西藏与内地三级医院关于H型高血压的危险因素分析
Risk Factors of H-Type Hypertension in Tertiary Hospitals in Tibet and Inland

DOI: 10.12677/NS.2021.106114, PP. 699-705

Keywords: 高血压，同型半胱氨酸，拉萨，咸阳，危险因素
Hypertension, Homocysteine, Lhasa, Xianyang, Risk Factors

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Abstract:

目的：探究西藏和内地导致H型高血压的影响因素，为其防治提供依据。方法：从拉萨三级医院随机抽取102名住院患者，咸阳三级医院随机抽取155名住院患者，采用问卷调查的形式，从民族、年龄、性别、血浆半胱氨酸水平、吸烟和饮酒的程度、精神状态及睡眠情况八个方面进行统计，采用SPSS25.0软件进行多因素Logistic回归分析H型高血压的影响因素。结果：西藏拉萨的调查数据中，男性H型高血压患病率为46.84%，女性为78.26%；陕西咸阳的调查数据中，男性H型高血压患病率为56.79%，女性为32.43%。多因素Logistic回归模型分析结果显示，西藏拉萨H型高血压患者的相关危险因素中年龄和精神状态有显著的统计学意义；而陕西咸阳H型高血压患者的相关危险因素中性别、精神状态及睡眠情况有显著的统计学意义。结论：西藏拉萨H型高血压患者的独立危险因素包括年龄(≥50岁)、精神状态；而陕西咸阳H型高血压患者的独立危险因素包括性别、精神状态及睡眠情况。
Objective: To explore the influencing factors of H-type hypertension in Tibet and the mainland, and provide proof for its prevention and treatment. Methods: One hundred and two hospitalized patients were randomly selected from Lhasa tertiary Hospital, and 155 inpatients were randomly selected from Xianyang tertiary Hospital, using questionnaire survey, from nationality, age, gender, plasma cysteine level, degree of smoking and alcohol drinking, mental state and sleep, using SPSS25.0 software for multivariate Logistic regression to analyze the influencing factors of H hypertension. Results: Survey data in Lhasa, Tibet showed that the prevalence of H-type hypertension in men was 46.84% and that in women was 78.26%. Survey data in Xianyang, Shaanxi showed that the prevalence of H-type hypertension in men was 56.79% and that in women was 32.43%. Multiple logistic regression model analysis showed that age and mental state had significant statistical significance among the risk factors of H-type hypertension patients in Lhasa, Tibet; the gender, mental state and sleep quality of H-type hypertension patients in Xianyang, Shaanxi had significant statistical significance. Conclusion: The independent risk factors of H-type hypertension patients in Lhasa, Tibet included age (≥50 years) and mental state; the independent risk factors of h-type hypertension patients in Xianyang, Shaanxi included gender, mental state and sleep quality.

References

[1]	王增武. 高血压防治成效渐显,但任重道远[J]. 中华高血压杂志, 2021, 29(3): 201-202.
[2]	蔡辉. H型高血压发病机制及治疗进展[J]. 中国处方药, 2019, 17(7): 24-26.
[3]	Feng, Y., Kang, K., Xue, Q., et al. (2020) Value of Plasma Homocysteine to Predict Stroke, Cardiovascular Diseases, and New-Onset Hypertension: A Retrospective Cohort Study. Medicine, 99, e21541. https://doi.org/10.1097/MD.0000000000021541
[4]	张旭, 唐根富. H型高血压的研究现状及进展[J]. 泰山医学院学报, 2021, 42(1): 74-77.
[5]	Li, J., Jiang, S., Zhang, Y., et al. (2015) H-Type Hypertension and Risk of Stroke in Chinese Adults: A Prospective, Nested Case-Control Study. Journal of Translational Internal Medicine, 3, 171-178. https://doi.org/10.1515/jtim-2015-0027
[6]	孔祥慧, 宓连芳, 黄振坤. H型高血压与急性脑梗死的相关性[J]. 中国农村卫生, 2019, 11(8): 12.
[7]	Pang, H., Fu, Q., Cao, Q., et al. (2019) Sex Differences in Risk Factors for Stroke in Patients with Hypertension and Hyperhomocysteinemia. Scientific Reports, 9, Article No. 14313. https://doi.org/10.1038/s41598-019-50856-z
[8]	邹卓群, 仲怀琴, 李金鹆, 等. 上海市某院2015年体检人群H型高血压的患病率及其影响因素分析[J]. 安徽医学, 2017, 38(11): 1440-1444.
[9]	陈柯涵, 唐秀革, 莫昌干, 等. 高同型半胱氨酸与H型高血压的研究进展[J]. 现代医学与健康研究(电子版), 2020, 4(3): 152-154.
[10]	符少萍, 刁冬梅, 陈焕清, 等. 原发性高血压病患者血浆同型半胱氨酸水平与心血管事件的相关性[J]. 中医临床研究, 2020, 12(16): 67-69.
[11]	刘峰. 余姚市H型高血压患病率及其危险因素分析[J]. 中国农村卫生事业管理, 2016, 36(5): 667-669.
[12]	2018年中国高血压管理指南编写小组. 中国高血压防治指南(2018年修订版)[J]. 中国心血管杂志, 2019, 24(1): 24-56.
[13]	崔淑衡, 赵琦, 等. 职业和健康相关行为与高同型半胱氨酸血症的相关性[J]. 环境与职业医学, 2020, 37(12): 1188-1193.
[14]	Wang, Y., Li, X., Qin, X., et al. (2013) Prevalence of Hyperhomocys-teinaemia and Its Major Determinants in Rural Chinese Hypertensive Patients Aged 45-75 Years. British Journal of Nu-trition, 109, 1284-1293. https://doi.org/10.1017/S0007114512003157
[15]	叶叔安, 张安平, 许艺璇. 影响高同型半胱氨酸型高血压发生的基因和环境危险因素[J]. 医学理论与实践, 2020, 33(15): 2465-2467.
[16]	Lu, Y., Zhuoga, C., Jin, H., et al. (2020) Characteristics of Acute Ischemic Stroke in Hospitalized Patients in Tibet: A Retrospective Comparative Study. BMC Neurology, 20, Article No. 380. https://doi.org/10.1186/s12883-020-01957-0
[17]	李宏锦, 于海洋, 李亚楠, 等. 同型半胱氨酸水平和年龄相关疾病的研究进展[J]. 中国医药科学, 2020, 10(19): 38-42+59.
[18]	高大玲. 精神因素对高血压病的影响[J]. 社区医学杂志, 2007, 5(4): 44-45.
[19]	钱宁婧, 王亚萍, 潘小宏. 失眠与高血压及失眠干预对血压管理的影响[J]. 中华高血压杂志, 2021, 29(7): 618-621.

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