高血压住院患者合并不同代谢异常与心血管疾病发病情况分析  

Analysis of the incidence of different metabolic abnormalities and cardiovascular in hospitalized hypertension patients

作　　者：李园春[1] 杨冬[2] 

机构地区：[1]唐山市丰南区医院内一科,河北省唐山063300 [2]唐山市丰南区医院超声科,河北省唐山063300

出　　处：《中国基层医药》2013年第8期1171-1173,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨高血压住院患者合并不同代谢异常与心血管疾病的流行特征。方法选取诊断为高血压患者1843例，其中合并代谢综合征患者327例作为研究对象，进行代谢综合征的不同年龄、性别、异常组分流行现状分析。结果327例患者中超重、血脂紊乱、高血糖、心血管病的阳性率分别为42．20％、37．92％、35．17％、71．25％，其中阳性率最高者为心血管病，显著高于其他三者（Х^2=56．22、73．28、85．51，均P〈0．05）。超重率男性与女性差异无统计学意义（Х^2=0．42，P〉0．05）；血脂紊乱及高血糖发生率女性显著高于男性（Х^2=5．73、6．47，均P〈0．05）；心血管病发病率男性高于女性（Х^2=24．66，P〈0．05）。结论预防不同代谢异常需根据年龄性别采取不同措施；控制体质量、血脂和血糖是预防心血管病的关键。Objective To investigate the epidemiological characteristics of hospitalized hypertension patients with different metabolic abnormalities associated with cardiovascular disease. Methods 1 843 patients with diagnosis of hypertension were selected, including 327 patients with metabolic syndrome as the research object. Metabolic syndrome of different age, gender, abnormal components epidemic status were analyzed. Results Positive rates of overweight, dyslipidemia, hyperglycemia, cardiovascular disease in 327 patients were 42. 20%, 37. 92%, 35. 17%, 71.25% , the highest positive rate for cardiovascular disease was significantly higher than the other three indexs （Х^2 = 56.22,73.28,85.51, all P 〈 0. 05 ）. There was no significant differences in the rates of overweight between men and women（ Х^2 = 0.42 ,P 〉 0. 05 ）. Dyslipidemia and hyperglycemia incidence of women were significantly more than those of men, there was statistically significant difference（ Х^2 = 5.73,6.47, all P 〈 0.05 ）. The incidence of cardiovascular disease in males was high than that in females （ Х^2 = 24.66, P 〈 0.05 ）. Conclusion Preventive different metabolic abnormalities need to take different measures according to age and gender. Weight control, blood lipids and blood sugar are the key to the prevention of cardiovascular disease.

关 键 词：高血压 代谢综合征 心血管疾病 代谢异常 

分 类 号：R589[医药卫生—内分泌]