摘要
目的探讨从西藏高原移居成都市与世居成都市人群罹患心血管疾病的异同特征和分布规律。方法选择从西藏高原移居成都市且住地相对集中的汉族成人500例为观察组,世居成都市人群500例为对照组,就两组调查人群数、性别、年龄及居住环境进行配对,通过问诊查体和有关检查,结合相关心血管疾病标准做出诊断。采用Stata(Ver5.0)统计软件进行资料分析,两组计数资料比较采用χ2检验。结果观察组心血管疾病总患病率(16%)及心血管疾病亚组人群中高血压(19.8%)和风心病患病率(0%)均明显低于对照组(42.0%,26.4%,2.4%)(P均<0.05),其他各类心血管疾病患病率两组差异均无显著性(χ2=0～2.25,P均>0.05);男性心血管病总患病率(37.2%)对照组高于观察组(49.6%)(χ2=7.33,P<0.05),两组均显示心血管疾病随年龄增加而增加,尤其61～80岁中对照组更为显著(χ2=12.39,P<0.05)。结论高原移居成都市人群高血压患病率低于世居成都市人群,显示部分高原高血压在移居成都后血压可恢复正常;世居成都市人群风心病患病率高于高原移居成都市人群,表明气候潮湿在风心病发病中可能为一独立的重要诱因;世居成都市人群中男性心血管病总患病率高于西藏移居成都市人群,同时,世居成都市人群中,老年心血管疾病患病率高于西藏移居成都市人群,均提示该性?
Aim To investigate the differences in prevalence of cardiovascular di se ases between the plateau immigrants and inlanders in Chengdu and the distributio n of cardiovascular diseases in the two kinds of people. Methods 500 citizens of Chengdu, who were emigrated from Tibet, were employed in the study. Other 500 s ex, age and living condition-matched people who were the native of Chengdu were used as controls. The diagnosis standard of cardiovascular diseases was based o n Medicine Textbook. Chi-square test was used to analyze categorical variable. Results The total prevalence rate of cardiovascular diseases, the prevalence rat es of hypertension and rheumatic heart valve disease were 31.6%, 19.8%and 0%i n the observational group respectively, significantly lower than those in the co ntrol group (42.0%, 26.4%and 2.4%respectively,χ2=11.18,P< 0.005;χ2=5.7645 ,P< 0.01;χ2=10.21,P< 0.005). There was no difference between two groups in th e prevalence of other cardiovascular disease(P >0.05). The total prevalence rate of cardiovascular diseases in the male was 37.2%in the observational group, si gnificantly lower than that in the control group (49.6%,χ2=7.33,P< 0.05).The i ncidence of cardiovascular diseases was increased with the age, which was most s ignificant in the people aged 61-80 years old of the two groups. Conclusion It is indicated that partial plateau hypertension falls to the normal degree after the patients left Tibet to Chengdu. The humid climate may be one of the independ ent factors inducing the episode of rheumatic heart valve disease. The prevalenc e rate of cardiovascular disease is related with the age.
出处
《中国临床康复》
CSCD
2003年第18期2548-2549,共2页
Chinese Journal of Clinical Rehabilitation
基金
西藏自治区科技厅重点科技资助项目(2000-71)~~
