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目的探讨高血压患者的血脂情况,旨在为高血压患者合并高血脂患者的治疗提供一定的实验数据。方法对2010年1月1日～2010年12月31日在某院心内科住院治疗的1217例高血压患者的临床资料进行收集并分析。结果单因素Logistic回归分析发现:体重指数、家族史、长期大量饮酒、长期吸烟、肾功能减退及肝功能异常是高血压患者合并高脂血症的危险因素;低脂饮食及每周运动是高血压合并高脂血症的保护因素。多因素Logistic回归分析发现:体重指数、家族史及长期大量饮酒是高血压患者合并高脂血症的危险因素;低脂饮食及每周运动是高血压合并高脂血症的保护因素。结论高血压患者应该低盐饮食并坚持体育锻炼及减轻体重有利于高血压患者血脂的控制,而长期大量饮酒影响高血压患者的血脂的控制。
Objective To investigate the lipid profile of patients with hypertension and to provide some experimental data for the treatment of hypertensive patients with hyperlipidemia. Methods The clinical data of 1,217 hypertensive patients hospitalized in a department of cardiology from January 1, 2010 to December 31, 2010 were collected and analyzed. Results Single factor Logistic regression analysis found that body mass index, family history, long-term heavy drinking, long-term smoking, renal dysfunction and abnormal liver function were risk factors for hyperlipidemia in patients with hypertension. Low-fat diet and weekly exercise were high Protection of blood pressure combined with hyperlipidemia. Multivariate logistic regression analysis found that body mass index, family history and long-term heavy drinking were the risk factors of hyperlipidemia in patients with hypertension. Low-fat diet and weekly exercise were the protective factors of hypertension complicated with hyperlipidemia. Conclusion Hypertensive patients should be low salt diet and insist on physical exercise and weight loss is conducive to the control of blood lipid in hypertensive patients, and long-term heavy drinking affect the control of blood lipid in hypertensive patients.