广西黑衣壮族中老年人群的血压水平及其影响因素  

Blood pressure level and its risk factors for middle-aged and elderly people in Guangxi Hei Yi Zhuang population

作　　者：尹瑞兴 邓家强 黎荣山 姚丽梅 杨德寨 林伟雄 黄建东 叶光青 隆秀艳 农振表 

机构地区：[1]广西壮族自治区医科大学第一附属医院心血管病研究所,南宁市530021 [2]广西壮族自治区医学科学实验中心 [3]广西壮族自治区那坡县卫生局

出　　处：《中华老年医学杂志》2006年第9期701-704,共4页Chinese Journal of Geriatrics

基　　金：国家自然科学基金资助项目(30360038)

摘　　要：目的了解广西黑衣壮族中老年人群的血压水平及其影响因素。方法采用整群抽样的方法对657例黑衣壮族中老年人进行血压、身高、体重、体质指数、血脂及载脂蛋白的测定,并将其结果与520例当地的汉族人比较。结果黑衣壮族中,老年人的收缩压和脉压水平显著高于汉族人群,收缩压分别为(129．0±20．1)mm Hg和(125．8±17．4)mm Hg,(P<0．01);脉区分别为(51．5±16．1)mm Hg和(47．1±12．0)mm Hg(P<0．01)。黑衣壮族人群高血压患病率高于汉族人群(32．9％和24．6％,P<0．01),单纯收缩期高血压的患病率也明显高于汉族人群(16．7％对5．2％, P<0．01)。黑衣壮族人群高血压患病率与甘油三酯、男性、年龄和饮酒量呈显著正相关,而汉族人群高血压患病率与总胆固醇、男性、年龄、饮酒量和体质指数呈显著正相关。黑衣壮族和汉族人群高血压的知晓率分别为7．9％和19．5％(P<0．01),治疗率为4．2％和13．3％(P<0．01),控制率为1．4％和9．4％(P<0．01)。结论黑衣壮族和汉族人群的血压水平和高血压患病率存在差异,可能与他们生活的地理环境、生活方式、钠盐摄入过多、文化程度低及遗传背景等不同有关。Objective To observe the level of blood pressure and its risk factors for the middleaged and elderly people in Guangxi Hei Yi Zhuang population. Methods A total of 657 people aged 40 years and over of Hei Yi Zhuang population were surveyed by cluster sampling. Blood pressure, height, weight, serum lipid and apolipoprotein levels were measured, and body mass index （BMI） were calculated. The results were compared with those of 520 Han population who also live in that district. Results The levels of systolic pressure and pulse pressure in Hei Yi Zhuang population were significantly higher than in Han population[（129.0±20. 1 ）vs （125.8±17.4）mm Hg, P〈0.01 and （51.5±16.1） vs （47. 1 ±12.0） mm Hg, P〈0. 01, respectively]. The prevalence of hypertension in Hei Yi Zhuang population was significantly higher than in Han population （32.9 % vs 24.6 %, P〈 0. 01）, and the prevalence of isolated systolic hypertension was also significant higher than in Han population （16.7% vs 5.2%, P〈0. 01）. The prevalence of hypertension was positively correlated with triglyceride, male, age, and alcohol consumption in Hei Yi Zhuang population, and positively correlated with total cholesterol, male, age, alcohol consumption and BMI in Han population. Aware rate of existed hypertension was 7.9% vs 19.5%（P〈0.01）, treatment rate of hypertension was 4.2% vs 13. 3%（P〈0.01）and control rate was 1.4% vs 9.4 %（P〈0.01）in Hei Yi Zhuang and Han population, respectively. Conclusions There are significant differences in the blood pressure levels and prevalence of hypertension between Hei Yi Zhuang and Han ethnic group, which might result from different geography surroundings, life style, more sodium intake, low education, and even genetic background, etc.

关 键 词：高血压 壮族 流行病学研究 

分 类 号：R544.1[医药卫生—心血管疾病]