不同海拔地区健康体检人群血压的比较分析  

Comparative analysis of blood pressure of healthy people in different altitude areas

作　　者：仇燕 仲怀琴 缴克华 Qiu Yan;Zhong Huaiqin;Jiao Kehua

机构地区：[1]华东疗养院老年病科,214065

出　　处：《中国疗养医学》2022年第6期561-564,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的了解不同海拔地区健康人群血压的差异及影响因素。方法从华东疗养院2016年1月至2018年1月健康体检数据中,随机选取324例世居青海果洛藏族自治区健康体检人群和366例性别及年龄匹配的世居上海金山地区健康体检人群做为研究对象,将研究对象的性别、年龄、体质指数(BMI)、血脂、血红蛋白(Hb)、血尿酸(UA)等相关数据进行比较分析,运用Logistic回归分析血压升高的相关因素。结果不同海拔临床数据比较,两组间肌酐(Scr)、三酰甘油(TG)、脂蛋白(a)[Lp(a)]差异无统计学意义。高原组与平原组相比:BMI(26.95±3.69 VS 25.23±2.67)kg/m;、UA(402.53±87.72 VS 341.23±77.92)μmol/L、Hb(169.59±19.43 VS152.37±12.34)g/L,高原组以上指标明显升高(均P<0.05);舒张压(DBP)(72.34±11.49 VS 74.90±10.40)mm Hg(1 mm Hg=0.133 kPa)、收缩压(SBP)(118.75±16.09 VS 125.86±15.21)mm Hg、总胆固醇(TC)(5.13±0.96 VS5.31±0.90)mmol/L、低密度脂蛋白胆固醇(LDL-C)(2.99±0.83 VS 3.21±0.80)mmol/L、高密度脂蛋白胆固醇(HDL-C)(1.26±0.32 VS 1.48±0.42)mmol/L,高原组以上指标明显低于平原组(均P<0.05)。结论世居高原地区的健康人群收缩压及舒张压低于平原地区。Objective To investigate the difference and influencing factors of blood pressure in healthy people at different altitudes.Methods From January 2016 to January 2018,324 healthy people living in Golog Tibetan autonomous region of Qinghai Province were randomly selected,and 366 healthy people living in Jinshan district of Shanghai with matched gender and age were randomly selected as research objects.The gender,age,body mass index(BMI),blood lipid,hemoglobin(Hb),blood uric acid(UA)and other related data of the subjects were compared and analyzed,and the related factors of elevated blood pressure were analyzed by Logistic regression.Results There were no significant differences in creatinine(Scr),triglyceride(TG)and lipoprotein(a)[Lp(a)]between the two groups.Comparison between the plateau group and the plain group:BMI(26.95±3.69 VS 25.23±2.67)kg/m;,UA(402.53±87.72 VS 341.23±77.92)μmol/L,Hb(169.59±19.43 VS 152.37±12.34)g/L,The above indexes in the plateau group were significantly increased(all P<0.05);Diastolic blood pressure(DBP)was(72.34±11.49 VS 74.90±10.40)mmHg(1 mm Hg=0.133 kPa),systolic blood pressure(SBP)(118.75±16.09 VS 125.86±15.21)mmHg,total cholesterol(TC)(5.13±0.96 VS 5.31±0.90)mmol/L,low density lipoprotein cholesterol(LDL-C)(2.99±0.83 vs 3.21±0.80)mmol/L and high density lipoprotein cholesterol(HDL-C)(1.26±0.32 VS 1.48±0.42)mmol/L,which showed the indexes in the plateau group were significantly lower than those in the plain group(P<0.05).Conclusion Systolic and diastolic blood pressure of healthy people living in plateau area are higher than those in plain area.

关 键 词：血压 血脂 不同海拔 

分 类 号：R544.1[医药卫生—心血管疾病]