芦山地震震后高血压发生的特点和规律分析  

The Study on Characteristics of Hypertension after Lushan Earthquake

作　　者：於四军[1] 王藩[2] 任伟[2] 李占军[3] 田二云[4] 胡利斌[2] 刘玲[5] 张聪[2] 

机构地区：[1]武警总医院心内科,北京100039 [2]武警总医院医务部,北京100039 [3]武警总医院麻醉手术科,北京100039 [4]武警总医院重症医学科,北京100039 [5]武警总医院妇产科,北京100039

出　　处：《中华灾害救援医学》2013年第1期32-34,37,共4页Chinese Journal of Disaster Medicine

摘　　要：目的 探讨芦山地震后高血压发生的特点和规律.方法 对宝兴县灾民安置点的居民进行高血压的流行病学调查,结合第六次人口普查及2002年中国居民营养与调查报告数据,比较震前、震后高血压发病的特点和规律.并对明确诊断为震后高血压的灾民进行血压干预.结果 对灾民安置点1 829名成人进行了高血压流行病学调查,共筛查出高血压患者422人(23.1％),震后高血压发病率明显升高(23.1％vs18.8％,u=4.60＞ 1.96,95％置信区问);在65岁以上年龄组,男女患病率有明显差异,女性患病率高于男性,P值＜0.05;在45 ～ 64岁组、65岁以上年龄组及整体安置点灾民,女性校正震后新发高血压比率均显著高于男性,P值均＜0.001;在45～ 64岁年龄组及整体安置点灾民,女性患病率与男性患病率虽无显著差异,但有高于男性的趋势,P值分别为0.141及0.190.截至2013年4月27日8时武警总医院医疗队撤离灾民安置点时,未有心脑血管病事件发作病例.结论 地震灾害后灾区居民高血压发病有性别、年龄、时间及空间特点,参与地震灾害救援的医务人员要从疾病发生发展特点出发,制订科学的防治计划,减少人民群众生命财产的损失.Objective To investigate the characteristics of hypertension after Lushan earthquake. Methods We carried out epidemiological surveys of hypertension in Baoxing lighting stadium refugees' settlements. After the surveys,we studied the characteristics of hypertension before and after the earthquake by referencing the sixth census and Chinese Nutrition and Survey Data in 2002 as parameters. Meanwhile,blood pressure interventions were carried out for the diagnosed hypertensive refugees. Results 1 829 adults( 905 male,924 female) were enrolled in this epidemiological survey,422( 23. 1%) were diagnosed as hypertension. The prevalence of hypertension after earthquake was significantly higher( 23. 1% vs 18. 8%,u = 4. 60 > 1. 96,95% CI); in the > 65 year aged group,there are significant differences in prevalence between men and women( P < 0. 05); in the 45-64 year aged group, > 65 year aged group and total refugees,the new-onset ratio was significantly higher in women than men( P < 0. 001); the prevalence of hypertension in 45-64 year aged group and the overall refugees showed no significant differences between the two genders,but there are higher prevalence trend in women,P = 0. 141 and 0. 190 respectively. Till 8: 00 am on April 27,2013,there is no cardiovascular event attacked in our refugee settlements. Conclusions The onset of hypertension after disasters such earthquake have its own sex,age,time and space characteristics,medical personnel participating in the disaster rescue works should make scientific prevention programs from the above characteristics in order to reduce the loss of life and property.

关 键 词：地震 高血压 心血管疾病 灾害医学 应激脆性 

分 类 号：R544.1[医药卫生—心血管疾病] R129[医药卫生—内科学]