CAJ | 학술논문

目的：探讨青年大学生高血压患者中心动脉收缩压（CSBP）水平及其影响因素。方法分别测量青年大学生高血压患者（148例）及正常对照者（152例）CSBP、外周血压（收缩压、舒张压、平均动脉压），进行一般情况及心理因素等问卷调查，并测定三酰甘油、胆固醇水平等各项指标。结果①青年大学生高血压组及对照组 CSBP 均大于外周收缩压（P ＜0．05），高血压组 CSBP 水平（16．5±0．98）kPa 显著高于对照组（13．9±1．17）kPa（P ＜0．05）。②高血压组和对照组心率、臂围、体重指数（BMI）、运动习惯、高血压家族史、高脂血症家族史、血红细胞、血红蛋白、血糖、三酰甘油差异有统计学意义（P ＜0．05），两组抑郁、焦虑和自尊评分差异无统计学意义。③多因素二分类 Logistic 逐步向前回归分析表明运动、高血压家族史、三酰甘油、血糖和 BMI 与青年大学生外周血压升高密切相关；三酰甘油、血糖、BMI 和高血压家族史与青年大学生 CSBP 升高相关。结论 CSBP水平的升高提示青年高血压患者动脉弹性功能下降。青年大学生高血压主要危险因素是高血压家族史、三酰甘油增高、高血糖、BMI 增高和运动减少，应尽早针对相关危险因素采取预防措施。
목적：탐토청년대학생고혈압환자중심동맥수축압（CSBP）수평급기영향인소。방법분별측량청년대학생고혈압환자（148례）급정상대조자（152례）CSBP、외주혈압（수축압、서장압、평균동맥압），진행일반정황급심리인소등문권조사，병측정삼선감유、담고순수평등각항지표。결과①청년대학생고혈압조급대조조 CSBP 균대우외주수축압（P ＜0．05），고혈압조 CSBP 수평（16．5±0．98）kPa 현저고우대조조（13．9±1．17）kPa（P ＜0．05）。②고혈압조화대조조심솔、비위、체중지수（BMI）、운동습관、고혈압가족사、고지혈증가족사、혈홍세포、혈홍단백、혈당、삼선감유차이유통계학의의（P ＜0．05），량조억욱、초필화자존평분차이무통계학의의。③다인소이분류 Logistic 축보향전회귀분석표명운동、고혈압가족사、삼선감유、혈당화 BMI 여청년대학생외주혈압승고밀절상관；삼선감유、혈당、BMI 화고혈압가족사여청년대학생 CSBP 승고상관。결론 CSBP수평적승고제시청년고혈압환자동맥탄성공능하강。청년대학생고혈압주요위험인소시고혈압가족사、삼선감유증고、고혈당、BMI 증고화운동감소，응진조침대상관위험인소채취예방조시。
Objective To investigate the young college students central systolic blood pressure (CSBP)in hyper-tensive patients and its influencing factors.Methods Central systolic blood pressure and peripheral blood pressure were measured in 148 cases with hypertension and 152 cases with normal blood pressure.Conducted a question-naire of general situation and psychological factors and tested triglyceride,cholesterol and other indicators.Results① College students CSBP was higher than peripheral blood pressure whatever in hypertension group and in the normal group.CSBP in hypertension group was higher than that in the normal group.② The difference of heart rate,arm circumference,body mass index(BMI),exercise habits,family history of hypertension,family history of hyperlipidemia,red blood cells,hemoglobin,blood glucose,triglyceride in two groups was statistically significant (P <0.05),while there was no statistically significant difference in scores of psychological factors.③ The Logistic stepwise regression analysis showed that peripheral blood pressure was related with exercise habits,family history of hypertension,triglyceride,blood glucose and BMI.CSBP was related with family history of hypertension,triglycer-ide,blood glucose and BMI.Conclusion The rising of CSBP indicates that artery elastic function declines in col-lege students with hypertension.We should take measures to prevent the main risk factors such as family history of hypertension,triglyceride,and high blood glucose,increased BMI and decreased exercise in college students.