Objective To investigate the blood pressure situation and analyze the influence factors in medical workers of a hospital in Beijing.Methods Physical examination data of 1 936 medical workers were retrospectively analyzed.The subjects were divided into ＜ 35 years group (1 044 cases),35-＜ 45 years group (498 cases),45-＜55 years group (318 cases),≥55 years group (76 cases),then the prevalence of hypertension and related factors were statistically analyzed.Results The total prevalence of hypertension and total incidence of pre-hypertension were 14.5％ (281/1 936) and 26.4％ (512/1 936),respectively.The prevalence of hypertension and incidence of pre-hypertension in males were significantly higher than those in females.The prevalence of hypertension and incidence of pre-hypertension in males were significantly higher than those in females [30.0％ (161/536) vs 8.6％ (120/1 400),34.1％ (183/536) vs 15.5％ (217/1400)] (P＜0.01).In ＜ 35 years group,35-＜ 45 years group,45-＜ 55 years group,the prevalence of hypertension and incidence of pre-hypertension in males were significantly higher than those in females [prevalence of hypertension:12.2％ (25/205) vs 1.9％ (16/839),26.1％ (42/161) vs 9.8％ (33/337),48.6％ (51/105) vs 31.5％ (67/213);incidence of pre-hypertension:39.5％ (81/205) vs 12.3％ (103/839),32.9％ (53/161) vs 17.5％ (59/337),35.2％ (37/105)vs23.9％ (51/213)] (P＜0.05),while in ≥55 years group,they were not significantly different between males and females (P ＞ 0.05).The rates of awareness,treatment and controlling of hypertension were 76.2％ (214/281),64.4％ (181/281) and 52.3％ (147/281),respectively.Multiple Logistic regression analysis showed that male,35-＜45,45-＜55,≥55 years old,family history of cardiovascular diseases,smoking,high body mass index,high total cholesterol and high fasting blood glucose were risk factors of hypertension [odds ratio (OR) =1.988,3.051,10.542,13.102,2.194,2.534,1.491,3.004] (P ＜ 0.05),high density lipoprotein cholesterol was protective factor of hypertension (OR =0.646,P =0.04).Conclusion The prevalence of hypertension and incidence of pre-hypertension in males are significantly higher than those in females in medical workers of a hospital in Beijing;the prevalence of hypertension increases with age;male,age,family history of cardiovascular diseases,high body mass index,high total cholesterol and high fasting blood glucose are risk factors of hypertension.%目的 了解北京市某三级甲等医院在职人员血压情况及影响因素.方法 对北京市某三级甲等医院2014年1-12月1 936名在职人员的健康体格检查结果进行统计,分为＜35岁组(1 044名)、35 ～ ＜45岁组(498名)、45 ～＜55岁组(318名)、≥55岁组(76名)分析高血压流行情况及影响因素.结果 1 936名在职人员高血压总患病率为14.5％(281/1 936),正常高值血压总发生率为20.7％(400/1 936);高血压患病率和正常高值血压发生率男性均高于女性[30.0％(161/536)比8.6％(120/1 400)、34.1％(183/536)比15.5％(217/1 400)] (P＜0.01);＜35岁组、35 ～ ＜45岁组、45～＜55岁组高血压患病率和正常高值血压发生率男性均高于女性[高血压患病率:12.2％(25/205)比1.9％ (16/839)、26.1％(42/161)比9.8％(33/337)、48.6％ (51/105)比31.5％(67/213);正常高值血压发生率:39.5％(81/205)比12.3％(103/839)、32.9％(53/161)比17.5％(59/337)、35.2％(37/105)比23.9％(51/213)](P＜0.05),55岁人群,男性和女性之间比较差异无统计学意义(P＞0.05).1 936名在职人员高血压知晓率、治疗率和控制率分别为76.2％ (214/281)、64.4％(181/281)和52.3％(147/281).多因素Logistic回归分析结果显示,男性、35～＜45岁、45 ～ ＜55岁、≥55岁、心脑血管疾病家族史、高体重指数、高总胆固醇和高空腹血糖为高血压的危险因素[比值比(OR)=1.988、3.051、10.542、13.102、2.194、2.534、1.491、3.004,均P＜0.05],高密度脂蛋白胆固醇为高血压的保护因素(OR=0.646,P=0.04).结论 北京市某三级甲等医院在职人员男性高血压患病率高于女性,随年龄增长高血压患病率随之增高,男性、年龄、心脑血管疾病家族史、高体重指数、高总胆固醇和高空腹血糖为高血压的危险因素.
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