矿集团145608名在册员工中抽取3835人为观察对象,进行问卷调查,现场测量血压、身高、体重、腰围及检验血糖、血脂。采用SAS6.12统计软件进行单因素χ2检验,多因素logistic及多元逐步回归分析。结果煤矿职工高血压患病率为30.17%,高于国内报道;中青年呈跳跃性增长趋势,发病危险因素依次为体重指数、年龄、胆固醇、低密度脂蛋白、家族史、血糖、饮酒等。结论在煤矿职工中开展健康普及教育及高血压知识宣传,建立职工定期体检制度,做到早发现、早干预,是预防高血压发病的关键。
Objective To understand the prevalence of hypertension among coal miners and the particularities of risk factors, and to provide the basis for the development of preventive measures for hypertension, heart and cerebrovascular disease in coal mines. Methods A multistage stratified stratified random sampling method was used to select 3835 people from 145,608 registered employees of a coal mine group as the observational object. Questionnaires were conducted to measure the blood pressure, height, weight, waist circumference and blood sugar and blood fat on the spot. Using SAS6.12 statistical software univariate χ2 test, multivariate logistic and multivariate stepwise regression analysis. Results The prevalence rate of hypertension in coal miners was 30.17%, which was higher than that in China. The young and middle-aged people showed a jumpy growth trend. The risk factors were: body mass index, age, cholesterol, LDL, family history, blood glucose, alcohol consumption and so on. Conclusion It is the key to prevent the occurrence of hypertension in the coal mine workers to carry out health education and knowledge of hypertension, establish a regular physical examination system for workers, early detection and early intervention.