中老年人群卧位臂间血压差异及影响因素  

The inter-arm difference of blood pressure and influencing factors in middle-aged and elderly people

作　　者：刘嵘[1] 杨晓利[2] 李艳军[2] 姚涛[3] 杨慧[4] 许继波 刘颖[4] 吴寿岭[4] 陈朔华[4] 

机构地区：[1]首都医科大学宣武医院综合科,北京100053 [2]遵化市人民医院心内科 [3]开滦总医院林西医院心内科 [4]开滦总医院心内科 [5]开滦唐家庄医院内科

出　　处：《中华高血压杂志》2015年第8期769-774,共6页Chinese Journal of Hypertension

摘　　要：目的探讨中老年人群上臂间血压差异(IAD)的范围及其影响因素。方法此研究为横断面研究设计,在2006-2007年参加健康体检的开滦集团职工101 510人中随机分层抽取5852人作为研究对象,符合入选标准、参加2010-2011年体检且双臂血压资料完整的5050人最终纳入统计分析。采用欧姆龙BP-203RPEⅢ同时测量卧位双臂血压的方法计算双臂收缩压和舒张压差值的绝对值。结果研究人群的收缩压和舒张压IAD分别为(4.15±4.01)和(3.24±2.95)mm Hg。研究人群收缩压和舒张压IAD≥10 mm Hg的检出率分别为8.77%和3.20%。男性收缩压和舒张压IAD≥10mm Hg的检出率分别为10.33%和2.97%,女性分别为6.49%和3.56%。多元线性回归分析显示,男性、低龄、收缩压升高、高体质量指数(BMI)、低三酰甘油和低踝臂血压指数(ABI)是收缩压IAD增加的危险因素;低龄、高BMI、高臂踝脉搏波传导速度(baPWV)和低ABI是舒张压IAD增加的危险因素。结论中老年人群中存在IAD,血压水平、低龄、高BMI和低ABI是收缩压和舒张压IAD增加的主要因素。Objective To investigate the factors influencing the inter-arm difference （IAD） of blood pressure in mid- dle-aged and old people. Methods This was a cross-sectional study. Among 101 510 employees participating in health examination in 2006--9007, 5852 workers were selected using a random stratified sampling method. 5050 workers of them with complete data in the third examination in 2010--2011 were finally analyzed. Simultaneous blood pressure measurements were recorded using the Omron BP 203RPE Ⅲ monitor in both arms. The IAD in blood pressure was expressed as the absolute difference. Results The absolute IAD in systolic and diastolic blood pressure （SBP and DBP） was （4.15±4.01）ram Hg and （3.24±2.95） mm Hg, respectively. The detection rates of IAD ≥10 mm Hg in SBP and DBP were 8.77% and 3.20% in all 5050 workers, 10.33% and 2. 97% in males, and 6.49% and 3.56% in females, respectively. Multiple Logistic regression analyses revealed that male gender, lower age, higher SBP, higher body mass index （BMI）, lower triglyceride and lower ankle brachial index （ABI） were significantly and independently associated with high lAD in SBP, whereas lower age, higher BMI, higher bra- chial ankle pulse wave velocity （baPWV） and lower ABI showed significant and independent associations with high IAD in DBP. Conclusion lAD is a common phenomenon in middle-aged and elderly people, with blood pressure, lower age, higher BMI and lower ABI accounting for the increased IAD in both SBP and DBP.

关 键 词：臂间血压差异 危险因素 中老年人 

分 类 号：R544.1[医药卫生—心血管疾病]