摘要
目的探讨佛山市顺德区容桂街道老年人踝间血压差异(IAND)情况。方法选择老年人1032例,被调查且资料完整人数929例。调查的项目有年龄、性别、吸烟史、高血压家族史、高血压史及服用降压药物史、糖尿病史、身高和体重;检测空腹血糖、TC、TG、HDL-C和LDL-C。结果容桂街道老年人群的踝间收缩压差异检出率为28.6%,踝间舒张压差异检出率为16.9%。总体上右踝收缩压明显高于左踝,左踝舒张压明显高于右踝(P<0.05)。男性右踝收缩压和舒张压高于左踝,但差异无统计学意义;女性左踝舒张压明显高于右踝。踝高收缩压和踝高舒张压人群踝间收缩压差异检出率和踝间舒张压差异检出率均明显高于无踝高血压人群。左右踝部收缩压的绝对差值和左右踝部收缩压的绝对差值/踝收缩压与冠心病危险因素积分呈正相关。结论容桂街道老年人群踝高收缩压和踝高舒张压是影响IAND检出率的主要因素。
Objective To study the inter ankle blood pressure difference in Ronggui community elderly subjects,Shunde District, Fushan City, Guangdong Province, China. Methods Of the se- lected 1032 elderly subjects,929 with complete data were included in this study. Their age,sex, and history of smoking, family hypertension, hypertension, use of antihypertensive drugs, diabetes mellitus, body height and body weight were recorded. Their serum levels of fasting blood glucose, TC, TG, HDL-C and LDL-C were measured. Results The detection rate of inter-ankle blood pressure difference and inter-ankle diastolic pressure difference was 28.6% and 16. 9% ,respec- tively,in Ronggui community elderly subjects. The right ankle systolic pressure was significantly higher than the left ankle systolic pressure and the left ankle diastolic pressure was significantly higher than the right ankle diastolic pressure. The right ankle systolic pressure was higher than the left ankle diastolic pressure in males. The left ankle diastolic pressure was significantly higher than the right ankle diastolic pressure in females. The detection rate of inter-ankle blood pressure difference and inter-ankle diastolic pressure difference was significantly higher in elderly subjects with high ankle systolic and diastolic pressure than in those without high ankle systolic and dias- tolic pressure. The absolute differential value of left and right ankle blood pressure was positively correlated with the risk factors for coronary heart disease. Conclusion High ankle systolic and di- astolic blood pressures are the main risk factors for inter-ankle blood pressure difference in Rong- gui community elderly subjects, Shunde District, Fushan City, Guangdong Province, China.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2014年第1期39-41,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
基金
佛山市科技攻关项目(201108258)
关键词
踝
血压
冠心病
动脉粥样硬化
流行病学研究
ankle
blood pressure
coronary disease
atherosclerosis
epidemiologic studies
