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本文以35~59岁非高血压女性农民为对象,采用前瞻性观察方法调查1196人。6年后复查1046人,新发高血压137人,年标准化发病率2.24%,发现体重超重、血总胆固醇/高密度脂蛋白胆固醇(TC/HDL-C)比值、服避孕药年限与高血压的发病成正关联。体重超重组(体重指数>24))高血压的发生率为24.74%,其比值比(OddsRatio,简称OR)是<体重指数20组的5.39倍;TC/HDL-C比值>4.8组高血压发生率为28.26%,其OR是<4.0组的5.22倍;服避孕药10年以上高血压发生率为30.99%,其OR是不服避孕药组的4.13倍。本研究表明,女性高血压的可能发病因素为体重超重、高TC/HDL-C比值、长期眼避孕药、膳食高钠和低钙。
In this paper, 3596-year-old non-hypertensive female farmers as the object, the use of prospective observation of 1196 people surveyed. 6 years after the review of 1046 people, the new high blood pressure of 137 people, the annual standardized incidence of 2.24%, found that overweight, blood total cholesterol / high density lipoprotein cholesterol (TC / HDL-C) ratio, taking contraceptives and The incidence of hypertension is positively related. The prevalence of hypertension was 24.74% in overweight group (body mass index> 24), odds ratio (OR) was 5.39 times body mass index (BMI) and TC / HDL-C ratio was> 4 .8 The incidence of hypertension was 28.26%, OR was 5.22 times less than 4.0; the incidence of hypertension with contraceptives more than 10 years was 30.99%, OR was not contraceptive group 4.13 times. This study shows that the possible risk factors for female hypertension are overweight, high TC / HDL-C ratio, long-term contraceptives, high sodium diet and low calcium diet.