新疆和丰县牧区高血压病流行病学调查报告  

EPIDEMIOLOGICAL REPORT OF HYPERTENSION IN THE HEBUKESEL PASTORA L AREA IN XINJIANG.

作　　者：李南方[1] 周玲[1] 曹梅[1] 张德莲[1] 祖合热[1] 王新玲[1] 祖菲亚[1] 王君[1] 欧阳玮进[1] 布克力[1] 庞敏[1] 汪迎春[1] 阿不来提[1] 努尔古丽[1] 

机构地区：[1]新疆自治区人民医院高血压病研究室,830001

出　　处：《现代预防医学》2003年第2期141-143,共3页Modern Preventive Medicine

基　　金：新疆自治区卫生厅科研资助项目的一部分(编号 :新卫科字 980 0 4 )

摘　　要：目的 :了解新疆牧区高血压流行现状并分析其高发因素 ,为牧区心血管病的防治工作提供依据。方法 :应用WHO MONICA方案 ,采取整群抽取随机抽样的办法针对新疆和丰县牧区 3 0岁以上哈萨克族和蒙古族男女牧民 10 2 2人进行高血压流行病学调查。结果 :该人群平均收缩压 14 3 .5± 3 1.9mm Hg;舒张压 89.5± 17.9mm Hg;高血压的检出率为5 5 .0 9% ,其中临界高血压和重度高血压分别占 10 .3 6%和 2 0 .73 % ,高血压的患病率随年龄增高而明显增高 ,且患病年龄明显前移 ;高血压组平均体重指数 (BMI)、总胆固醇 (TC)、低密度脂蛋白胆固醇 (LDL-CTG)、甘油三脂 (TG)的水平明显高于正常血压组 ,高血压组中男性的吸烟率明显高于正常血压组 ,平均每日饮酒量也有高于正常血压组的倾向。结论 :新疆和丰县牧区为高血压的高发区 ,高血压与高吸烟率、高饮酒量。Objective:To report the epidemiological c haracteristics of hypertension in the Hebukesel pastoral area,Xinjiang,and an assessment of the risk factors relevant to the high prevalence of hypertension i n the area Methods:The epidemiological study was carried out i n a natural population by cluster sampling in totally 1022 individuals aged ≥30 from each f emale and male group of Kazakans and Mongolians,using the method of WHO MONICA Results:The average levels of systolic blood pressure and dia logical blood p ressure were 143 5±31 9mm Hg and 89 5±17 9mm Hg,respectively The prevale nce of hypertension was averaged 55 09%,with 10 36% and 20 73% in borderline hyperte nsi on and severe hypertension,respectively The prevalence of hypertension increa s es with age in both male and female groups The average age at the onset of hyp e rtension in the area was significantly younger than those in the other areas in China The comparison of plasma lipid,lipoprotein levels and other risk factors such as cigarette-smoking,alcohol-drinking and body mass index (BMI) in the sub jects with and without hypertension indicated that the levels of serum total cho lesterol (TC),low density lipoprotein cholesterol (LDL-C),Triglycerides (TG) a nd MBI were significantly higher in the high blood pressure group,and the rate o f cigarette-smoking and the averaged dose of daily alcohol-drinking in the male group of high blood pressure were significantly higher compared with normotensi v e group,respectively Conclusions:The Hebukesel pastoral area in X injiang is an area of high prevalence of hypertension,and the group of high blood pressur e is associated with higher levels of serum TC,LDL-C,TG,MBI,higher rate of c igarette-smoking and larger dose of daily alcohol-drinking The results suggest that this pastoral area in Xinjiang is an important object of cardiovascular dis ease prevention

关 键 词：流行病学 高血压 心血管病 危险因素 

分 类 号：R181.3[医药卫生—流行病学]