辽宁省阜新农村地区非治疗高血压人群高血压类型与多代谢异常的关系  

The Relationship Between Type of Hypertension and Multiple Metabolic Disorders Among Rural Non-Treated Hypertensive Adult Groups in Fuxin of Liaoning Province

作　　者：张心刚[1] 孙兆青[1] 叶爱群[2] 郑黎强[3] 刘双双[1] 许长禄[1] 李佳进[1] 赵芬芬[1] 李觉[3] 胡大一[3] 孙英贤[1] 

机构地区：[1]中国医科大学附属第二医院心内科,辽宁省沈阳市110004 [2]辽宁省阜新矿业集团总医院,辽宁省阜新市123000 [3]同济大学心肺血管中心,上海市200092

出　　处：《中国动脉硬化杂志》2008年第1期61-64,共4页Chinese Journal of Arteriosclerosis

基　　金：辽宁省科技攻关重大项目(2003225003)

摘　　要：目的了解辽宁省阜新农村地区非治疗高血压人群高血压类型与多代谢异常的关系。方法采用分层整群抽样方法对阜新农村≥35岁非治疗高血压人群进行流行病学调查及实验室检查。将高血压患者按不同类型高血压分成3组即单纯收缩期高血压组、单纯舒张期高血压组、收缩压舒张压均高组,使用SPSS11.5进行统计分析高血压类型与多代谢异常的关系。结果共入选4273人,平均年龄56.5±11.4岁。单纯收缩期高血压组代谢异常患病率分别为,超重(肥胖)31.4%、糖代谢异常19.9%和血脂异常46.9%;单纯舒张期高血压组代谢异常患病率分别为,超重(肥胖)41.9%、糖代谢异常11.7%、血脂异常44.3%;收缩压舒张压均高组代谢异常患病率分别为,超重(肥胖)45.6%、糖代谢异常19.0%和血脂异常53.3%。超重(肥胖)患病率全年龄组3组间不同,而糖代谢异常和血脂异常仅在<60岁组3组间差异具有显著性。单纯收缩期高血压组,非老年人群较老年人群糖脂代谢异常患病率低,而超重(肥胖)患病率则在非老年人群中较高。多数代谢异常合并患病率在收缩压和舒张压均高组为最高。结论辽宁省阜新农村地区非治疗高血压人群中不同高血压类型间合并多代谢异常患病情况不同,应针对具体情况进行综合干预,预防心脑血管病的发生。Aim To study the relationship between type of hypertension and multiple metabolic disorder in rural nontreated hypertensive individuals in Fuxin of Liaoning Province. Methods Multistage sampling of a resident （ ≥ 5 years） group with non-treated hypertension over 35 year were clustered and divided into 3 groups by type of hypertension. The relationship between type of hypertension and multiple metabohc disorders was analyzed by SPSSll.5 statistical software. Results 4273 non-treated hypertensive individuals were contained in this study aged 56.5± 11.4. In the isolated systolic hypertension （ISH） group, the prevalence of overweight/obesity （OW/OB）, impaired glucose metabohsm disorder, and dyshpidemia was 31. 4%, 19.9%, and 46.9%, respectively. In the isolated diastolic hypertension （IDH） group, the prevalence of OW/OB, impaired glucose metaboLsm disorder, and dysLpidemia was 41.9%, 11.7%, and44.3%, respectively. In the systolediastole hypertension group, the prevalence of OW/OB, impaired glucose metaboLsm disorder, and dysLpidemia was 45.6%, 19.0%, and 53.3 %, respectively. The prevalence of overweight/obesity （OW/OB） in all age groups was different among 3 groups, but the prevalence of impaired glucose metaboLsm disorder was different among 3 groups only in the 〈 60 age group. In the isolated systolic hypertension （ISH） group, the prevalence of impaired glucose metaboLsm and dysLpidemia was lower in middle-age group than that in old-age group; however the prevalence of OW/OB was higher in middle-age group. In other groups only the prevalence of OW/OB was higher in middle-age group than that in old-age group. In the third group, there was higher prevalence of multiple metaboLc disorders, except few. Conclusion The prevalence of multiple metaboLc disorders between different types of hypertension was different. We should take different controlling measures to prevent cardiovascular disease.

关 键 词：流行病学 糖代谢异常 血脂代谢异常 肥胖 患病率 高血压 农村 

分 类 号：R18[医药卫生—流行病学]