体检人群臂间收缩压差升高的影响因素  

Factors affecting the elevation of inter-arm systolic blood pressure difference in a physical examination population

作　　者：张晓雨[1] 孙浩翔 胡华青[3] 张悦 雷玉婷 张玉玲 赵爽 Zhang Xiaoyu;Sun Haoxiang;Hu Huaqing;Zhang Yue;Lei Yuting;Zhang Yuling;Zhao Shuang(Health Management Center,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;General Practice Department,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Outpatient Department,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院健康管理中心,合肥230022 [2]安徽医科大学第一附属医院全科医学科,合肥230022 [3]安徽医科大学第一附属医院门诊部,合肥230022

出　　处：《中华健康管理学杂志》2022年第5期298-302,共5页Chinese Journal of Health Management

基　　金：安徽省科技重大专项(18030801133)。

摘　　要：目的分析体检人群臂间收缩压差(IASBPD)升高的影响因素。方法采用系统抽样法,选取2019年1月至2021年6月在安徽医科大学第一附属医院体检并完成动脉硬化度测试的3600例成年人为研究对象,记录年龄、性别、吸烟史、大量饮酒史、高血压史、2型糖尿病史、冠心病史;测定身高、体重、腰围、臀围、总肌肉、总脂肪、体脂率,计算体质指数;使用中科院动脉硬化度测试仪测量四肢同步血压、踝肱指数(ABI),计算IASBPD值。根据IASBPD值将研究对象分为两组:IASBPD<10 mmHg(1 mmHg=0.133 kPa)组和IASBPD≥10 mmHg组,比较两组间差异;采用多因素logistic回归分析IASBPD升高的影响因素。结果IASBPD≥10 mmHg组体重、体质指数、腰围、臀围、收缩压、舒张压、总肌肉、总脂肪、体脂率、高血压史比例、2型糖尿病史比例、冠心病史比例均高于IASBPD<10 mmHg组[(69.1±11.2)比(65.3±10.8)kg、(25.6±3.4)比(24.4±3.3)kg/m^(2)、(91.3±11.3)比(87.8±10.6)cm、(98.5±10.4)比(96.5±9.8)cm、(139.7±20.0)比(129.7±17.6)mmHg、(80.3±11.6)比(76.7±10.1)mmHg、(47.5±9.1)比(45.3±8.8)kg、(19.4±7.0)比(17.6±6.4)kg、(27.9%±8.5%)比(26.8%±8.1%)、41.1%比29.3%、16.6%比11.7%、13.1%比7.3%](均P<0.05);ABI低于IASBPD<10 mmHg组[(1.15±0.11)比(1.20±0.09)](均P<0.001);两组身高、吸烟及大量饮酒比例差异均无统计学意义(均P>0.05)。年龄、收缩压、体重、ABI是IASBPD≥10 mmHg的独立影响因素,其中年龄、收缩压、体重与IASBPD≥10 mmHg呈正相关,ABI与IASBPD≥10 mmHg呈负相关。结论年龄增长、收缩压升高、体重增加、ABI降低是IASBPD升高的重要影响因素。Objective To analyze the related factors affecting the inter-arm systolic blood pressure difference(IASBPD)in a physical examination population.Methods A total of 3600 adults who underwent physical examination and completed the arteriosclerosis test in the first affiliated hospital of Anhui medical university from January 2019 to June 2021 were selected as the participants by systematic sampling method.Data on age,sex,and history of smoking,heavy drinking,hypertension,type 2 diabetes,and coronary heart disease were recorded.The height,weight,waist circumference,hip circumference,total muscle,total fat and body fat ratio were measured,and body mass index was calculated.The blood pressure of the limbs,ankle brachial index(ABI)were measured synchronously with the arteriosclerosis tester of the Chinese Academy of Sciences,and the IASBPD were calculated.According to the IASBPD value,the participants were divided into two groups:IASBPD<10 mmHg(1 mmHg=0.133 kPa)group and IASBPD≥10 mmHg group,The differences between the two groups were compared,and the related influencing factors of IASBPD were analyzed by multivariate logistic regression.Results Weight,body mass index,waist circumference,hip circumference,systolic blood pressure,diastolic blood pressure,total muscle,total fat,body fat rate,history of hypertension,proportion of type 2 diabetes mellitus,and proportion of history of coronary heart disease in the IASBPD≥10 mmHg group was higher than that of IASBPD<10 mmHg group[(69.1±11.2)vs(65.3±10.8)kg,(25.6±3.4)vs(24.4±3.3)kg/m^(2),(91.3±11.3)vs(87.8±10.6)cm,(98.5±10.4)vs(96.5±9.8)cm,(139.7±20.0)vs(129.7±17.6)mmHg,(80.3±11.6)vs(76.7±10.1)mmHg,(47.5±9.1)vs(45.3±8.8)kg,(19.4±7.0)vs(17.6±6.4)kg,(27.9%±8.5%)vs(26.8%±8.1%),41.1%vs 29.3%,16.6%vs 11.7%,13.1%vs 7.3%](all P<0.05);ABI was lower than that in IASBPD<10 mmHg group[(1.15±0.11)vs(1.20±0.09)](P<0.001).There were no significant differences in height,smoking history and heavy drinking history between the two groups(all P>0.05).Multivariate logistic

关 键 词：体格检查 臂间收缩压差 影响因素 

分 类 号：R443.5[医药卫生—诊断学]