Research The Risk Factors Of Hypertension Case Combination In A Hospital Physical Examination Population

Objective:To understand the prevalence of hypertension with diabetes mellitus,hypertension with coronary heart disease,high blood pressure with hyperuricemia patients,to explore its risk factors,to provide advice on prevention and treatment of hypertension complications,and to provide a theoretical basis for delaying the occurrence and development of complications and the occurrence of cardiovascular disease.Methods:Using a questionnaire survey method,In the Dalian port medical center for medical examination of the crowd as a research object,aged over 50 years old,we collected 487 cases in all,While the number of people with high blood pressure and diabetes is 100 persons,While the number of people with high blood pressure and coronary heart disease is 78 persons,While the number of people with high blood pressure and hyperuricemia is 33 persons,this study perfomed Physical examination,questionnaires and laboratory tests on all subjects,And this sduty performed single factor analysis and Logistic multivariate analysis,To explore the influencing factors of hypertension complication.Results:1、There were 100 patients with hypertension and diabetes mellitus,accounting for 20.6%,aged 55 to 85 years old,the average age is 68.04 years old,of which male are62,accounting for 62.2%,Female are 38,accounting for 15.3%;There were 78 patients with Hypertension with coronary heart disease,accounting for 16.0%,aged between 54 and 85 years old,the average age was 68.6 years,of which male are 51,accounting for 21.4%,female are 27,accounting for 10.8%;There were 33 patients witn Hypertension with hyperuricemia,accounting for 6.8%,Aged 58 to 82 years old,Including 18 men,accounting for 7.6%,Including 15 women,accounting for 6.0%;There were 29 patients with hypertension complicated with diabetes and coronary heart disease,accounting for 6.0%,aged 58 to 85 years old,the average age is 69.90 years old,Including19 men,accountingfor65,5%,Including10 women,accounting for 34.5%.Hypertension has 487 people,aged 50 to 85 years old,the average age is 66.15 years old,Including 238 men and Including 249 women.2、Logistic regression results show:In patients with hypertension complicated with diabetes,male(OR=1.967),age(OR=2.75)、 Smoking(OR=1.706)、Glycosylated hemoglobin is high(OR=17.093)、 Fasting blood sugar is high(OR=3.515)、High density lipoprotein is low(OR=6.5)、Systolic blood pressure is high(OR=1.824)is a risk factor for hypertension associated with diabetes,and high density lipoprotein high(OR=0.514)is a protective factor for hypertension with diabetes;In patients with hypertension complicated with coronary heart disease,history of diabetes(OR=1.855),male(0R=2.242),age(0R=4.02),smoking(0R=1.901),Glycosylated hemoglobin is high(OR=3.019),Is the influencing factor of hypertension combined with coronary heart disease;In patients with hypertension associated with hyperuricemia,Drinking tea and drinking milk is a protective factor for hypertension associated with hyperuricemia.however,high uric acid(OR = 3.182)is a risk factor for hypertension associated with hyperuricemia.In addition,smoking,fasting blood glucose is high,glycosylated hemoglobin is high hypertension complicated by diabetes and coronary heart disease risk factors.Conclusion:Male,older,smoking,glycosylated hemoglobin is high,fasting blood sugar is high,high density lipoprotein is low,high systolic blood pressure is high risk of diabetes with diabetes risk factors and high density lipoprotein high is the protective factor of hypertension combined with diabetes;History of diabetes,male,over 70 years of age,smoking,glycosylated hemoglobin is high hypertension combined with coronary heart disease factors;Drinking tea and milk are the protective factors of hypertension associated with hyperuricemia,high uric acid is a high risk factor for hypertension associated with hyperuricemia;Smoking,fasting blood sugar is high,glycosylated hemoglobin is high hypertension complicated by diabetes and coronary heart disease risk factors.Male,older,smoking,glycosylated blood red height is the common cause of diabetes and coronary heart disease factors,This prompts us,We should implement health education in hypertensive patients,Regular physical examination,Strict monitoring of various complications of sensitive indicators,To take targeted measures to maximize the prevention and control of complications of hypertension.