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中国初级卫生保健:2019,33(1):46-48
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2018年天津市东丽区万新街社区 糖尿病合并高血压老年人患病情况及影响因素研究*
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中文摘要: 目的探讨天津市社区60岁以上老年人群糖尿病合并高血压的患病情况及其危险因素,为制定糖尿病合并高血压的防治措施提供依据。方法抽取天津市东丽区万新街7 235名60岁以上的常住居民进行问卷调查和体格检查,采用logistic回归分析探讨糖尿病合并高血压的危险因素。结果 被调查的7 235人中,糖尿病合并高血压患病率为17.2%,男性和女性高血压患病率差异无统计学意义;单因素logistic回归分析结果显示:70岁以上、腹型肥胖、脑卒中、精神应激、超重、肥胖、尿常规异常、甘油三酯异常和高密度脂蛋白异常均是60岁以上老年人患糖尿病合并高血压的危险因素;多因素 logistic回归分析结果显示,70~79岁、80岁以上、腹型肥胖、脑卒中、精神应激、肥胖、尿常规异常和甘油三酯异常是60岁以上老年人患糖尿病合并高血压的危险因素。结论天津市东丽区万新街老年人群糖尿病合并高血压患病率较高,应积极治疗原发疾病,倡导健康的生活方式,改变不良的生活习惯,保持健康体重,重视生化指标监测,以降低糖尿病合并高血压的患病率。
Abstract:OBJECTIVE to explore the prevalence and correlates of hypertension among the elder residents in community of Dongli district in Tianjin, and to provide the relative control measures for diabetes with hypertension.METHODS A multi-phasic stratified cluster sampling method was adapted and 7 235 elder residents (>60 years old)from the Community Health Center of Wan Xin Street in Dongli district of Tianjin in 2018 were investigated. The questionnaire and physical examination datas were used to analyze the risk factors of diabetes with hypertension by the method of logistic regression.RESULTS of 7235 participants, the prevalence of diabetes with hypertention was 17.2%, there is no difference between men and women. the results of univariate logistic regression shows that beyond age 70, abdominal obesity, stroke, mental stress, overweight, obesity, abnormal urine analysis, high TG, low high-density lipoprotein were associated with higher risk for diabetes with hypertension. For multiple logistic regression analysis: age 70 to 79, beyond age 80, abdominal obesity,stoke, mental stress,obesity, abnormal urine analysisand high TG,were associated with higher risk for hypertension. CONCLUSIONthe hypertension prevalence of elder residents of Community Health Center of Wan Xin Street in Dongli district of Tianjin was high, so treatment for primary diseases is a must, and it is necessary to pay more attention to keep a healthy life, change unhealthy habits, sustain a healthy weight and pay more attention to the change of biochemical diagnosis to lower hypertension prevalence.
文章编号:3201901016     中图分类号:R197    文献标志码:
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王恩俊①  
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