摘要
通过对现况调查中诊断的９４例老年单纯收缩期高血压和６７例非单纯收缩期高血压，与１３５例血压正常者进行病例对照研究，筛选出各自的危险因素。然后，对它们作比较分析，探讨是否存在着差异。在研究的年龄、性别、婚姻状况、吸烟、饮酒、精神创伤、高血压家族史、身高、体重、体重指数、血糖水平、血清胆固醇、甘油三脂和高密度脂蛋白胆固醇等１８个变量中，经单因素非条件Ｌｏｇｉｓｔｉｃ回归分析。结果表明：老年ＩＳＨ的发病与高血压家族史、精神创伤、年龄、血糖水平有关，体重指数、体重、吸烟、饮酒、精神创伤、血清总胆固醇水平是ＮＩ５Ｈ发病的危险因素。进一步多因素非条件Ｌｏｇｉｓｔｉｃ回归分析显示：高血压家族史、精神创伤、血糖水平先后进入ＩＳＨ方程，体重指数、吸烟、精神创伤、血清总胆固醇水平依次入选ＮＩＳＨ的方程。研究揭示ＩＳＨ和ＮＩＳＨ的病因存在差异，从病因学的角度支持ＩＳＨ是不同于ＮＩＳＨ的独特综合症。
Basing on the prevalence survey,94 caseswere diagnosed as simple senile systolic hyper-tension and 67 cases as non simple senile systolichypertension,and 136 persons with normal blood pressure were sampled as control.Two case-control studies were conducted,then the etiologic factors of two types of hypertension were com-pared.Amomg age,sex, smoking,drinking,mental incidence, family history of hypertension,body height, body weight, body weight index,blood sugar,TC,TG.HDL-c,etc.,a total of 18 fac- tors, mono variate unconditional logistic re-gression analysis showed that the occurrence of ISH associated with age, family Listory of hypertension, mental incidence and blood sugar,and that the risk factors of NISH were body weight index,body weight,smoking, drinking,mental incidence,and TC. Furtber multi-inconditlonal logistic regression turned out thatmental incidence,family history of hyperten-sion and blood Sugar cntered the model of ISH,and that the body weight index, smoking, men-tal ineidence,blood and TC entered the modelof ISH.The study showed that the etiologicfactors of ISH differed ftom those of NISH,which was a syndrome differed from NISH.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
1994年第1期23-26,共4页
Chinese Journal of Epidemiology
