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2007年至2018年美国国家健康与营养检查调查(NHANES)中美国成年人高血压与中风之间的关联。

Association between hypertension and stroke in US adults in the National Health and Nutrition Examination Surveys (NHANES) 2007 to 2018.

作者信息

Yan Shaoyi, Sha Shuo, Li Senjie, Wang Di, Jia Yongping

机构信息

Department of Cardiovascular, the First Hospital of Shanxi Medical University, Taiyuan, China.

出版信息

Postgrad Med. 2023 Mar;135(2):187-194. doi: 10.1080/00325481.2022.2138470. Epub 2022 Oct 22.

DOI:10.1080/00325481.2022.2138470
PMID:36260517
Abstract

BACKGROUND

Hypertension is associated with stroke events. The purpose of this study was to analyze the correlation between hypertension and stroke in American adults from 2007 to 2018 in National health and Nutrition Examination Survey (NHANES) database.

METHODS

28528 individuals in the NHANES from 2007 to 2018 were included in the cross-sectional analysis. The independent variable was blood pressure (BP) and the outcome variable was stroke. Multivariate linear regression model was used to study the correlation between BP and stroke.

RESULTS

In each multivariate linear regression model, BP level was positively correlated with stroke, and this positive correlation was stable in both men and women (man OR: 1.36, 95% CI: 0.95 to 1.69; woman OR: 1.45, 95% CI: 1.12 to 1.78).

CONCLUSION

Our results show that there is a significant positive correlation between BP and stroke. When the systolic blood pressure (SBP) is about 140 mmHg, the risk of stroke is the lowest; Male patients with diastolic blood pressure (DBP) of about 80 mmHg have a lower risk of stroke.

摘要

背景

高血压与中风事件相关。本研究的目的是利用国家健康与营养检查调查(NHANES)数据库分析2007年至2018年美国成年人中高血压与中风之间的相关性。

方法

2007年至2018年NHANES中的28528名个体被纳入横断面分析。自变量为血压(BP),结果变量为中风。采用多元线性回归模型研究血压与中风之间的相关性。

结果

在每个多元线性回归模型中,血压水平与中风呈正相关,且这种正相关在男性和女性中均稳定(男性OR:1.36,95%CI:0.95至1.69;女性OR:1.45,95%CI:1.12至1.78)。

结论

我们的结果表明血压与中风之间存在显著正相关。当收缩压(SBP)约为140 mmHg时,中风风险最低;舒张压(DBP)约为80 mmHg的男性患者中风风险较低。

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