摘要
目的探讨青年大学生高血压患者中心动脉收缩压(CSBP)水平及其影响因素。方法分别测量青年大学生高血压患者(148例)及正常对照者(152例)CSBP、外周血压(收缩压、舒张压、平均动脉压),进行一般情况及心理因素等问卷调查,并测定三酰甘油、胆固醇水平等各项指标。结果1青年大学生高血压组及对照组CSBP均大于外周收缩压(P<0.05),高血压组CSBP水平(16.5±0.98)k Pa显著高于对照组(13.9±1.17)k Pa(P<0.05)。2高血压组和对照组心率、臂围、体重指数(BMI)、运动习惯、高血压家族史、高脂血症家族史、血红细胞、血红蛋白、血糖、三酰甘油差异有统计学意义(P<0.05),两组抑郁、焦虑和自尊评分差异无统计学意义。3多因素二分类Logistic逐步向前回归分析表明运动、高血压家族史、三酰甘油、血糖和BMI与青年大学生外周血压升高密切相关;三酰甘油、血糖、BMI和高血压家族史与青年大学生CSBP升高相关。结论 CSBP水平的升高提示青年高血压患者动脉弹性功能下降。青年大学生高血压主要危险因素是高血压家族史、三酰甘油增高、高血糖、BMI增高和运动减少,应尽早针对相关危险因素采取预防措施。
Objective To investigate the young college students central systolic blood pressure（ CSBP） in hypertensive patients and its influencing factors. Methods Central systolic blood pressure and peripheral blood pressure were measured in 148 cases with hypertension and 152 cases with normal blood pressure. Conducted a questionnaire of general situation and psychological factors and tested triglyceride,cholesterol and other indicators. Results1 College students CSBP was higher than peripheral blood pressure whatever in hypertension group and in the normal group. CSBP in hypertension group was higher than that in the normal group. 2 The difference of heart rate,arm circumference,body mass index（ BMI）,exercise habits,family history of hypertension,family history of hyperlipidemia,red blood cells,hemoglobin,blood glucose,triglyceride in two groups was statistically significant（ P 0. 05）,while there was no statistically significant difference in scores of psychological factors. 3 The Logistic stepwise regression analysis showed that peripheral blood pressure was related with exercise habits,family history of hypertension,triglyceride,blood glucose and BMI. CSBP was related with family history of hypertension,triglyceride,blood glucose and BMI. Conclusion The rising of CSBP indicates that artery elastic function declines in college students with hypertension. We should take measures to prevent the main risk factors such as family history of hypertension,triglyceride,and high blood glucose,increased BMI and decreased exercise in college students.
出处
《安徽医科大学学报》
CAS
北大核心
2015年第11期1620-1624,共5页
Acta Universitatis Medicinalis Anhui
基金
科技基础性工作专项项目(编号:2013FY114000)
关键词
中心动脉收缩压
高血压
青年
危险因素
central systolic blood pressure
primary hypertension
young
risk factors
