体格测量指标对广西9区县壮族及汉族成年居民脉压影响的横断面研究  

Cross-sectional study on the physical measurement indicators affect on pulse pressure among adult Zhuang and Han residents in 9 districts and counties of Guangxi

作　　者：莫剑梅[1] 黄荣杰[1] 钱静[1] MO Jian-mei;HUANG Rong-jie;QIAN Jing(Cardiovascular Ward 3,The First Affiliated Hospital of Guangxi Medical University,530021 Nanning,China)

机构地区：[1]广西医科大学第一附属医院心内3病区,广西壮族自治区南宁市530021

出　　处：《中国心血管病研究》2023年第12期1094-1098,共5页Chinese Journal of Cardiovascular Research

摘　　要：目的了解广西壮族及汉族成年居民体格检测指标对脉压的影响及差异。方法选取2012年1月至2015年12月广西医科大学大医第一附属医院组织的参与中国高血压患病率调查的广西9区县成年汉族及壮族居民体格检测及脉压数据资料进行回顾性分析。结果广西壮族及汉族成年居民平均脉压(52.94±15.95)mmHg,壮族高于汉族[(55.23±16.17)mmHg比(50.59±15.38)mmHg,P<0.05]。人群宽脉压患病率为25.6%,壮族高于汉族(30.0%比21.0%,P<0.05)。回归分析显示,汉族和壮族人群脉压值与年龄、基础代谢率(basal metabolic rate,BMR)、内脏脂肪指数(visceral fat index,VFI)、平均动脉压(mean arterial pressure,MAP)正相关;与体重、心率负相关;壮族人群脉压值与身体脂肪率(body fat rate,BFR)正相关;与腰高比值负相关。Logistic回归分析显示,女性、年龄、体重、BMR、BFR、VFI、MAP是壮族及汉族人群宽脉压患病率共同的危险因素。结论广西壮族居民平均脉压水平及宽脉压的患病率高于汉族居民,宽脉压发生率具有种族差异。体重、BMR、BFR、VFI、MAP是壮族及汉族人群宽脉压患病率共同的影响因素。Objective To explore the impact of physical examination indicators on pulse pressure in adult residents of Zhuang and Han ethnic in Guangxi.Method A retrospective analysis was conducted based on the data of Han and Zhuang adult residents from 9 districts and counties in Guangxi who participated in the China Hypertension Prevalence Survey from January 2012 to December 2015.Result The average pulse pressure of Zhuang and Han adult residents groups in Guangxi was(52.94±15.95)mmHg.The average pulse pressure of the Zhuang was higher than Han[(55.23±16.17)mmHg vs.(50.59±15.38)mmHg,P<0.05].The prevalence of wide pulse pressure was 25.6%,and Zhuang ethnic group was higher than Han(30.0%vs.21.0%,P<0.05).Linear regression showed that pulse pressure values were positively related with age,basal metabolic rate(BMR),visceral fat index(VFI)and mean arterial pressure(MAP)in Han and Zhuang but negatively related with body weight and heart rate.The pulse pressure value of the Zhuang was positively related with the body fat rate(BFR)but negatively related with waist height ratio.Logistic regression showed that women,age,weight,BMR,BFR,VFI and MAP were the common risk factors for the prevalence of wide pulse pressure in both Zhuang and Han.Conclusion The average pulse pressure and prevalence of wide pulse pressure among adult Zhuang residents are higher than Han in Guangxi.There are racial differences in prevalence of wide pulse pressure.Body weight,BMR,BFR,VFI,and MAP are the common influencing factors for the prevalence of wide pulse pressure in both Zhuang and Han.

关 键 词：脉压 民族 体格测量 脂肪分布 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]