摘要
目的：探讨北京农村地区高血压防治现况及其血管功能状态,并了解影响上述人群血管功能的因素。方法：北京门头沟区妙峰山镇14个自然村的613人接受了调查,其中男性171人（27.90%）,女性442人（72.10%）,平均年龄（54.55±11.84）岁。既往高血压患者203人。应用血压脉搏测量装置对上述人群进行了血管功能测定,心-踝血管指数（Cardio-Ankle Vascular Index,CAVI）作为反映血管功能的参数。多元回归分析用于探讨影响CAVI的因素。结果：本次调查新发现高血压患者170人（27.73%）。依据年龄分为~39岁、40~49岁、50~59岁、60~69岁和70岁~组后的分析结果显示,RCAVI随年龄增大显著升高,分别为（6.53±0.76）,（7.04±0.94）,（8.56±1.03）,和（9.27±1.42）（F=102.254,P=0.000）。依据脉压分为~49 mm Hg,50~59 mm Hg和60 mm Hg~组后的分析结果显示,右侧CAVI（RCAVI）随脉压的升高逐渐增大,分别为（7.37±1.17）,（7.71±1.27）,（8.51±1.37）（F=40.957,P=0.000）。多因素回归分析结果显示,年龄（t=15.676,P=0.000）,体重（t=3.375,P=0.001）和体重指数（Body mass index,BMI）（t=-3.779,P=0.000）是影响RCAVI的主要因素。结论：北京农村地区高血压人群知晓率仍低,血管病变早期检测对预防高血压早期血管病变有益,血管功能主要与衰老和超重有关。
Objective：To explore the condition about hypertension and vascular function of rural area in Beijing,and factors that influence vascular function in such population.Methods：613 subjects lived in 14 villages of Miaofengshan county were examed,171 were male（27.90%）,472 were female（72.10%）,mean age 54.55±11.84 years old.203 had history of hypertension.Blood pressure and pulse measurement device was used for vascular function examination;CAVI was used to reflect vascular function.Multiple regression analysis was used to explore factors that influenced CAVI.Results： We found 170 cases new hypertensive patients（27.73%）.According to age range divided into ~39 years old,40~49 years old,50~59 years old,60~69 years old and 70~ years old groups,the results demonstrated that,RCAVI was higher in accordance with age increased,as 6.53±0.76,7.04±0.94,8.56±1.03 and 9.27±1.42（F=102.254,P=0.000）.According to pulse pressure range divided into ~49mmHg,50~59mmHg and 60mmHg~ groups,the results demonstrated that,RCAVI was higher along with pulse pressure increased,as 7.37±1.17,7.71±1.27,8.51±1.37（F=40.957,P=0.000）.Multiple factors analysis results demonstrated age（t=15.676,P=0.000）,weight（t=3.375,P=0.001） and body mass index（BMI）（t=-3.779,P=0.000）were significantly factors that influenced RCAVI.Conclusions： Awareness rate of hypertension was poor in rural area of Beijing,early evaluation of vascular disease is useful for prevention hypertension related vascular disease,and vascular damage was significantly related to aging and overweight.
出处
《中国民康医学》
2012年第3期257-261,共5页
Medical Journal of Chinese People’s Health
关键词
高血压
血管
功能
Hypertension
Vascular
Function
