新疆库尔勒市农村维吾尔族残障人员血压、心率和代谢指标的初步调查  

Blood pressure,heart rate and blood lipid in Uigur disabled subjects in rural district of Kuerle of Xinjiang:a comparative analysis

作　　者：韩国华[1] 王道英[1] 马兴杰[1] 朱焕明[1] 阎合理 方芳[1] 章建梁[2] 

机构地区：[1]解放军273医院内一科,库尔勒841000 [2]第二军医大学长海医院心内科,上海200433

出　　处：《第二军医大学学报》2007年第11期1232-1234,共3页Academic Journal of Second Military Medical University

摘　　要：目的:调查新疆库尔勒市农村维吾尔族残障人血压、心率和代谢状况,分析其影响因素,为残障人员的健康保障奠定基础。方法:测定新疆库尔勒市农村维吾尔族120例残障人(男64例,女56例)和126例正常人(男60例,女66例)的收缩压、舒张压、心率、体质量指数、腰围、血总胆固醇、三酰甘油和血糖等指标,对比分析同性别残障人与正常人的各项指标。结果:血压:残障人显著低于同性别正常人(P<0.05);心率(次/min):男性残障人显著高于正常人(P<0.05),女性残障人稍高于正常人,但无显著差异;血总胆固醇和三酰甘油(mmol/L):男性残障人和正常人无显著差异,女性残障人显著低于正常人(P<0.05);血糖(mmol/L):男女残障人和正常人均无显著差异。逐步回归分析显示:年龄与腰围为血压的独立预测因素;残障与腰围为男性心率的独立预测因素。结论:新疆库尔勒市农村维吾尔族残障人有较低的血压,男性残障人有较快的心率,女性残障人血脂水平低于正常人,这些差别的原因有待进一步研究。Objective：To investigate the blood pressure, heart rate and metabolism status in disabled Uigur subjects in rural district of Kuerle, Xinjiang Autonomous Region, so as to provide a basis for health care of the disabled. Methods： The systolic pressure （SBP）, diastolic pressure （DBP）, heart rate （HR）, body mass index, waist circumference, fasting plasma glucose, total cholesterol （TC）, and triglycerides （TG） were determined in 120 disabled subjects （64 males, 56 females） and 126 normal individuals （60 males, 66 females）. The results were compared between the disabled and the normal subjects. Results： Blood pressure was significantly lower in the disabled than in normal individuals （male SPB： [117±19] mmHg vs [125±23] mmHg （1 mmHg：0. 133 kPa）, P〈0.05, DBP： [74±13] mmHg vs [79±12] mmHg, P〈0.05; female SPB： [117±21] mmHg vs [126±22] mmHg, P〈0. 05, DBP： [74±11] mmHg vs [80±13] mmHg, P〈0.05）. HR was significantly higher in the male disabled than in male normal individuals （[86±13] beat/min vs [79±11] beat/min, P〈0.05）. TC and TG were lower in the female disabled than in the female normal individuals （TC： [4. 0±0. 6] mmol/L vs [4. 4±0. 6] mmol/L, P〈0. 05; TG： [1. 1±0.4] mmol/L vs [1.5±0.5] mmol/L, P〈0.05] ; there were no significant difference in the males （P〉0.05）. Fasting plasma glucose was not significantly different between the disabled and the normal individuals （P〉0.05）. A stepwise multiple linear regression analysis showed that age and waist circumference were independent predictors of blood pressure; disability and waist circumference were significant independent predictors of HR, Conclusion： Blood pressure is lower in the disabled Uigurs of both sexes; HR is higher in the disabled male and blood lipid is lower in the disabled female in rural district of Kuerle of Xinjiang Autonomous Region.

关 键 词：残疾人 血压 心率 脂类 代谢 

分 类 号：R181.37[医药卫生—流行病学]