淳安县居民应激性高血糖比与高血压的协同作用研究

doi:10.12183/j.scjpm.2025.1081

摘要/Abstract

摘要： 目的探讨淳安县社区人群中应激性高血糖比（SHR）与高血压的交互作用,并据此制定针对性的社区综合干预策略。方法 2024年1—2月,采用分层随机抽样法,在本县社区卫生服务中心的常住居民健康档案中抽取1 022名常住居民作为调查对象,对其基本社会人口学资料进行问卷调查,并记录SHR、收缩压（SBP）和舒张压（DBP）水平。按照是否患有高血压分组,比较2组间SHR水平及其他基线资料,提取重要变量构建logistic回归模型分析SHR水平与高血压患病风险的关系。进一步按SHR四分位数分组,比较各组血压水平（SBP、DBP）的差异;并采用Spearman相关分析SHR与SBP、DBP之间的相关性。结果 1 022名调查对象中340例居民患有高血压,高血压患病率为33.27%（340/1 022）。男性患病率为35.23%（210/596）,高于女性30.52%（130/426）;≥18岁居民血压控制率（血压控制在目标值以下）为39.12%（133/340）。经logistic回归分析,未调整任何因素时,SHR水平与居民高血压患病风险有关（OR=8.958,95% CI：5.178~15.498）;调整混杂因素（年龄、BMI、嗜酒史、吸烟史、体育锻炼频率、日均睡眠时间因素）后,SHR水平仍与居民高血压患病风险有关（OR:9.616,95% CI：5.115~18.080）。不同SHR四分位数组间居民的SBP和DBP水平差异均有统计学意义（均P<0.01）。SHR水平与SBP、DBP呈显著正相关（r=0.587、0.580,均P<0.05）。结论 SHR是社区居民高血压患病的独立影响因素,两者存在显著正相关关系及协同作用机制,基于SHR水平制定社区综合干预策略可有助于高血压的早期防控。

关键词: 应激性高血糖比值, 高血压, 患病风险, 收缩压, 舒张压

Abstract: Objective To investigate the interaction between the stress hyperglycemia ratio (SHR) and hypertension among a community population in Chun'an County, and to inform the development of targeted comprehensive community intervention strategies based on the findings. Methods Between January and February 2024, a stratified random sampling method was employed to select 1 022 permanent residents from the health records of community health service centers in Chun'an County as study participants. Sociodemographic data were collected via a questionnaire, and levels of SHR, systolic blood pressure (SBP), and diastolic blood pressure (DBP) were recorded. Participants were stratified based on the presence or absence of hypertension to compare SHR levels and other baseline characteristics. A logistic regression model was constructed using key variables to analyze the association between SHR levels and the risk of hypertension. Furthermore, participants were categorized into quartiles based on their SHR levels to compare differences in blood pressure (SBP and DBP) across these groups. Spearman correlation analysis was utilized to assess the correlation between SHR and both SBP and DBP. Results Among the 1 022 participants, 340 were diagnosed with hypertension, corresponding to a prevalence rate of 33.27% (340/1 022). The prevalence was higher in males at 35.23% (210/596) compared to females at 30.52% (130/426). The blood pressure control rate (blood pressure maintained below the target value) among residents aged 18 years and older was 39.12% (133/340). Unadjusted logistic regression analysis revealed a significant association between SHR levels and the risk of hypertension (OR=8.958, 95% CI: 5.178-15.498). This association remained significant after adjusting for confounding factors, including age, BMI, history of alcohol consumption, history of smoking, frequency of physical exercise, and average daily sleep duration (OR=9.616, 95% CI: 5.115-18.080). Statistically significant differences in both SBP and DBP levels were observed across the SHR quartiles (all P<0.01). Spearman correlation analysis demonstrated a significant positive correlation between SHR and both SBP (r=0.587, P<0.05) and DBP (r=0.580, P<0.05). Conclusions SHR is an independent risk factor for hypertension in this community-dwelling population. A significant positive correlation and a synergistic mechanism exist between SHR and hypertension. The development of community-based comprehensive intervention strategies predicated on SHR levels may facilitate the early prevention and control of hypertension.

Key words: Stress hyperglycemia ratio, Hypertension, Risk of prevalence, Systolic blood pressure, Diastolic blood pressure

中图分类号:

R544.1

郑红建, 唐卫芳, 徐英仙. 淳安县居民应激性高血糖比与高血压的协同作用研究[J]. 华南预防医学, 2025, 51(10): 1081-1086.

ZHENG Hongjian, TANG Weifang, XU Yingxian. The synergistic effect of stress hyperglycemia and hypertension among residents in Chun'an County[J]. South China Journal of Preventive Medicine, 2025, 51(10): 1081-1086.

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