巴马地区壮族长寿家系血压水平及高血压患病率调查  

EPIDEMIOLOGICAL STUDY ON THE BLOOD PRESSURE LEVEL AND THE PREVALENCE OF HYPERTENSION IN THE ZHUANG LONG-LIVING FAMILIES IN GUANGXI BAMA AREA

作　　者：吴华裕[1] 刘承武[1] 吕泽平[2] 胡才友[2] 彭均华[1] 罗晓秋[1] 罗桓[3] 黄龄瑾[1] 潘尚领[1] 

机构地区：[1]广西医科大学病理生理学教研室,南宁530021 [2]广西壮族自治区江滨医院神经内科 [3]广西医科大学基础医学院

出　　处：《广西医科大学学报》2011年第3期477-480,共4页Journal of Guangxi Medical University

基　　金：国家自然科学基金资助项目(No.30860126);广西自然科学基金资助项目(No.桂科青0991033;桂科自0832198;桂科自2010GXNSFA013153)

摘　　要：目的:了解广西巴马地区壮族长寿家系血压水平和高血压患病率状况。方法:对巴马地区壮族长寿家系1 362位家庭成员进行血压水平、体重、身高、体重指数等测定,并统计高血压患病率,然后与当地非长寿家系597人、其它地区长寿家系282人及非长寿家系725人的结果分别按家系、年龄段和性别进行比较。结果:巴马地区长寿家系的收缩压(SBP)、舒张压(DBP)和高血压患病率与本地区非长寿家系无明显差异(P>0.05),但均高于对照地区的长寿家系和非长寿家系人群(均P<0.01),而且其男性和女性的SBP、DBP水平和高血压患病率均明显高于对照地区(均P<0.01);男性的DBP水平和患病率均明显高于同家系女性(均P<0.01),但SBP无明显区别(P>0.05)。年龄段比较显示,两地区长寿家系和非长寿家系的SBP水平、DBP水平和高血压患病率均随年龄增高而呈现升高的趋势;除80～岁等少数年龄段外,巴马地区长寿家系其它年龄段的SBP水平和高血压患病率均明显高于对照地区。结论:巴马地区壮族长寿家系的血压水平和高血压患病率较高,可能与饮食习惯和饮食结构的改变有关,其深层的机制有待进一步研究。Objective： To understand the blood pressure levels and the prevalence of hypertension in the Zhuang long lived families inhabiting in Guangxi Bama area. Methods： Blood pressure level, height, weight, body mass index were measured in 1 362 subjects from Bama Zhuang long living families, and the incidence of hypertension was calculated. All these indices were compared with 597 individuals from Bama non-long-living families and non-Bama controls （282 from long-living families and 725 from non-long-living families, respectively） according to families, age range and gender. Results： No difference of systolic blood pressure （SBP）, diastolic blood pressure （DBP） and hypertension rate was found between the Bama longliving families and the Bama non-long-living families. However, the SBP,DBP levels, and hypertension rate of the Bama long-living families, whatever male or female group when gender was taken into account, were all significantly higher than those of the control groups including long-living and non-long-living families from other region （ P 〈0.01 for all） ; the male DBP, and hypertension rate were all higher than those of the female in Bama long-living families （ P 〈0.01 for all）. SBP,DBP,and hypertension incidence showed an increased trend with age in long-liv living families from both areas. In ing and non-long addition, except fewer age groups such as 80-, the SBP level and hypertensive rate in other age groups of Bama long-liv ing families were all greater than those of the corresponding age group in the control area. Conclusion：The blood pressure level and hypertension rate were high in Bama Zhuang long-living families. Great changes of diet habit and dietary structure may be some of its contributors. But detail mechanism needs further investigation.

关 键 词：长寿家系 高血压 患病率 

分 类 号：R544.1[医药卫生—心血管疾病]