飞行人员原发性高血压前期的危险因素分析及干预措施  

Analysis on the risk factors related to prehypertension and the intervening measures

作　　者：姜卫[1] 王攀[2] 张斌[3] 

机构地区：[1]解放军空军杭州航空医学鉴定训练中心疗养一科,浙江杭州310007 [2]解放军兰州军区兰州总医院泌尿外科,甘肃兰州730050 [3]解放军空军杭州航空医学鉴定训练中心心理科,浙江杭州310007

出　　处：《临床军医杂志》2012年第5期1094-1096,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨飞行人员的原发性高血压(以下简称高血压)前期的相关危险因素及有效的综合疗养措施。方法对3批次常规入院疗养的飞行人员采取整群随机抽样法在入院疗养第1天、第15天、第28天进行血压测量和血样采集,并采取了综合疗养措施对高血压前期患者进行了干预。结果 3批次飞行人员高血压前期患病率为21.89%,随飞行年限增长呈逐渐上升趋势,30～39岁人群发病率达到最高(40.08%),高血压前期者的低密度脂蛋白异常升高、高尿酸血症、高血糖等多种心血管疾病相关危险因素与血压正常者进行统计学分析比较差异有统计学意义(P<0.05)。经过景观、水疗、森林浴、空气浴等综合疗养措施后,3批次飞行人员高血压前期患病率降低为9.68%,与入院前高血压前期患病率比较差异有统计学意义(P<0.05)。结论飞行人员高血压前期患病率较高,且随飞行年限增长呈逐渐上升趋势,并存在多种心血管疾病危险因素,采用健康宣教及综合疗养干预措施后,可有效降低原发性高血压前期发病率。Objective To investigate the risk factors related to prehypertension and effective integrated measures.Methods The levels of blood pressure and blood sampling of 3 batches of flight crew were measured by random cluster sampling method on hospital convalescence day 1,day 15,day 28,and to use integrated measures in flight crew with prehypertension.Results The incidence of prehypertension in 3 batches of flight crew was 21.89%,which was gradually rising during 30-39 years（40.08%） with the flight period.The risk factors,such as low density lipoprotein abnormalities,hyperuricemia and hyperglycemia of patients with prehypertension which were associated with cardiovascular disease were statistical analyzed and compared with that of normal blood pressure cases.The difference showed statistical significance（P0.05）.The morbidity of hypertension of three batches of pilots was reduce to 9.68% by integrated measures including landscape,hydrotherapy,forest bath,and air bath comprehensively.Compared with the morbidity of hypertension before admission,the difference had statistical significance（P0.05）.Conclusion There was high morbidity of prehypertension in flight crew,and showed gradual upward trend with the growth of the flight years.And there were several risk factors related to cardiovascular disease.The health education interventions and integrated measures would be useful effectively methods to reduce the morbidity of prehypertention.

关 键 词：高血压前期 危险因素 疗养 

分 类 号：R544.11[医药卫生—心血管疾病]