各型高血压与心脑血管疾病危险因素的关系探讨  

STUDY ON THREE TYPES OF HEPEPTENSION AND THEIR RELATION WITH RISK FACTORS OF CARDIO /CEREBROVASCULAR DISEASES

作　　者：程敏[1] 张倩[1] 彭凤群 

机构地区：[1]四川(西藏)华西普济医院,成都610041

出　　处：《现代预防医学》2007年第9期1621-1623,1626,共4页Modern Preventive Medicine

摘　　要：[目的]了解人群各型高血压的分布特征及其与心血管病危险因素的关系。[方法]对某医院2003～2004年体检者的血压、心率、血脂、血糖、血尿酸等资料进行描述,分析各型高血压与心血管疾病危险因素的关系。[结果]本组人群高血压总患病率为24.38%,3类高血压的标化患病率分别为5.24%(纯舒张期高血压,IDH),7.72%(纯收缩期高血压,ISH),11.42%(经典高血压,SDH)。IDH的检出率在40～50岁最高(9.16%),50岁之后发病率下降;SDH的检出率在60～70岁达峰值(23.76%),70岁之后下降;ISH的检出率在70岁以上达高峰(28.37%);3类高血压中,SDH、IDH男性较多,ISH女性更多;ISH伴有更高的糖代谢、脂代谢检出率,而高尿酸血症及超重则在SDH检出率最高,IDH伴发的代谢异常检出率最低(P﹤0.001)。[结论]纯收缩期高血压的患病率高于纯舒张期高血压,并伴有更高的糖、脂代谢异常发病率;收缩压升高是心脑血管病的重要危险因素,应予以高度重视。To study the distribution characteristics of three types of hypertension, and find out tire relation with risk factors of cardio/cerebrovascular disease. [Methodsl The data about blood pressure, heart rate, blood lipids, blood glucose, uric acid of individuals who had physicl check up in a hospital from 2003 to 2004 were described, and the relation among pulse pressure, types of hypertension and risk factors of cardio/eerebrovaseular diseases was analysed. [ Results] The prevalence rate of hypertension was 24.38%, and there were 5.24% of patients in IDH, 7.72% in ISH, and 11.42% in SDH respectively. The detection rate of IDH was the highest from the age of 40 to 50, which accouted for abont 9,16%, and the incidence rate became to decrease after 50.The detection rate of SDH reached its peak after 60 to 70, which aceouted for about 23.76%, and the incidence rate became to decrease after 70. The detection rate of ISH reached its peak above the age of 70, which accouted for about 28.37%. Among these three types of hypertension, SDH and IDH were common in male, while ISH was usually detected in ferule. ISH was detected with higher metaabolism rate of glucose and lipids, however, individuals with SDH were easily detected to suffer from hyperurieemia and overweight. The detection rate of abnormal metabolism was the lowest among the individuals with IDH （P 〈 0.001） . [Conclusion] The prevalence rate of ISH is higher than that of IDH, and individuals with ISH are usually with high incidence rate of abnormal glucose and lipids metabolism. The increase of systalic prossure is one of the key risk factors of eardio/cerebrovaseular diseases, so we should pay more attention to it.

关 键 词：收缩压 高血压 心血管疾病 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]