CAJ | 학술논문

　　目的探讨新会地区高考青少年高血压患病率状况及其相关因素。方法2012年4月对新会地区12所中学参加高考的6259名16～21岁青少年进行身高、体重、血压身体检查，了解高考青少年高血压患病率及其相关影响因素。结果本次共检出高血压558名，占8.9%；男、女体质指数（body mass index，BMI）分别与收缩压（systolic pressure，SP）及舒张压（diastolic pressure，DP）呈正相关（均 P＜0.01）；在超重和肥胖组，男性高血压分别为16.2%和21.0%，明显高于一般体重组的8.5%；女性高血压分别为11.6%和22.4%，明显高于一般体重组的7.1%（均 P＜0.01）；logistic 多因素回归分析显示，BMI、城镇生是高血压的危险因子。结论新会地区16～21岁参加高考青少年高血压患病率较高。高血压患病率与 BMI 呈正相关，超重和肥胖者患高血压危险性可能增加；城镇考生较农村考生更易患高血压。
　　목적탐토신회지구고고청소년고혈압환병솔상황급기상관인소。방법2012년4월대신회지구12소중학삼가고고적6259명16～21세청소년진행신고、체중、혈압신체검사，료해고고청소년고혈압환병솔급기상관영향인소。결과본차공검출고혈압558명，점8.9%；남、녀체질지수（body mass index，BMI）분별여수축압（systolic pressure，SP）급서장압（diastolic pressure，DP）정정상관（균 P＜0.01）；재초중화비반조，남성고혈압분별위16.2%화21.0%，명현고우일반체중조적8.5%；녀성고혈압분별위11.6%화22.4%，명현고우일반체중조적7.1%（균 P＜0.01）；logistic 다인소회귀분석현시，BMI、성진생시고혈압적위험인자。결론신회지구16～21세삼가고고청소년고혈압환병솔교고。고혈압환병솔여 BMI 정정상관，초중화비반자환고혈압위험성가능증가；성진고생교농촌고생경역환고혈압。
Objective To study the prevalence and related factors of hypertension in adolescents who take the higher entrance examination in Xinhui.Method 6259 middle school students aged 16-21 years to take the higher entrance examination participated in the physical examination on height,weight and blood pressure to study the prevalence and related factors of hypertension.Results There were 558 cases(8.9%)of hypertension.BMI had a significant correlation with systolic and diastolic blood pressure(P<0.01).Among those with overweight or obesity,the boys took up 16.5% and 21.6%,respectively,which was significantly higher than those with normal weight (8.5%)and the girls took up 11.6% and 22.4%,significantly higher than those with normal weight(7.1%)(P<0.001).Logistic multi-factor regression analysis showed BMI and being born in urban areas were the risk factors of hypertension.Conclusions There is a high prevalence of hypertension in adolescents aged16~21 years,who are to take the higher entrance exanimation in Xinhui.BMI has an independent positive correlation with hypertension,and overweight and obese adolescents are susceptible to hypertension.Urban students are more prone to hypertension than rural students.