蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
6期
777-780
,共4页
高血压%体质量指数%腰围%老年医学
高血壓%體質量指數%腰圍%老年醫學
고혈압%체질량지수%요위%노년의학
hypertension%body mass index%waist circumference%geriatrics
目的：：探讨老年高血压患者体质量指数(BMI)和腰围(WC)1年随访动态改变对血压的影响。方法：选取220例年龄60~75岁的高血压患者,采用问卷调查和人体测量方法收集数据,1年后再次进行相同数据的收集。比较2次的血压测量结果,按血压升降情况将患者分为血压升高组和血压降低组,比较2组BMI和WC的变化情况。结果：男性血压升高组的吸烟率和饮酒率明显高于血压降低组(P<0.01),锻炼情况显著少于血压降低组(P<0.01)；女性患者中,2组吸烟率和饮酒率差异均无统计学意义(P>0.05),但血压升高组的锻炼情况明显较血压降低组少(P<0.01)；血压升高组中,男性与女性BMI和WC第2次测量均较第1次测量明显升高(P<0.01)。在血压降低组中,第2次测量男性和女性BMI和WC均较第1次明显降低(P<0.01)。取2次测量的收缩压、舒张压,BMI和WC之间的差值,分别比较收缩压和舒张压与BMI及WC之间的关系,结果均显示正相关关系(P<0.01)。结论：在社区老年高血压患者中,血压升高和吸烟、饮酒及锻炼等情况有关,且BMI和WC的变化与血压的变化均呈正相关关系。
目的：：探討老年高血壓患者體質量指數(BMI)和腰圍(WC)1年隨訪動態改變對血壓的影響。方法：選取220例年齡60~75歲的高血壓患者,採用問捲調查和人體測量方法收集數據,1年後再次進行相同數據的收集。比較2次的血壓測量結果,按血壓升降情況將患者分為血壓升高組和血壓降低組,比較2組BMI和WC的變化情況。結果：男性血壓升高組的吸煙率和飲酒率明顯高于血壓降低組(P<0.01),鍛煉情況顯著少于血壓降低組(P<0.01)；女性患者中,2組吸煙率和飲酒率差異均無統計學意義(P>0.05),但血壓升高組的鍛煉情況明顯較血壓降低組少(P<0.01)；血壓升高組中,男性與女性BMI和WC第2次測量均較第1次測量明顯升高(P<0.01)。在血壓降低組中,第2次測量男性和女性BMI和WC均較第1次明顯降低(P<0.01)。取2次測量的收縮壓、舒張壓,BMI和WC之間的差值,分彆比較收縮壓和舒張壓與BMI及WC之間的關繫,結果均顯示正相關關繫(P<0.01)。結論：在社區老年高血壓患者中,血壓升高和吸煙、飲酒及鍛煉等情況有關,且BMI和WC的變化與血壓的變化均呈正相關關繫。
목적：：탐토노년고혈압환자체질량지수(BMI)화요위(WC)1년수방동태개변대혈압적영향。방법：선취220례년령60~75세적고혈압환자,채용문권조사화인체측량방법수집수거,1년후재차진행상동수거적수집。비교2차적혈압측량결과,안혈압승강정황장환자분위혈압승고조화혈압강저조,비교2조BMI화WC적변화정황。결과：남성혈압승고조적흡연솔화음주솔명현고우혈압강저조(P<0.01),단련정황현저소우혈압강저조(P<0.01)；녀성환자중,2조흡연솔화음주솔차이균무통계학의의(P>0.05),단혈압승고조적단련정황명현교혈압강저조소(P<0.01)；혈압승고조중,남성여녀성BMI화WC제2차측량균교제1차측량명현승고(P<0.01)。재혈압강저조중,제2차측량남성화녀성BMI화WC균교제1차명현강저(P<0.01)。취2차측량적수축압、서장압,BMI화WC지간적차치,분별비교수축압화서장압여BMI급WC지간적관계,결과균현시정상관관계(P<0.01)。결론：재사구노년고혈압환자중,혈압승고화흡연、음주급단련등정황유관,차BMI화WC적변화여혈압적변화균정정상관관계。
Objective:To explore the effects of the dynamic change of body mass index( BMI) and waist circumference( WC) during 1-year follow-up on the blood pressure of elder hypertensive patients. Methods:The data of 60 to 75 years old 220 patients with hypertension was collected using questionnaire and body measurement,the same data were collect after 1 year again. The two times of blood pressure value were compared. The patients were divided into the blood pressure increasing group and blood pressure decreasing group according to the blood pressure level. The BMI and WC between two groups were compared. Results:Among the male patients,the rates of smoking and drinking in blood pressure increasing group were significantly higher than those in blood pressure decreasing group (P<0. 01),but the exercise in blood pressure increasing group was less(P<0. 01). Among the female patients,the differences of the rates of smoking and drinking between two groups were not statistically significant(P >0. 05),but the exercise in blood pressure increasing group was less than that in blood pressure increasing group(P<0. 01). Compared with the first value of BMI and WC in the blood pressure increasing group,the second value increased significantly(P<0. 01). Compared with the first value of BMI and WC in the blood pressure decreasing group,the second value decreased significantly(P<0. 01). The differences of systolic and diastolic blood pressure,BMI and WC between times measurement were positive correlation,respectively(P<0. 01). Conclusions:The blood pressure increasing in elder hypertensive patients is related to the smoking,drinking and less exercise. The dynamic changes of MBI and WC are postively associated with hypertension.
