资源描述：
《成都地区老年高血压病患者糖脂代谢变化的研究》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。
1、成都地区老年高血压病患者糖脂代谢变化的研究钟宏通讯作者靳红黄晓波王宾友马艳成都市第二人民医院老年科四川成都610017目的探讨成都地区老年高血压患者糖及脂代谢异常情况.方法采取分层整群抽样调查成都地区60-79岁人群(1978例)一般基线情况，体格检查，及相关牛.化指标,并确定该人群糖脂代谢异常患病率.以是否患高血压分二组组间计数资料比较采用χ2检验，计数资料釆用方差分析;采用多元logistic回归分析老年高血压相关危险因素.结果该人群高血压总体患病率56.72%，其中男性为55.16%,女性为57.98%
2、.老年高血压人群IGT(糖耐量减低)(29.23%vs24.89%,P<0.05)、IGR(空腹血糖受损)(31.46%vs27.8%,P<0.05)和DM(糖尿病)(34.58%vs19.39%,P<0.05)的患病率明显高于老年非高血压人群.老年高血压人群高TC(6.24%vs5.26%,P<0.05)、高TG(19.67%vs12.97%,P<0.05)、低HDL—C(10.78%vs7.94%,P<0.05)的患病率明显高于非高血压组的老年人群.多因素Logistic回归分析显示，HDL—C升高为老年高血压的
3、保护因素,年龄、BMI、LDL—C、餐后血糖和尿酸均为老年高血压的危险因素.结论成都地区60-79岁老年高血压人群糖脂代谢异常明显高于非高血压患者.【关键词】高血压；代谢；老年StudyofmetabolicfactorsinoldhypertensiveinChengduresidentsZhonghong,Jinhong,Huangxiaobo,Wangbinyou,Mayan(DepartmentofGeriatGrics,TheSecondPeople’sHospitalofChengdu,Che
4、ngdu610017,China)[Abstract]ObjectiveTostudytheepidemiologicalstatusofmetabolicabnormalitiesinChengduelderlyhypertensionpatients-Methods1978peopleagedfrom60to79yearoldwithhypertensionwereenrolledinthisstudy.Theirbaselinecharacter,physicalexamination,biochemicald
5、ataandprevalenceofmetabolicabnormalitieswereobtained.Studypopulationweredividedintotwogroupsaccordingtohypertensionstatus.DifferencebetweengroupswerecomparedandlogisGticregressionwasuesdtoanalyzetherealtiveriskfactorsinelderlyhypertension.Resultsthetotalhyperte
6、nsionprevalenceis56.72%inthesepeople(male:55.196%,female:57.98%).lnelderlyhypertensionpatients,prevalenceoflGT(29.23%vs24.89%,P<0.05)JGR(31.46%vs27.8%,P<0.05),DM(34.58%vs19.39%,P<0.05)washigherthannonhypertensionpeople.Moreover,theprevalenceofhighTC(6.24%vs5.26
7、%,P<0.05),highTG(19.67%vs12.97%,P<0.05),andlowHDL—C(10.78%vs7.94%,P<0.05)washigherinelderlyhypertensionpatientsalso.Andthelogisticanalysisshowedthatage,BMI,LDL-C,postprandialglucoseanduricacidareriskfactorsofhypertensioninelderlypeople.Conclusionstheprevalenceo
8、fmetabolicabnormalitiesinChengduelderlyhyperGtensio【nKepyatwieonrtdss]washigherthanwhichinnonhypertensionpeople.Hypertension;Metabolism;ElderlyR587.1B1001—5302(2015)09—0880—
