摘要
目的了解社区高血压患者体质指数(BMI)和其他心脑血管疾病的危险因素的分布特点、冠心病发病风险、及它们间的相关情况。方法通过全人群现场调查和血压测量发现疑似病例,2w后对疑似病例复查来确诊高血压患者,对高血压患者进行详细的体检和血液的化验检查。对2015例确诊的社区高血压患者的资料进行统计分析。结果高血压患者中男性、女性的超重或肥胖患病率分别为57.2%、55.4%,远高于一般人群的患病率;BMI与甘油三酯(TG)、总胆固醇(TC)与高密度脂蛋白胆固醇(HDL-C)比值、低密度脂蛋白胆固醇(LDL-C)与高密度脂蛋白胆固醇(HDL-C)比值、TG/HDL-C、血糖的水平呈正相关,与HDL-C水平呈负相关;BMI与未来10a冠心病的预测发病风险呈正相关;超重或肥胖患者中危险因素水平、异常率高于正常体重组。结论高血压患者伴发超重或肥胖时,心脑血管病的发病风险增加,为了预防和控制心脑血管疾病的发生,应及早控制并减轻体重。
Objective To describe the distribution of BMI and risk factors of cardiovascular diseases （CVD） in hypertensive patients in Chinese communities, and to analyze the association between them. Methods Screen the whole population in the community at baseline and select the suspicious patients to make diagnoses in the next 2 weeks. Detailed physical examination and blood examination were taken for all patients. Data analysis was made by SAS8.2. Results 2 015 cases were collected. The prevalence rate of overweight or obesity in hypertensives was larger than that of common population, 57.2 % for men and 55.4 % for women. The BMI was positively related to the level of triglyceride （TG）, the ratio of total cholesterol （TC） and high density lipoprotein cholesterol （HDL-C）, the ratio of low density lipoprotein cholesterol （LDL-C） and HDL-C, the ratio of TG and HDL-C, and blood sugar, respective- ly, but was negatively associated with the level of HDL-C. The expected risk of coronary heart disease within 10 years increased with BMI. The level and abnormal proportion of risk factors for CVD were larger in hypertensives with overweight or obesity than in hypertensives with normal weight. Conclusions The hypertensive patients with overweight or obesity have high risk of cardiovascular diseases. In order to prevent and control the cardiovascular diseases, weight loss and control should be conducted as early as possible.
出处
《疾病控制杂志》
2007年第1期15-20,共6页
Chinese Journal of Disease Control and Prevention
基金
国家"九五"重点攻关项目(96-906-02-05)
国家"十五"重点攻关项目(2001BAF03B02)
关键词
高血压
危险因素
Hypertension
Risk factors
