摘要
目的分析2019-2022年山东省枣庄市薛城区小学生的高血压检出率,为高血压防控提供依据。方法2019-2022年每年在山东省枣庄市薛城区调研2所小学学校,纳入一年级至六年级的小学生4384名。采用自填问卷法,对研究对象进行基本人口学特征问卷调查。对研究对象进行体格检查,测量身高、体质量、收缩压、舒张压,计算体质量指数(BMI)。分析高血压检出情况及高血压类型。应用χ^(2)检验和趋势性检验分析比较不同年龄、性别和BMI小学生的高血压检出率。结果小学生高血压检出率为18.0%(788/4384)。10.5~12岁小学生的高血压检出率最高,为19.8%(357/1802)。男生高血压检出率高于女生(χ^(2)=4.851,P<0.05)。9岁以后男生收缩压高于女生收缩压。男生中单纯性收缩压升高比例较高,而女生中混合型高血压比例较高(χ^(2)=13.932,P<0.05)。不同BMI分组间的高血压检出类型差异无统计学意义(χ^(2)=2.122,P>0.05)。结论山东省枣庄市薛城区小学生高血压检出率较高,9岁是学生血压变化的重要时期。
Objective To analyze the prevalence of hypertension among primary school students in Xuecheng district,Zaozhuang city,Shandong province,so as to provide scientific basis for prevention and control of hypertension.Methods Two elementary schools in Xuecheng district,Zaozhuang city,Shandong province were researched each year during the period of 2019-2022,and 4384 elementary school students from grades 1 to 6 were included.A self-administered questionnaire method was used to administer a questionnaire on basic demographic characteristics to the study participants.Physical examination was performed on the study subjects,and height,body mass,systolic blood pressure,diastolic blood pressure,and body mass index(BMI)were measured.Hypertension detection and type of hypertension were analyzed.The 2-test and trend test were applied to analyze and compare the detection rate of hypertension among elementary school children of different age,gender and BMI.Results The detection rate of hypertension in primary school students was 18.0%(788/4384).Grouping analysis of age showed that the highest detection rate of hypertension was 19.8%(357/1802)in the age group of 10.5 to 12 years old.The detection rate of hypertension in boys was higher than that in girls(χ^(2)=4.581,P<0.05),and after the age of 9,the systolic blood pressure in boys was higher than that in girls.The proportion of simple increase in systolic blood pressure was higher in boys,while the proportion of mixed type hypertension was higher in girls(χ^(2)=13.932,P<0.05).There was no statistically significant difference in the type of hypertension detection between different BMI groups(χ^(2)=2.122,P>0.05).Conclusion The detection rate of hypertension among elementary school students in Xuecheng district,Zaozhuang city,Shandong province is high,and the age of 9 years is an important period for students'blood pressure changes.
作者
谢慧
秦华辉
孙中环
XIE Hui;QIN Hua-hui;SUN Zhong-huan(Xuecheng District Center For Disease Control and Prevention,Zaozhuang City,Shandong 277000,China;Section of School Health,Xuecheng District Center For Disease Control and Prevention,Zaozhuang City;Section of Immu-nization Planning,Xuecheng District Center For Disease Control and Prevention,Zaozhuang City)
出处
《预防医学论坛》
2023年第10期790-793,共4页
Preventive Medicine Tribune
关键词
小学生
舒张压
收缩压
高血压
学校卫生
Primary school students
Diastolic blood pressure
Systolic blood pressure
Hypertension
School health