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目的通过对新疆吉木萨尔县哈萨克族人群的高血压调查,了解高血压流行病学情况,分析和掌握本县的高血压流行趋势及相关危险因素。方法采用病例对照研究方法,用预先设计的测查表收集病例组和对照组的相关病史资料,用单因素和多因素非条件Logistic回归分析评价各因素与哈萨克族人群高血压的关系。结果 2009年6月至2010年6月在新疆吉木萨尔县调查哈萨克族居民共499例。高血压的患病率为46.1%,男性患病率51.2%,女性患病率41.2%,差异有统计学意义(P<0.05)。高血压患者的平均病程4.2年,高血压的知晓率为49.3%,治疗率为36.1%,服药控制率为6.0%。日食盐量>6g者和日食盐量<6g者在高血压的发病上有差异(P<0.05)。父母有高血压者和没有高血压者在高血压的发病上有差异(P<0.05)。结论新疆吉木萨尔县哈萨克族人群高血压患病率较高,性别、盐摄入量、体质指数、家族史是高血压的主要危险因素。
Objective To investigate the prevalence of hypertension in Kazak ethnic population of Jimsar County in Xinjiang and to analyze and master the epidemiological trend of hypertension in this county and related risk factors. Methods A case-control study was conducted. Pre-designed questionnaires were used to collect relevant medical history data of case group and control group. Univariate and multivariate non-conditional Logistic regression analysis was used to evaluate the relationship between various factors and hypertension in Kazakh population. Results A total of 499 Kazakh residents were investigated in Jimsar County, Xinjiang from June 2009 to June 2010. The prevalence rate of hypertension was 46.1%, male prevalence rate was 51.2%, female prevalence rate was 41.2%, the difference was statistically significant (P <0.05). The average duration of hypertension was 4.2 years. The awareness rate of hypertension was 49.3%, the treatment rate was 36.1% and the medication control rate was 6.0%. The daily edible salt> 6g and eclipse salt <6g were different in the incidence of hypertension (P <0.05). Parents with hypertension and no hypertension in the incidence of hypertension were different (P <0.05). Conclusion There is a high prevalence of hypertension in Kazakh population in Jimsar County, Xinjiang. Sex, salt intake, body mass index and family history are the major risk factors for hypertension.