CAJ | 학술논문

目的探讨黑龙江省富裕县克山病患者合并高血压的原因及克山病与高血压的相互影响.方法 2007年1、4和7月调查黑龙江省富裕县克山病患者53例,测量患者的血压,并调查高血压危险因素,包括年龄、性别、高血压家族史、膳食摄盐量、吸烟、饮酒及肥胖情况等.按照高血压诊断标准将克山病患者分为高血压组和非高血压组,比较两组的高血压危险因素和两组患者克山病病程.结果该病区克山病病人中,高血压组年龄[(57.83±8.89)岁]显著高于非高血压组[(51.53±9.43)岁,t=2.3630,P<0.05)];而非高血压组克山病病程[(31.63±8.66)年]长于高血压组[(25.08±11.41)年,t=2.0224,P<0.05];性别、高血压家族史、膳食摄盐量、吸烟、饮酒及肥胖因素组间比较,差异均无统计学意义(χ2=0.0072、0.1779、0.0029、0.1555、0.1190、0.7679,P均>0.05).结论年龄因素可能是该病区克山病患者合并高血压的重要因素;高血压的其他危险因素在克山病合并高血压中所起的作用不容忽视;克山病与高血压是否相互影响尚有待于进一步观察和研究.
목적 탐토흑룡강성부유현극산병환자합병고혈압적원인급극산병여고혈압적상호영향.방법 2007년1、4화7월조사흑룡강성부유현극산병환자53례,측량환자적혈압,병조사고혈압위험인소,포괄년령、성별、고혈압가족사、선식섭염량、흡연、음주급비반정황등.안조고혈압진단표준장극산병환자분위고혈압조화비고혈압조,비교량조적고혈압위험인소화량조환자극산병병정.결과 해병구극산병병인중,고혈압조년령[(57.83±8.89)세]현저고우비고혈압조[(51.53±9.43)세,t=2.3630,P<0.05)];이비고혈압조극산병병정[(31.63±8.66)년]장우고혈압조[(25.08±11.41)년,t=2.0224,P<0.05];성별、고혈압가족사、선식섭염량、흡연、음주급비반인소조간비교,차이균무통계학의의(χ2=0.0072、0.1779、0.0029、0.1555、0.1190、0.7679,P균>0.05).결론 년령인소가능시해병구극산병환자합병고혈압적중요인소;고혈압적기타위험인소재극산병합병고혈압중소기적작용불용홀시;극산병여고혈압시부상호영향상유대우진일보관찰화연구.
Objective To explore the reasons why patients with Keshan disesse complicated with hypertension and their interaction in Fuyu County, Heilongjiang Province. Methods Fifty-three patients with Keshan disease were investigated in January, April and July in 2007. Blood pressure was measured and the risk factors of hypertension were investigated. According to the diagnostic criteria of hypertension, patients were divided into hypertension group and non-hypertension group, and then the risk factors of hypertension, as well as the course of Keshan disease, were compared between the two groups. The risk factors include age, gender, family history of hypertension, salt intake in diet, smoking, drinking and obesity. Results The age of hypertension group[(57.83±8.89)years] was significantly higher than that of non-hypertension group [(51.53 ± 9.43)years, t = 2.3630, P < 0.05) ;while the course of Keshan disease in non-hypertension group [(31.63 ± 8.66)years] was notably longer than that in hypertension group [(25.08±11.41)years, t = 2.0224, P < 0.05] ;No statistically significant difference in gender, family history of hypertension, salt intake in diet, smoking, drinking and obesity was observed between the two groups(χ2 = 0.0072,0.1779,0.0029,0.1555,0.119,0.7679, all P > 0.05). Conclusions Age might be an important factor in patients with Keshan disease accompanied by hypertension, and the role of other risk factors of hypertension should not be overlooked;whether Keshan disease and hypertension can affect each other needs further investigation.