中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2013年
2期
95-98
,共4页
郑延松%王凡%陈志来%王丽凤
鄭延鬆%王凡%陳誌來%王麗鳳
정연송%왕범%진지래%왕려봉
高血压%体格检查%同型半胱氨酸
高血壓%體格檢查%同型半胱氨痠
고혈압%체격검사%동형반광안산
Hypertension%Physical examination%Homocysteine
目的 分析体检人群中H型高血压的分布特点,为健康管理干预提供依据,从而预防脑卒中的发生.方法 按照排除纳入标准选取2009年5月至2012年2月在解放军总医院健康医学中心接受健康检查的42 251名,平均(46.1 ±8.79)岁,其中男性27 746名(65.67％),女性14 505名(34.33％).以面询的方法记录受试者的年龄、性别、吸烟嗜好、饮酒嗜好,测量身高、体重,计算体质指数,所有受试者检测血脂、血糖、尿酸、肌酐、同型半胱氨酸及尿微量白蛋白和尿肌酐等生化指标.人群分为4组:H型高血压组,单纯高血压组,单纯高Hcy组及对照组.组间比较采用方差分析.结果 42 251例研究对象中,H型高血压患者7748例,占全部体检人群的18.34％,占高血压患者的63.95％；高Hcy组,单纯高血压组和H型高血压组中男性比例均高于女性,四组之间差异有统计学意义(P＜0.05).H型高血压组的年龄、BMI显著高于对照组、单纯高Hcy组及单纯高血压组(P＜0.05),单纯高Hcy组的吸烟、经常饮酒均高于其他各组(P＜0.05).Hb、UA、hs-CRP、Cr水平在H型高血压组中最高,HDL-C水平在H型高血压组中最低.TC、TG、LDL-C和UmAlb/C在单纯高血压和H型高血压组之间差异无统计学意义(P＞0.05),而这些指标在对照组和H型高血压组之间差异有统计学意义(P＜0.05).结论 与营养代谢有关的指标越高,H型高血压的比例也就越高；对H型高血压患者加强健康教育是非常重要的.
目的 分析體檢人群中H型高血壓的分佈特點,為健康管理榦預提供依據,從而預防腦卒中的髮生.方法 按照排除納入標準選取2009年5月至2012年2月在解放軍總醫院健康醫學中心接受健康檢查的42 251名,平均(46.1 ±8.79)歲,其中男性27 746名(65.67％),女性14 505名(34.33％).以麵詢的方法記錄受試者的年齡、性彆、吸煙嗜好、飲酒嗜好,測量身高、體重,計算體質指數,所有受試者檢測血脂、血糖、尿痠、肌酐、同型半胱氨痠及尿微量白蛋白和尿肌酐等生化指標.人群分為4組:H型高血壓組,單純高血壓組,單純高Hcy組及對照組.組間比較採用方差分析.結果 42 251例研究對象中,H型高血壓患者7748例,佔全部體檢人群的18.34％,佔高血壓患者的63.95％；高Hcy組,單純高血壓組和H型高血壓組中男性比例均高于女性,四組之間差異有統計學意義(P＜0.05).H型高血壓組的年齡、BMI顯著高于對照組、單純高Hcy組及單純高血壓組(P＜0.05),單純高Hcy組的吸煙、經常飲酒均高于其他各組(P＜0.05).Hb、UA、hs-CRP、Cr水平在H型高血壓組中最高,HDL-C水平在H型高血壓組中最低.TC、TG、LDL-C和UmAlb/C在單純高血壓和H型高血壓組之間差異無統計學意義(P＞0.05),而這些指標在對照組和H型高血壓組之間差異有統計學意義(P＜0.05).結論 與營養代謝有關的指標越高,H型高血壓的比例也就越高；對H型高血壓患者加彊健康教育是非常重要的.
목적 분석체검인군중H형고혈압적분포특점,위건강관리간예제공의거,종이예방뇌졸중적발생.방법 안조배제납입표준선취2009년5월지2012년2월재해방군총의원건강의학중심접수건강검사적42 251명,평균(46.1 ±8.79)세,기중남성27 746명(65.67％),녀성14 505명(34.33％).이면순적방법기록수시자적년령、성별、흡연기호、음주기호,측량신고、체중,계산체질지수,소유수시자검측혈지、혈당、뇨산、기항、동형반광안산급뇨미량백단백화뇨기항등생화지표.인군분위4조:H형고혈압조,단순고혈압조,단순고Hcy조급대조조.조간비교채용방차분석.결과 42 251례연구대상중,H형고혈압환자7748례,점전부체검인군적18.34％,점고혈압환자적63.95％；고Hcy조,단순고혈압조화H형고혈압조중남성비례균고우녀성,사조지간차이유통계학의의(P＜0.05).H형고혈압조적년령、BMI현저고우대조조、단순고Hcy조급단순고혈압조(P＜0.05),단순고Hcy조적흡연、경상음주균고우기타각조(P＜0.05).Hb、UA、hs-CRP、Cr수평재H형고혈압조중최고,HDL-C수평재H형고혈압조중최저.TC、TG、LDL-C화UmAlb/C재단순고혈압화H형고혈압조지간차이무통계학의의(P＞0.05),이저사지표재대조조화H형고혈압조지간차이유통계학의의(P＜0.05).결론 여영양대사유관적지표월고,H형고혈압적비례야취월고；대H형고혈압환자가강건강교육시비상중요적.
Objective To explore clinical characteristics of H-type hypertension in health check-up populations so as to provide evidence for stroke prevention.Methods A total of 42 251 health check-up individuals (male 27 746,female 14 505,average age (46 ± 9) years) who visited our center during May,2009 and February,2012 were enrolled and responded to the investigation.In face to face interview,their age,gender,cigarette smoking and alcohol consumption were recorded.Height,body weight and blood pressures were measured.Serum lipid profiles,blood glucose,uric acid (UA),creatinine (Cr),homocysteine and urine albumin creatinine ratio (ACR) were tested.The subjects were then assigned to the H-type hypertension group,common hypertension group,high homocysteine group and control group.Analysis of Variance was used for data analysis.Results Of 42 251 participants,7748 were found to have H-type hypertension (18.34％ in whole subjects and 63.95％ in hypertensive subjects).Serum level of homocysteine and prevalence of common hypertension and H-type hypertension were significantly higher in males (P ＜ 0.05).Age and body mass index of the H-type hypertension group were significantly increased (P ＜ 0.05).The highest incidence of cigarette smoking and alcohol drinking was found in the homocysteine group (P ＜ 0.05),while the highest serum levels of Hb,UA,high sensitivity-C reactive protein (hs-CRP),and Cr occurred in the H-type hypertension group.Moreover,total cholesterol,triglycide,low-density lipoprotein cholesterol,and microalbumin/creatinine were not significantly different between the common hypertension group and the H-type hypertension group (P ＞ 0.05),although were significantly different between the controls and the H-type hypertensive patients (P ＜ 0.05).Conclusion The prevalence of Htype hypertension may be increased with the increasing serum levels of biological markers for nutritional metabolism.Higher level of homocysteine dose not seem to aggregate lipid disorders and early renal damage.
