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目的 :分析厦门市禾山地区人群高血压的可能原因及危险因素。方法 :1998年对该地区占应检人数80.2%的11000名人群高血压心血管疾病调查,抽样检查部分正常(n=200)、临界(n=100)、确诊(n=300)高血压的血脂、血糖及体重指数,心电图等检查。对特殊群体另列组分析。结果 :确诊高血压患病率12.85%,比1979年增加3.2倍。血脂代谢异常率高血压组明显高于正常血压组(P<0.01)。高血压患病率随体重指数增大而增高,超重、肥胖发生率高血压组明显高于正常血压组(P<0.01)。特殊群体高血压患病率明显高于正常血压组(P<0.01)。结论 :该社区高血压患病率明显增加的原因主要与不良的生活方式,肥胖及血脂代谢异常有关。
要点 :厦门禾山地区高血压患病率12.85%,比1979年增加3.2倍。体重指数高、血脂代谢异常和发病率密切相关。由农民转变为企业主或商贸人员的特殊群体的发病率升高明显。
中图分类号 :R544.1;N31 文献标识码 :A
文章编号 :1006-2866(1999)02-0261-03
Study of Risk Factors in Essential Hypertension of Heshan District of Xiamen
BAI Xinsheng,QIU Xianhui,YAN Yihui,Guan Ruijin* ,et al
(Jiangtou Hospital of Xiamen,*:Fujian Provincial Institute of Cardiovascular disease,Fuzhou)
ABSTRUCT Aim :To analyse the causes and risk factors of Hypertension in Heshan district,Xiamen.Methods :A population of 11000 people in Heshan district were inquired with questionnaire.Blood lipid,glucose,and BMI,ECG etc.were examined in a selected cohort of 600 people,categorising as normal BP group(NB,n=200),border hypertension(BH,n=100) and essential hpertension(EH,n=300).It is found that blood lipid in hypertension were much higher than that in normotensives(P<0.01).Obesity in border hypertension and essential hypertension were obviously more frequently than that in normotensives(P<0.01).A special group of people,who were previously peasants but now working in other occupation exceeding 5 years,had significant higher prevalence rate of hypertension than that in native peasants(P<0.01).Conclusion :The causes of high prevalence of hypertension in this district may be ascribed to unhealthy life style,obesity and disorders of blood lipid.
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