Chinese General Practice ›› 2023, Vol. 26 ›› Issue (22): 2771-2777.DOI: 10.12114/j.issn.1007-9572.2022.0347
Special Issue: 高血压最新文章合集
• Original Research·Foucus on Health Status in Middle-aged and Older Populations • Previous Articles Next Articles
Received:
2022-05-06
Revised:
2022-11-29
Published:
2023-08-05
Online:
2023-04-10
Contact:
HUANG Zhaolan
通讯作者:
黄招兰
作者简介:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0347
项目 | 例数 | 平均收缩压 | 平均舒张压 |
---|---|---|---|
性别 | |||
男 | 1 266 | 130.98±17.97 | 84.62±12.09 |
女 | 1 548 | 128.30±24.81 | 77.84±10.18 |
t值 | 3.215 | 16.148 | |
P值 | 0.001 | <0.001 | |
年龄(岁) | |||
35~44 | 858 | 120.19±18.03 | 80.26±10.44 |
45~54 | 1 017 | 126.98±19.15 | 78.47±11.59 |
55~64 | 939 | 132.19±21.64 | 77.57±11.54 |
F值 | 83.440 | 13.232 | |
P值 | <0.001 | <0.001 |
Table 1 Comparison of average systolic and diastolic blood pressure in COVID-19 vaccine recipients(hypertensive screening subjects)by sex and age group
项目 | 例数 | 平均收缩压 | 平均舒张压 |
---|---|---|---|
性别 | |||
男 | 1 266 | 130.98±17.97 | 84.62±12.09 |
女 | 1 548 | 128.30±24.81 | 77.84±10.18 |
t值 | 3.215 | 16.148 | |
P值 | 0.001 | <0.001 | |
年龄(岁) | |||
35~44 | 858 | 120.19±18.03 | 80.26±10.44 |
45~54 | 1 017 | 126.98±19.15 | 78.47±11.59 |
55~64 | 939 | 132.19±21.64 | 77.57±11.54 |
F值 | 83.440 | 13.232 | |
P值 | <0.001 | <0.001 |
项目 | 例数 | 基于首次血压测量的平均收缩压 | 基于非同日3次血压测量的平均收缩压 | t值 | P值 |
---|---|---|---|---|---|
性别 | |||||
男 | 561 | 156.73±14.69 | 142.93±15.39 | 22.887 | <0.001 |
女 | 471 | 146.06±18.54 | 140.87±13.26 | 8.045 | <0.001 |
t值 | 10.311 | 2.280 | |||
P值 | <0.001 | 0.023 | |||
年龄(岁) | |||||
35~44 | 222 | 144.01±16.35 | 138.98±14.41 | 8.925 | <0.001 |
45~54 | 360 | 148.20±15.56 | 140.47±16.57 | 11.373 | <0.001 |
55~64 | 450 | 154.57±17.14 | 144.32±19.36 | 9.730 | <0.001 |
F值 | 83.440 | 24.134 | |||
P值 | <0.001 | <0.001 |
Table 2 Average systolic blood pressure measured for the first time and on another three days in suspected hypertensive patients by sex and age group
项目 | 例数 | 基于首次血压测量的平均收缩压 | 基于非同日3次血压测量的平均收缩压 | t值 | P值 |
---|---|---|---|---|---|
性别 | |||||
男 | 561 | 156.73±14.69 | 142.93±15.39 | 22.887 | <0.001 |
女 | 471 | 146.06±18.54 | 140.87±13.26 | 8.045 | <0.001 |
t值 | 10.311 | 2.280 | |||
P值 | <0.001 | 0.023 | |||
年龄(岁) | |||||
35~44 | 222 | 144.01±16.35 | 138.98±14.41 | 8.925 | <0.001 |
45~54 | 360 | 148.20±15.56 | 140.47±16.57 | 11.373 | <0.001 |
55~64 | 450 | 154.57±17.14 | 144.32±19.36 | 9.730 | <0.001 |
F值 | 83.440 | 24.134 | |||
P值 | <0.001 | <0.001 |
项目 | 例数 | 基于首次血压测量的平均舒张压 | 基于非同日3次血压测量的平均舒张压 | t值 | P值 |
---|---|---|---|---|---|
性别 | |||||
男 | 561 | 93.36±9.49 | 88.63±11.24 | 11.599 | <0.001 |
女 | 471 | 87.41±8.76 | 84.82±8.76 | 8.347 | <0.001 |
t值 | 10.389 | 5.987 | |||
P值 | <0.001 | <0.001 | |||
年龄(岁) | |||||
35~44 | 222 | 93.23±8.65 | 87.25±10.78 | 11.666 | <0.001 |
45~54 | 360 | 91.23±8.66 | 86.47±9.49 | 12.232 | <0.001 |
55~64 | 450 | 89.36±10.32 | 81.67±10.54 | 16.870 | <0.001 |
F值 | 13.012 | 31.844 | |||
P值 | <0.001 | <0.001 |
Table 3 Average diastolic blood pressure measured for the first time and on another three days in suspected hypertensive patients by sex and age group
项目 | 例数 | 基于首次血压测量的平均舒张压 | 基于非同日3次血压测量的平均舒张压 | t值 | P值 |
---|---|---|---|---|---|
性别 | |||||
男 | 561 | 93.36±9.49 | 88.63±11.24 | 11.599 | <0.001 |
女 | 471 | 87.41±8.76 | 84.82±8.76 | 8.347 | <0.001 |
t值 | 10.389 | 5.987 | |||
P值 | <0.001 | <0.001 | |||
年龄(岁) | |||||
35~44 | 222 | 93.23±8.65 | 87.25±10.78 | 11.666 | <0.001 |
45~54 | 360 | 91.23±8.66 | 86.47±9.49 | 12.232 | <0.001 |
55~64 | 450 | 89.36±10.32 | 81.67±10.54 | 16.870 | <0.001 |
F值 | 13.012 | 31.844 | |||
P值 | <0.001 | <0.001 |
项目 | 例数(疑似高血压患者) | 经确诊患高血压者 | χ2(χ2趋势)值 | P值 |
---|---|---|---|---|
性别 | 7.173 | 0.007 | ||
男 | 561 | 413(73.62) | ||
女 | 471 | 380(80.68) | ||
年龄(岁) | 3.541a | 0.060 | ||
35~44 | 222 | 158(71.17) | ||
45~54 | 360 | 282(78.33) | ||
55~64 | 450 | 353(78.44) |
Table 4 Diagnosis of hypertension based on the 3-day blood pressure measurement results in suspected hypertensive patients by sex and age group
项目 | 例数(疑似高血压患者) | 经确诊患高血压者 | χ2(χ2趋势)值 | P值 |
---|---|---|---|---|
性别 | 7.173 | 0.007 | ||
男 | 561 | 413(73.62) | ||
女 | 471 | 380(80.68) | ||
年龄(岁) | 3.541a | 0.060 | ||
35~44 | 222 | 158(71.17) | ||
45~54 | 360 | 282(78.33) | ||
55~64 | 450 | 353(78.44) |
项目 | 例数(疑似高血压患者) | 基于非同日3次血压测量结果得出的血压分级 | 经确诊患高血压者 | ||||
---|---|---|---|---|---|---|---|
理想血压 | 正常高值 | 1级高血压 | 2级高血压 | 3级高血压 | |||
男 | |||||||
35~44岁 | 136 | 28(20.59) | 17(12.50) | 51(37.50) | 32(23.53) | 8(5.88) | 91(66.91) |
45~54岁 | 202 | 17(8.42) | 31(15.35) | 96(47.52) | 43(21.29) | 15(7.43) | 154(76.24) |
55~64岁 | 223 | 15(6.73) | 40(17.94) | 107(47.98) | 38(17.04) | 23(10.31) | 168(75.34) |
女 | |||||||
35~44岁 | 86 | 10(11.63) | 9(10.47) | 41(47.67) | 21(24.42) | 5(5.81) | 67(77.91) |
45~54岁 | 158 | 10(6.33) | 20(12.66) | 89(56.33) | 30(18.99) | 9(5.70) | 128(81.01) |
55~64岁 | 227 | 11(4.85) | 31(13.66) | 121(53.30) | 46(20.26) | 18(7.93) | 185(81.50) |
Table 5 Distribution of blood pressure levels stratified by 3-day blood pressure readings and diagnosis of hypertension in suspected male and female hypertensive patients of different age groups
项目 | 例数(疑似高血压患者) | 基于非同日3次血压测量结果得出的血压分级 | 经确诊患高血压者 | ||||
---|---|---|---|---|---|---|---|
理想血压 | 正常高值 | 1级高血压 | 2级高血压 | 3级高血压 | |||
男 | |||||||
35~44岁 | 136 | 28(20.59) | 17(12.50) | 51(37.50) | 32(23.53) | 8(5.88) | 91(66.91) |
45~54岁 | 202 | 17(8.42) | 31(15.35) | 96(47.52) | 43(21.29) | 15(7.43) | 154(76.24) |
55~64岁 | 223 | 15(6.73) | 40(17.94) | 107(47.98) | 38(17.04) | 23(10.31) | 168(75.34) |
女 | |||||||
35~44岁 | 86 | 10(11.63) | 9(10.47) | 41(47.67) | 21(24.42) | 5(5.81) | 67(77.91) |
45~54岁 | 158 | 10(6.33) | 20(12.66) | 89(56.33) | 30(18.99) | 9(5.70) | 128(81.01) |
55~64岁 | 227 | 11(4.85) | 31(13.66) | 121(53.30) | 46(20.26) | 18(7.93) | 185(81.50) |
首测血压分级 | 例数 | 基于非同日3次血压测量结果得出的血压分级 | 经确诊患高血压者 | ||||
---|---|---|---|---|---|---|---|
理想血压 | 正常高值血压 | 1级高血压 | 2级高血压 | 3级高血压 | |||
1级高血压 | 654 | 75(11.47) | 105(16.06) | 428(65.44) | 36(5.50) | 10(1.53) | 474(72.48) |
2级高血压 | 249 | 14(5.62) | 33(13.25) | 56(22.49) | 134(53.82) | 12(4.82) | 202(81.12) |
3级高血压 | 129 | 2(1.55) | 10(7.75) | 21(16.28) | 40(31.01) | 56(43.41) | 117(90.70) |
Table 6 Distribution of blood pressure levels stratified by 3-day blood pressure readings and diagnosis of hypertension in suspected hypertensive patients with different first blood pressure levels
首测血压分级 | 例数 | 基于非同日3次血压测量结果得出的血压分级 | 经确诊患高血压者 | ||||
---|---|---|---|---|---|---|---|
理想血压 | 正常高值血压 | 1级高血压 | 2级高血压 | 3级高血压 | |||
1级高血压 | 654 | 75(11.47) | 105(16.06) | 428(65.44) | 36(5.50) | 10(1.53) | 474(72.48) |
2级高血压 | 249 | 14(5.62) | 33(13.25) | 56(22.49) | 134(53.82) | 12(4.82) | 202(81.12) |
3级高血压 | 129 | 2(1.55) | 10(7.75) | 21(16.28) | 40(31.01) | 56(43.41) | 117(90.70) |
自变量 | 单因素有序多分类Logistic回归分析 | 多因素有序多分类Logistic回归分析 | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
P值 | OR(95%CI) | b | SE | Wald χ2值 | P值 | OR(95%CI) | b | SE | Wald χ2值 | |
性别(以女为参照) | ||||||||||
男 | 0.033 | 1.519(1.034,2.230) | 0.418 | 0.196 | 4.549 | 0.040 | 1.751(1.025,3.064) | 0.560 | 0.273 | 4.211 |
年龄(岁,以35~44为参照) | ||||||||||
45~54 | 0.201 | 1.112(0.945,1.308) | 0.106 | 0.083 | 1.636 | 0.734 | 1.023(0.897,1.174) | 0.023 | 0.067 | 0.115 |
55~64 | 0.001 | 1.631(1.232,2.159) | 0.489 | 0.143 | 11.703 | 0.042 | 1.636(1.018,2.687) | 0.492 | 0.242 | 4.138 |
首次测量血压时的时间段(以8:00~11:00为参照) | ||||||||||
11:01~14:00 | 0.007 | 0.645(0.467,0.891) | -0.439 | 0.165 | 7.063 | 0.025 | 0.613(0.399,0.960) | -0.489 | 0.219 | 4.994 |
14:01~18:00 | 0.600 | 0.885(0.561,1.397) | -0.122 | 0.233 | 0.275 | 0.791 | 0.897(0.400,2.087) | -0.109 | 0.412 | 0.070 |
首次测量血压时有无心理因素(以无为参照) | ||||||||||
有 | 0.001 | 3.231(2.311,4.517) | 1.173 | 0.171 | 47.038 | 0.001 | 4.534(2.022,10.551) | 1.512 | 0.412 | 13.461 |
首次测量血压时环境噪声是否≥40 dB(以否为参照) | ||||||||||
是 | 0.024 | 2.453(1.731,3.477) | 0.897 | 0.178 | 25.412 | 0.003 | 2.088(1.289,3.457) | 0.736 | 0.246 | 8.956 |
首次测量血压时的环境温度是否≥30 ℃(以否为参照) | ||||||||||
是 | 0.501 | 0.863(0.562,1.326) | -0.147 | 0.219 | 0.453 | — | — | — | — | — |
Table 7 Univariate and multivariate ordered Logistic regression analysis of factors influencing the fluctuation of blood pressure levels in suspected hypertensive patients
自变量 | 单因素有序多分类Logistic回归分析 | 多因素有序多分类Logistic回归分析 | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
P值 | OR(95%CI) | b | SE | Wald χ2值 | P值 | OR(95%CI) | b | SE | Wald χ2值 | |
性别(以女为参照) | ||||||||||
男 | 0.033 | 1.519(1.034,2.230) | 0.418 | 0.196 | 4.549 | 0.040 | 1.751(1.025,3.064) | 0.560 | 0.273 | 4.211 |
年龄(岁,以35~44为参照) | ||||||||||
45~54 | 0.201 | 1.112(0.945,1.308) | 0.106 | 0.083 | 1.636 | 0.734 | 1.023(0.897,1.174) | 0.023 | 0.067 | 0.115 |
55~64 | 0.001 | 1.631(1.232,2.159) | 0.489 | 0.143 | 11.703 | 0.042 | 1.636(1.018,2.687) | 0.492 | 0.242 | 4.138 |
首次测量血压时的时间段(以8:00~11:00为参照) | ||||||||||
11:01~14:00 | 0.007 | 0.645(0.467,0.891) | -0.439 | 0.165 | 7.063 | 0.025 | 0.613(0.399,0.960) | -0.489 | 0.219 | 4.994 |
14:01~18:00 | 0.600 | 0.885(0.561,1.397) | -0.122 | 0.233 | 0.275 | 0.791 | 0.897(0.400,2.087) | -0.109 | 0.412 | 0.070 |
首次测量血压时有无心理因素(以无为参照) | ||||||||||
有 | 0.001 | 3.231(2.311,4.517) | 1.173 | 0.171 | 47.038 | 0.001 | 4.534(2.022,10.551) | 1.512 | 0.412 | 13.461 |
首次测量血压时环境噪声是否≥40 dB(以否为参照) | ||||||||||
是 | 0.024 | 2.453(1.731,3.477) | 0.897 | 0.178 | 25.412 | 0.003 | 2.088(1.289,3.457) | 0.736 | 0.246 | 8.956 |
首次测量血压时的环境温度是否≥30 ℃(以否为参照) | ||||||||||
是 | 0.501 | 0.863(0.562,1.326) | -0.147 | 0.219 | 0.453 | — | — | — | — | — |
[1] |
步芳芳,于超,王颖翠,等. 试论后新型冠状病毒肺炎疫情期高血压的防治[J]. 中华高血压杂志,2020,28(8):722-725. DOI:10.16439/j.cnki.1673-7245.2020.08.009.
|
[2] |
朱瑶,韦意娜,孙畅,等. 新型冠状病毒肺炎疫苗研究进展[J]. 预防医学,2021,33(2):143-148. DOI:10.19485/j.cnki.issn2096-5087.2021.02.009.
|
[3] |
吴晓军,陈新云,蒋小晶,等. 成都市城乡居民高血压患病率、知晓率、治疗率及控制率分析[J]. 现代预防医学,2021,48(6):1075-1078,1093.
|
[4] |
王文,张维忠,孙宁玲,等. 中国血压测量指南[J]. 中华高血压杂志,2011,19(12):1101-1115. DOI:10.16439/j.cnki.1673-7245.2011.12.004.
|
[5] |
高血压联盟(中国),中华医学会心血管病学分会,中国医疗保健国际交流促进会高血压分会,等. 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. DOI:10.3969/j.issn.1007-5410.2019.01.002.
|
[6] |
刘龙英,吴松娟,魏国芳,等. 丽水地区2017-2018年体检人群高血压发生现状及危险因素调查[J]. 实用预防医学,2021,28(9):1139-1142. DOI:10.3969/j.issn.1006-3110.2021.09.031.
|
[7] |
吴毅凌,李静,王云辉,等. 自报非高血压人群高血压筛查结果及相关因素分析[J]. 现代预防医学,2021,48(14):2585-2589,2602.
|
[8] |
李镒冲,王丽敏,姜勇,等. 2010年中国成年人高血压患病情况[J]. 中华预防医学杂志,2012,46(5):409-413. DOI:10.3760/cma.j.issn.0253-9624.2012.05.007.
|
[9] |
吴琦欣,史明标,邓燕,等. 我国成人高血压流行病学分布特征研究进展[J]. 现代预防医学,2019,46(23):4238-4242.
|
[10] | |
[11] |
|
[12] |
|
[13] |
|
[14] |
赵明星,胡鲜云,石晓萍,等. 新冠肺炎期间互联网医疗在老年高血压管理中的应用研究[J]. 中华保健医学杂志,2021,23(1):101-102. DOI:10.3969/j.issn.1674-3245.2021.01.029.
|
[15] |
|
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