CAJ | 학술논문

目的：探讨多民族高学历高校社区高血压视网膜病变（ hypertension retinopathy ， HRP）的相关影响因素。方法对社区内管理的381例原发性高血压患者（ essential hypertension ， EH）进行眼底照相，结合患者的病程、血压、血糖、糖化血红蛋白、血脂等指标进行分析。结果在381例原发性高血压患者中，大学本科及以上学历297例（78％），少数民族259例（68％），汉族122例（33％），发生高血压眼底病变205例（53.81％）。发生高血压眼底病变患者与未出现高血压眼底病变患者比较在病程、收缩压、舒张压、是否伴发空腹血糖升高、低密度脂蛋白等方面有显著性差异（P＜0.05），而在性别、脉压差、餐后2 h血糖、糖化血红蛋白、甘油三酯、胆固醇、高密度脂蛋白等方面无显著性差异（P＞0.05）。结论高血压眼底病变的发生与高血压患者的病程长、血压控制不良、伴随血糖升高、血脂等指标控制不良相关，是今后社区工作防治的重点。
목적：탐토다민족고학력고교사구고혈압시망막병변（ hypertension retinopathy ， HRP）적상관영향인소。방법대사구내관리적381례원발성고혈압환자（ essential hypertension ， EH）진행안저조상，결합환자적병정、혈압、혈당、당화혈홍단백、혈지등지표진행분석。결과재381례원발성고혈압환자중，대학본과급이상학력297례（78％），소수민족259례（68％），한족122례（33％），발생고혈압안저병변205례（53.81％）。발생고혈압안저병변환자여미출현고혈압안저병변환자비교재병정、수축압、서장압、시부반발공복혈당승고、저밀도지단백등방면유현저성차이（P＜0.05），이재성별、맥압차、찬후2 h혈당、당화혈홍단백、감유삼지、담고순、고밀도지단백등방면무현저성차이（P＞0.05）。결론고혈압안저병변적발생여고혈압환자적병정장、혈압공제불량、반수혈당승고、혈지등지표공제불량상관，시금후사구공작방치적중점。
Objective To analyses the related factors of the development of hypertension reti-nopathy ( HRP) in essential hypertension .Methods All 381 patients with essential hyperten-sion in our community were evaluated with the method of the fundus photography and analysed retrospectively with the course of disease , blood pressure , level of glycosylated haemoglobin (HbA1c), fasting and postprandial blood sugar , blood lipid, and so on.Results Among the 381 cases of essential hypertension , HRP were found in 205 cases(53.81%).Compared with the NHRP patients , the course of disease , the levels of blood pressure , fasting blood glucose and low density lipoprotein-cholesterol ( LDL-C) of the HRP patients were significantly differ-ent(P<0.05).But there was no difference in the pulse pressure difference , the levels of gly-cosylated haemoglobin ( HbA1c), postprandial blood sugar , Triglyceride ( TG), cholesterol (TC) and high density lipoprotein-cholesterol(HDL-C) (P>0.05).Conclusion HRP mor-bidity is related to the long course of essential hypertension , abnormality levels of blood pres-sure, fasting blood glucose and LDL-C.So prophylactico-therapeutic measures of essential hy-pertension in community should be pay more attention .