青海省某体检中心男性饮酒者心脏结构的影响因素分析  

Analysis of influencing factors of cardiac structure in male drinkers in a physical examination center in Qinghai province

作　　者：祁生贵 QI Shenggui(Qinghai Special Hospital of Cardio-Cerebrovascula Disease,Central Laboratory,Xining,Qinghai 810012,China)

机构地区：[1]青海省心脑血管病专科医院中心实验室,青海西宁810012

出　　处：《应用预防医学》2024年第5期313-317,322,共6页Applied Preventive Medicine

基　　金：青海省科技厅基金项目资助(2022-SF-L1)。

摘　　要：目的探讨高海拔地区男性饮酒人群心脏结构、功能改变的影响因素,为饮酒对心脏疾病的影响研究提供参考数据。方法以2020年1~12月到青海省心脑血管病专科医院高原体检中心进行常规体检的35~60岁男性公民作为研究对象,开展问卷调查、常规体检以及超声心动图检查。结果本次合计纳入研究对象660例,年龄为(48.23±5.00)岁;其中,过量饮酒组99人,适度饮酒组308人,不饮或已戒酒组253人。不同饮酒频率组体重、BMI间差异均有统计学意义(F值分别为3.706、5.678,P值分别为0.025、0.004),主要表现为适度饮酒组的体重与BMI高于不饮或已戒酒组。不同饮酒频率组收缩压、舒张压和平均压间差异均有统计学意义(P值均<0.05),主要表现为过量饮酒组的收缩压、舒张压和平均压高于不饮或已戒酒组。不同饮酒频率组的左房前后径间差异有统计学意义(F=4.179,P=0.016),表现为过量饮酒组和适度饮酒组的左房前后径大于不饮或戒酒组;左房前后径与血压、BMI均呈正相关。结论青海省男性饮酒者的左房前后径增加,提示饮酒对左心结构产生了一定影响,饮酒者较不饮酒者血压和BMI偏高,打鼾、环境低氧等众多因素可能参与了心脏结构的改变。今后应关注高海拔地区的饮酒行为,加强该地区饮酒人群的健康教育和疾病管理,提高居民对过量饮酒危害的认知,自觉减少酒精摄入。Objective To investigate the influencing factors of cardiac structure and function changes in male drinkers in high-altitude areas,and to provide reference data for the study of the impact of drinking on heart disease.Methods From January 2020 to December 2020,male citizens aged 35 to 60 years who went to the Plateau Physical Examination Center of Qinghai Provincial Cardiovascular and Cerebrovascular Disease Hospital for routine healthy check-up and were selected as the research subjects.Questionnaire surveys,routine physical examinations,and echocardiographic examinations were performed.Results A total of 660 subjects were included in this study,with an age of(48.23±5.00)years old.Among them,99 subjects were in the excessive drinking group,308 were in the moderate drinking group,and 253 were in the non-drinking or quit-drinking group.There were significant differences in weight(F=3.706,P<0.025)and BMI(F=5.678,P<0.004),mainly in that the weight and BMI of the moderate drinking group were higher than the non-drinking or quit-drinking group.There were significant differences in systolic,diastolic,and mean blood pressure among different drinking frequency groups(P<0.05),mainly in that the systolic,diastolic,and mean blood pressure of the excessive drinking group were higher than the non-drinking or quit-drinking group.There was a significant difference in the anteroposterior diameter of the left atrium between the different drinking frequency groups(F=4.179,P=0.016),which the anteroposterior diameter of the left atrium in the excessive drinking group and the moderate drinking group was significantly higher than the non-drinking or quit-drinking group.The anteroposterior diameter of the left atrium was significantly positively correlated with blood pressure and BMI.Conclusions The left atrial anteroposterior diameter of male drinkers in Qinghai province increased,indicating that drinking had a certain impact on the left heart structure.Drinkers have higher blood pressure and BMI than non-drinkers.Many factors such a

关 键 词：饮酒行为 心脏结构 海拔 高血压 

分 类 号：R195[医药卫生—卫生统计学]