摘要
目的探讨大学新生血压水平及其与静息心率(RHR)的相关性,为制定大学生高血压及心血管病早期预防措施提供科学依据。方法采用整群抽样法,于2016年9月对江汉大学4 653名大学新生进行血压、静息心率测量,分析高血压前期检出率及其与RHR的关系。结果 RHR1(RHR<60次/min),RHR2(RHR<60～100次/min),RHR3(RHR>100次/min)构成比大学男生分别为2.28%,96.35%和1.38%,大学女生分别为2.28%,96.35%和1.38%,差异有统计学意义(χ~2=7.29,P<0.01);大学新生高血压前期检出率为40.04%,男生检出率(59.46%)高于女生(23.27%),差异有统计学意义(χ~2=710.85,P<0.01);男、女生收缩压、舒张压均值和高血压前期检出率均随RHR增加呈上升趋势,RHR1组、RHR2组、RHR3组男生高血压前期检出率分别为37.31%,60.03%和70.00%,女生分别为5.13%,23.39%和35.29%,差异均有统计学意义(χ~2值分别为13.94,9.56,P值均<0.01)。相关性分析显示,男生收缩压、舒张压均与RHR呈正相关(r值分别为0.13,0.30,P值均<0.01),女生RHR与舒张压正相关(r值分别为0.12,0.17,P值均<0.01)。男生、RHR加快是大学生高血压前期的危险因素(OR值分别为5.70,3.43)。结论大学新生高血压前期的检出率较高,血压与RHR呈正相关,男生和RHR加快是高血压前期的危险因素。
Objective To explore the relationship between blood pressure and the resting heart rate（ RHR） in college freshmen. Methods By using cluster sampling method,blood pressure and resting heart rate was measured among 4 653 freshmen from Jianghan University in Sept. 2016. The relationship between prehypertension and RHR was analyzed. Results The detection rate RHR1,RHR2 and RHR3 in male freshmen was 2.28%,96.35% and 1.38%,respectively. The figure was 2.28%,96.35% and 1.38% in female freshmen,illustrating significant sex differences（ χ^2= 7.292,P〈0.01）. The prevalence of prehypertension was40.04%,with male（ 59.46%） higher than female（ 23.27%）（ χ^2= 710.85,P〈0.01）. SBP and DBP among male freshmen P〈0sitively correlated with RHR（ r = 0.130,0.295,P〈0.01）,while only DBP correlated with RHR in female students（ r = 0.10,0.17,P〈0.01）. Male and RHR was risk factors for early hypertension among college students（ OR = 4.939,2.831）. Conclusion The prevalence of prehypertension among college freshmen is alarming. blood pressure P〈0sitively correlates with RHR. Male and RHR are risk factors for prehypertension.
作者
张秋梅
阎驰
ZHANG Qiumei;YAN Chi(Hospital of Jianghan University,Wuhan（430056）,China)
出处
《中国学校卫生》
CAS
北大核心
2018年第9期1381-1383,共3页
Chinese Journal of School Health
关键词
高血压
心率
回归分析
学生
Hypertension
Heart rate
Regression analysis
Students
