中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
11期
1612-1615
,共4页
潘存义%许红峰%陈冉%姚剑婷
潘存義%許紅峰%陳冉%姚劍婷
반존의%허홍봉%진염%요검정
健康调查%血压%体质量指数%脂类代谢%血糖
健康調查%血壓%體質量指數%脂類代謝%血糖
건강조사%혈압%체질량지수%지류대사%혈당
Health Surveys%Blood Pressure%Body Mass Index%Lipid Metabolism%Blood Glucose
目的：探讨新疆部分地区维、哈、汉三民族血压正常高值人群的体质量指数（BMI）、腰围、脂代谢、血糖状况。方法以2012年8月至2014年8月挑选新疆有代表性区域（阿勒泰福海县、伊犁新源县、库尔勒焉耆、乌鲁木齐南山牧区），各区随机抽取2个调查点，每个调查点预计调查400～450人进行现场调查，对符合诊断标准的维、哈、汉不同民族血压正常高值人群共1046例[其中哈萨克族206例（男91例、女115例），汉族518例（男241例、女277例），维吾尔族322例（男148例、女174例）]研究对象进行 BMI、腰围、脂代谢、空腹血糖的状况分析。结果（1）BMI 由大到小为：哈族＞维吾尔族＞汉族，组间比较差异有统计学意义[（26.07±3．23）kg／m2、（25．85±4．09）kg／m2、（24．63±3．00）kg／m2，F ＝19．829，P ＜0．05]，亚组分析：男性 BMI 由大到小为：哈萨克族＞维吾尔族＞汉族，组间差异有统计学意义（F ＝6．752，P ＜0．05）；女性组间差异有统计学意义（F ＝2．248，P ＜0．05）。腰围从大到小依次为：维吾尔族＞哈萨克族＞汉族，组间差异无统计学意义[（86．32±8．63）cm、（85．50±10．11）cm、（84．06±7．57）cm，F ＝1．675，P ＞0.05]，分性别比较发现同样的特点。（2）不同民族间血脂比较：血清 TG 依次为：哈萨克族＞汉族＞维吾尔族，组间差异有统计学意义（F ＝5．829，P ＜0．05）；血清 TC 比较发现：汉族＞维吾尔族＞哈萨克族，组间差异有统计学意义（F ＝5.298，P ＜0．05）；不同民族间血清 HDL-C、LDL-C 差异无统计学意义（F ＝1．026、0．744，均 P ＞0．05；空腹血糖由高到低依次为：汉族＞维吾尔族＞哈萨克族，组间差异有统计学意义（F ＝8．989，P ＜0．05）。结论维、哈、汉三民族血压正常高值人群出现糖脂代谢紊乱、BMI、腰围增加（超重肥胖），结合不同民族地域生活特点，加强对血压正常高值人群的管理与干预，早期对于超重、肥胖、糖脂代谢异常进行治疗，提前做好高血压病一级预防，对有效预防和延缓高血压的发生有非常重要的意义。
目的：探討新疆部分地區維、哈、漢三民族血壓正常高值人群的體質量指數（BMI）、腰圍、脂代謝、血糖狀況。方法以2012年8月至2014年8月挑選新疆有代錶性區域（阿勒泰福海縣、伊犛新源縣、庫爾勒焉耆、烏魯木齊南山牧區），各區隨機抽取2箇調查點，每箇調查點預計調查400～450人進行現場調查，對符閤診斷標準的維、哈、漢不同民族血壓正常高值人群共1046例[其中哈薩剋族206例（男91例、女115例），漢族518例（男241例、女277例），維吾爾族322例（男148例、女174例）]研究對象進行 BMI、腰圍、脂代謝、空腹血糖的狀況分析。結果（1）BMI 由大到小為：哈族＞維吾爾族＞漢族，組間比較差異有統計學意義[（26.07±3．23）kg／m2、（25．85±4．09）kg／m2、（24．63±3．00）kg／m2，F ＝19．829，P ＜0．05]，亞組分析：男性 BMI 由大到小為：哈薩剋族＞維吾爾族＞漢族，組間差異有統計學意義（F ＝6．752，P ＜0．05）；女性組間差異有統計學意義（F ＝2．248，P ＜0．05）。腰圍從大到小依次為：維吾爾族＞哈薩剋族＞漢族，組間差異無統計學意義[（86．32±8．63）cm、（85．50±10．11）cm、（84．06±7．57）cm，F ＝1．675，P ＞0.05]，分性彆比較髮現同樣的特點。（2）不同民族間血脂比較：血清 TG 依次為：哈薩剋族＞漢族＞維吾爾族，組間差異有統計學意義（F ＝5．829，P ＜0．05）；血清 TC 比較髮現：漢族＞維吾爾族＞哈薩剋族，組間差異有統計學意義（F ＝5.298，P ＜0．05）；不同民族間血清 HDL-C、LDL-C 差異無統計學意義（F ＝1．026、0．744，均 P ＞0．05；空腹血糖由高到低依次為：漢族＞維吾爾族＞哈薩剋族，組間差異有統計學意義（F ＝8．989，P ＜0．05）。結論維、哈、漢三民族血壓正常高值人群齣現糖脂代謝紊亂、BMI、腰圍增加（超重肥胖），結閤不同民族地域生活特點，加彊對血壓正常高值人群的管理與榦預，早期對于超重、肥胖、糖脂代謝異常進行治療，提前做好高血壓病一級預防，對有效預防和延緩高血壓的髮生有非常重要的意義。
목적：탐토신강부분지구유、합、한삼민족혈압정상고치인군적체질량지수（BMI）、요위、지대사、혈당상황。방법이2012년8월지2014년8월도선신강유대표성구역（아륵태복해현、이리신원현、고이륵언기、오로목제남산목구），각구수궤추취2개조사점，매개조사점예계조사400～450인진행현장조사，대부합진단표준적유、합、한불동민족혈압정상고치인군공1046례[기중합살극족206례（남91례、녀115례），한족518례（남241례、녀277례），유오이족322례（남148례、녀174례）]연구대상진행 BMI、요위、지대사、공복혈당적상황분석。결과（1）BMI 유대도소위：합족＞유오이족＞한족，조간비교차이유통계학의의[（26.07±3．23）kg／m2、（25．85±4．09）kg／m2、（24．63±3．00）kg／m2，F ＝19．829，P ＜0．05]，아조분석：남성 BMI 유대도소위：합살극족＞유오이족＞한족，조간차이유통계학의의（F ＝6．752，P ＜0．05）；녀성조간차이유통계학의의（F ＝2．248，P ＜0．05）。요위종대도소의차위：유오이족＞합살극족＞한족，조간차이무통계학의의[（86．32±8．63）cm、（85．50±10．11）cm、（84．06±7．57）cm，F ＝1．675，P ＞0.05]，분성별비교발현동양적특점。（2）불동민족간혈지비교：혈청 TG 의차위：합살극족＞한족＞유오이족，조간차이유통계학의의（F ＝5．829，P ＜0．05）；혈청 TC 비교발현：한족＞유오이족＞합살극족，조간차이유통계학의의（F ＝5.298，P ＜0．05）；불동민족간혈청 HDL-C、LDL-C 차이무통계학의의（F ＝1．026、0．744，균 P ＞0．05；공복혈당유고도저의차위：한족＞유오이족＞합살극족，조간차이유통계학의의（F ＝8．989，P ＜0．05）。결론유、합、한삼민족혈압정상고치인군출현당지대사문란、BMI、요위증가（초중비반），결합불동민족지역생활특점，가강대혈압정상고치인군적관리여간예，조기대우초중、비반、당지대사이상진행치료，제전주호고혈압병일급예방，대유효예방화연완고혈압적발생유비상중요적의의。
Objective To explore body mass index(BMI),glucose and lipid metabolism status of high -nor-mal blood pressure that selected Uygur,Kazak and Han nationalities in parts of Xinjiang.Methods Some representa-tive regions were selected,including Fuhai County of Altay,Xinyuan County of Yili,Yanqi County of Korla and Pasto-ral of Urumqi South Mountain in August 2012 -2014 August,each region was randomly selected two survey points respectively,400 -450 people were expected to conduct on -site investigations in every survey point,and 1 046 cases were collected containing Uygur,Kazak and Han nationalities who were conformed to diagnostic standard,206 cases in which the Kazak (115 men and 91 women),Han 518 cases (277 men and 241 women),322 cases of Uygur (174 men and 148 women).in order to realize the BMI,waistline,lipid metabolism and fasting glucose status.Results (1)BMI was descending:Kazak >Uygur >Han,between the three groups respectively were statistically significant differences[(26.07 ±3.23)kg/m2 ,(25.85 ±4.09)kg/m2 ,(24.63 ±3.00)kg/m2 ,F =19.829,P <0.05],sub-group analyzes:BMI for men descending:Kazak >Uygur >Han,comparison between groups of Han,Uygur and Kazak provided results which were statistically significant(F =6.752,P <0.05);but statistical significance merely existed in Han and Kazak female comparison(F =2.248,P <0.05).Waist comparison showed a decreasing sequence:Uygur>Kazak >Han,there were no statistically significant difference between every three groups[(86.32 ±8.63)cm, (85.50 ±10.11)cm,(84.06 ±7.57)cm,F =1.675,P >0.05],gender comparison was found the same characteristics. (2)Blood fat comparison between different ethnic:Descending order of serum TG:Kazak >Han >Uygur,comparison among groups of Han,Uygur and Kazak differences were statistically significant(F =5.829,P <0.05),comparison among groups of Han,Uygur and Kazak differences were statistically significant(F =5.829,P <0.05).Comparison of Serum TC:Han >Uygur >Kazak.Statistical significance indwelled in Han,Uygur and Kazak comparison (F =5.298, P <0.05);The result of comparing serum HDL -C,LDL -C in different ethnic groups:there was no statistically significant difference between different group (F =1.026,0.744,all P >0.05).Descending order was presenting in fasting glucose:Han >Uygur >Kazak.Statistical significance appears in Han,Uygur and Kazak comparison (F =8.989,P <0.05).Conclusion High -normal blood pressure of Uygur,Kazak and Han nationalities who appeared glucose metabolic disorders,BMI and waistline increase(overweight and obesity),combined with the characteristics of different national regional life,it is of great significance to prevent and delay the occurrence of hypertension through strengthening the management and intervention of high -normal blood pressure crowd,giving medical care to the people suffering from overweight,obesity,and glucose metabolic disorders,and making full preparation for the primary of hypertension.
