开滦矿区男性血压与心房颤动的相关性  

Relationship between atrial fibrillation and blood pressure in males of Kailuan mine

作　　者：邢爱君[1] 郑晓明[1] 吴云涛[1] 吴寿岭[1] 施继红[1] 林黎明[1] 

机构地区：[1]河北联合大学附属开滦总医院心内科,河北唐山063000

出　　处：《中华高血压杂志》2013年第7期633-637,共5页Chinese Journal of Hypertension

摘　　要：目的了解河北唐山开滦矿区男性心房颤动的发生率及其与血压的相关性。方法入选2006-06-2007-10开滦(集团)有限责任公司职工进行健康体检和问卷调查101510人。调查人群经12导联心电图、查体检出心房颤动,计算心房颤动发生率,采用Logistic回归分析血压与心房颤动的相关性。结果男性81103人中完成心电图检查81061人,患心房颤动398例(瓣膜性心房颤动37例和非瓣膜性心房颤动361例),发生率为0.49%;高血压人群非瓣膜性心房颤动发生率明显高于正常血压人群(0.54%比0.36%,P<0.01);单因素Logistic回归分析显示,收缩压120～<140和≥140mmHg患心房颤动的风险是收缩压<120mmHg的1.44倍和3.58倍。脉压50～<60和≥60mmHg患心房颤动的风险是脉压<40mmHg的1.55和2.11倍。多因素Logistic回归分析校正可能影响心房颤动发生率的所有因素,结果仅显示收缩压≥140mmHg患心房颤动的风险是收缩压<120mmHg的1.74倍(P<0.01)。结论高血压人群心房颤动发生率明显高于正常血压人群。收缩压是男性患心房颤动的独立危险因素,与舒张压、脉压无关。Objective To study the prevalence of atrial fibrillation （AF} and its relationship with blood pressure in males of Kailuan mine. Methods From June 2006 to October 2007, 101 510 staff members of Kailuan Co. Ltd par- ticipated in health examination and completed unified questionnaires. All participants underwent 12 lead electrocar- diogram and physical examination. The prevalence of AF and its relationship with blood pressure were calculated and analysed by Logistic regression analysis. Results A total of 81 061 in 81 103 male participants accomplished e- lectrocardiogram. Three hundred and ninety-eight were diagnosed with AF （37 valvular AF and 361 non-valvular AF） and the prevalence of AF was 0.49%. The prevalence of non-valvular AF in hypertensive population was sig nifieantly higher than that of the normotensives （0.54% vs 0.36 %, P%0.01）. The univariate Logistic regression analysis showed that the risks of AF in the population with systolic blood pressure （ SBP ） 120 -〈140 and ≥140 mm Hg were respectively 1.44 and 3.58 times that of SBP 〈120 mm Hg. The prevalence of AF in the popu- lation with pulse pressure （PP） 50- 〈 60 and ≥60 mm Hg was respectively 1.55, 2.11 times that of PP 〈40 mm Hg. After the adjustment of all influence factors of AF, the hazard ration in the population with SBP ≥140 mm Hg was 1.74 times that of SBP〈120 mm Hg. Conclusions The prevalence of AF in hypertensive population is significantly higher than in normotensive. SBP is an independent risk factor for the males with AF. The prevalence of AF is not related with diastolic blood pressure or PP.

关 键 词：心房颤动 发生率 血压 

分 类 号：R541.75[医药卫生—心血管疾病]