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四川茂县土门乡低血压现况调查及影响因素分析
张鹏1△,赵平2△,沈志雷3△,刘世建1*,李淑华1,王国萍1,张宏伟1,顾春英1,朱仁心3
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(1.第二军医大学基础部流行病学教研室,上海 200433;2.第二军医大学基础部微生物学教研室,上海 200433; 3.第二军医大学海军医学系,上海 200433)
摘要:
目的:了解茂县农村居民低血压患病情况,探讨低血压的危险因素。方法:利用在茂县抽样调查的人群资料,进行低血压的横断面研究。10~14岁儿童低血压标准为:收缩压(SBP)≤80 mmHg(1 mmHg=0.133 kPa)或者舒张压(DBP)≤50 mmHg,15岁以上低血压标准为:SBP≤90 mmHg或者 DBP≤60 mmHg。结果:男性和女性的低血压患病率分别为8.2%和12.2%。从低年龄组到高年龄组(10岁~、20岁~、40岁~、60岁~),低血压的患病率分别为17.3%、12.3%、4.8%、5.5%。Logistic 回归分析显示,年龄(OR=0.566,95%CI 0.406~0.789)、性别(OR=1.999,95%CI 1.171~3.411)和民族(OR=6.967,95%CI 2.322~20.905)与低血压状态相关。结论:低年龄组人群是低血压的高发人群,女性和非羌族人群在当地可能是易患人群,这为进一步探索低血压的病因提供了线索。
关键词:  低血压  患病率  危险因素  横断面研究
DOI:10.3724/SP.J.1008.2009.0710
投稿时间:2008-10-14修订日期:2009-03-12
基金项目:
Prevalence and risk factors of low blood pressure in Tumen town of Maoxian County in Sichuan Province
ZHANG Peng1△,ZHAO Ping2△,SHEN Zhi-lei3△,LIU Shi-jian1*,LI Shu-hua1,WANG Guo-ping1,ZHANG Hong-wei1,GU Chun-ying1,ZHU Ren-xin3
(1.Department of Epidemiology,College of Basic Medical Sciences,Second Military Medical University,Shanghai 200433,China;2.Department of Microbiology,College of Basic Medical Sciences,Second Military Medical University,Shanghai 200433;3.Faculty of Navy Medicine,Second Military Medical University,Shanghai 200433)
Abstract:
Objective:To study the prevalence and major risk factors of low blood pressure in the rural area of Maoxian County in Sichuan Province.Methods: A cross-sectional study of low blood pressure was conducted using sampling survey of blood pressure in Maoxian County.Low blood pressure was defined for systolic (SBP) and diastolic (DBP) pressure according to child blood pressure (10-14 years:SBP ≤80 mmHg or DBP≤50 mmHg,1 mmHg=0.133 kPa) and adult low pressure criteria (over 15 years:SBP≤90 mmHg or DBP≤60 mmHg).Results: The prevalences of low blood pressure for males and females were 8.2% and 12.2%,respectively.Prevalences of low blood pressure were 17.3%,12.3%,4.8%,and 5.5% for age groups 10-,20-,40-,and 60-,respectively.Logistic regression showed that the age (OR=0.566,95%CI 0.406-0.789),gender(OR=1.999,95%CI 1.171-3.411) and nationality (OR=6.967,95%CI 2.322-20.905) were correlated with low blood pressure.Conclusion: Younger age is the risk factor of low blood pressure.Females and non-Qiang minorities have higher risk for low blood pressure,which offers clues for further study the causes of low blood pressure.
Key words:  hypotension  prevalence  risk factors  cross-sectional studies