CAJ | 학술논문

目的　了解高血压家族史对部队官兵血压的影响程度及与高血压患病率的关系。方法　采用问卷调查及体格检查的方法对驻疆某部3 190人进行了现场调查。调查对象均为男性，平均年龄(20.9±3.0)岁，服役年限平均(2.9±2.8)年。结果　与无家族史者相比，有高血压家族史者其收缩压和舒张压水平显著增加(P<0.001)，增幅平均达2.6/2.0 mmHg，且高血压的患病粗率也显著增加(5.84%对3.07%，上升47%)；双亲血压均高对子女血压的影响大于单亲血压高者，高血压的患病率增高；而父亲血压增高比母亲血压增高对子女的血压影响更大，且高血压的患病率明显增加。经年龄及体重校正后仍显示有高血压家族史者，其血压水平及高血压患病率较无家族史者呈显著上升趋势。结论　高血压家族史不但影响部队官兵的血压水平，而且明显增加高血压患病的危险性，表明遗传因素在高血压的发病中起着重要的作用。
목적　료해고혈압가족사대부대관병혈압적영향정도급여고혈압환병솔적관계。방법　채용문권조사급체격검사적방법대주강모부3 190인진행료현장조사。조사대상균위남성，평균년령(20.9±3.0)세，복역년한평균(2.9±2.8)년。결과　여무가족사자상비，유고혈압가족사자기수축압화서장압수평현저증가(P<0.001)，증폭평균체2.6/2.0 mmHg，차고혈압적환병조솔야현저증가(5.84%대3.07%，상승47%)；쌍친혈압균고대자녀혈압적영향대우단친혈압고자，고혈압적환병솔증고；이부친혈압증고비모친혈압증고대자녀적혈압영향경대，차고혈압적환병솔명현증가。경년령급체중교정후잉현시유고혈압가족사자，기혈압수평급고혈압환병솔교무가족사자정현저상승추세。결론　고혈압가족사불단영향부대관병적혈압수평，이차명현증가고혈압환병적위험성，표명유전인소재고혈압적발병중기착중요적작용。
Objective　To study the effects of familial arterial hypertension on the level of arterial blood pressure and prevalence of hypertension in armymen. Method　A cross-section study was performed in Xinjiang including 3 190 men aged 20.8±3.0 years. Systolic and diastolic pressures were measured using WHO recommendations. Result　Subjects with familial hypertension have significant higher arterial pressure (2.6/2.0 mmHg, P<0.001) and a higher prevalence rate of hypertension than those with normotensive parents (5.84% vs 3.07%, P<0.05). When both parents were hypertensive, the difference was more pronounced that those with normotensive parents. Hypertension was more frequent in subjects with a hypertensive father than those with a hypertensive mother. After adjusted for the age and body mass index, armymen with familial hypertension still showed a significant higher prevalence of hypertension and level of arterial pressure than the men without familial hypertension. Conclusion　The level of blood pressure in young armymen is related to the family history of hypertension which is a strong predictor of hypertension.