南昌市社区中老年人群踝间血压差异的检出率和影响因素  

Prevalence and influencing factors of inter-ankle blood pressure difference among middle-aged and elderly population in Nanchang community

作　　者：马健勇[1] 陶雪花 章志红[3] 邹兵[1] 王永斌 苏海[1] 程晓曙[1] 

机构地区：[1]南昌大学心血管病研究所、第二附属医院心内科,江西南昌330006 [2]南昌市第六医院心内科 [3]南昌大学抚州医学分院

出　　处：《中华高血压杂志》2014年第2期176-180,共5页Chinese Journal of Hypertension

基　　金：国家十二五科技支撑计划资助(2013BAI05B10)

摘　　要：目的了解社区人群左右踝血压和踝间血压差异(IAND)的检出率及其影响因素。方法 2011年10至12月,纳入南昌市社区体检人群1920名。仰卧休息10min后,用两台电子血压计同步测量左右踝血压,计算左右踝血压的绝对差值(Δ血压)。Δ血压≥10mm Hg诊断为一级IAND;≥20mm Hg为二级IAND。记录年龄、性别、吸烟史、高血压家族史、高血压史、服降压药史和糖尿病史;测定空腹血糖、总胆固醇、三酰甘油、体质量指数(BMI)、高密度及低密度脂蛋白胆固醇(HDL-C及LDL-C)。结果右踝收缩压[(157.4±22.6)比(155.2±22.2)mm Hg]和舒张压[(73.1±8.9)比(71.6±9.0)mm Hg]高于左踝(均P<0.05)。与女性比较,男性Δ收缩压[(6.02±6.85)比(5.29±5.24)]较高,而Δ舒张压差异无统计学意义。一、二级踝间收缩压差异(sIAND)检出率分别11.6%和1.9%,踝间舒张压差异(dIAND)为3.1%和0.3%。线性相关分析显示,Δ收缩压与年龄、BMI、腰围、臀围、血糖、收缩压、舒张压和Δ舒张压呈正相关,与HDL-C呈负相关;多因素线性回归分析显示,腰围、糖尿病史和收缩压是Δ收缩压和Δ收缩压/收缩压的影响因素。结论肥胖、糖尿病史和收缩压是导致sIAND的主要因素。Objective To investigate ankle blood pressure （BP）, prevalence of inter-ankle BP difference {IAND） and its influencing factors in a community population. Methods Bilateral ankle BP of 1920 subjects from Nanchang community were simultaneously measured in supine position with two electronic sphygmomanometers after 10-min rest in supine position between October and December in 2011. Absolute inter-ankle BP difference was calculated as ABP. When absolute value of ABP^10 mm Hg, I^IAND was diagnosed, while 920 mm Hg as 2~ lAND. Age, gender, family history of hypertension, histories of smoking, hypertension, antihypertensive therapy and diabetes were recorded. Fasting blood glucose, total cholesterol （TC）, triglyceride （TG）, high density and low density lip- oprotein cholesterol （ HDL-C and LDL-C） and body mass index （BMI） were measured. Results Systolic blood pressure {SBP} [1157.4~22.6} vs （155.2~22.2）ram Hg] and diastolic blood pressure {DBP}[{73.1~8.9} vs （71.6---4---9.0）ram Hg＇] of right ankle were higher than those of left ankle（all P〈~0.05）. Compared with ASBP of fe- male, that of male was higher [-（6.02_＋6.85） vs （5.29--4-_5.24） mm Hg], while A DBP were not significantly differ- ent. The detection rates of 1~ and 2~IAND on SBP were 11.6~ and 1.9~ respectively. The detection rates of 1~ and 2~ IAND on DBP were 3.1 ~//00 and 0.3~ respectively. Linear analysis showed that ASBP positively correlated with age, BMI, circumferences of waist and hip, blood glucose, SBP, DBP and A DBP, but negatively correlated with HDL-C. Multifactor regression analysis showed that waist circumference, histories of diabetes and SBP levels were influencing factors for ＆SBP and ASBP/SBP. Conclusion Obesity, histories of diabetes and SBP are main factors for IAND on SBP.

关 键 词：踝间血压差异 检出率 血糖 

分 类 号：R544.1[医药卫生—心血管疾病]