新疆南山牧區(qū)哈薩克族人群高血壓患病率及危險(xiǎn)因素分析
發(fā)布時(shí)間:2018-03-21 00:13
本文選題:哈薩克族 切入點(diǎn):高血壓 出處:《現(xiàn)代預(yù)防醫(yī)學(xué)》2017年05期 論文類(lèi)型:期刊論文
【摘要】:目的探討人口學(xué)、飲食習(xí)慣、行為方式等危險(xiǎn)因素與新疆南山牧區(qū)哈薩克族高血壓患病的關(guān)系,為制定綜合防制措施提供理論依據(jù)。方法采用整群隨機(jī)抽樣的方法對(duì)新疆南山牧區(qū)1鎮(zhèn)3鄉(xiāng)的哈薩克族牧民或半農(nóng)半牧民3 126人,進(jìn)行以高血壓為主要內(nèi)容的流行病學(xué)調(diào)查、血脂、血生化檢查并分析高血壓的患病率及影響因素。結(jié)果 (1)哈薩克族高血壓的患病率為48.88%,平均收縮壓(149.24±19.06)mm Hg,平均舒張壓(90.08±19.07)mm Hg;(2)不同性別、年齡的調(diào)查對(duì)象對(duì)危險(xiǎn)因素的暴露有所差異,男性以吸煙、飲酒、腌制熏肉及奶茶攝入等危險(xiǎn)因素比例為高,女性以超重肥胖及酥油攝入等危險(xiǎn)因素比例為高;奶茶攝入、超重肥胖、酥油攝入、吸煙、飲酒、食用腌制熏肉等危險(xiǎn)因素均隨著年齡的增加呈現(xiàn)拋物線(xiàn)趨勢(shì);(3)與正常組比較,高血壓組的BMI、腰圍、甘油三酯、α-羥丁酸及總膽固醇五個(gè)指標(biāo)(P0.05)均明顯增加,高密度脂蛋白(P0.05)明顯降低,差異具有統(tǒng)計(jì)學(xué)意義;(4)飲酒、年齡、奶茶(≥10碗/天)、腌制熏肉(≥6月/年)、酥油(≥25g/d)及體質(zhì)指數(shù)這6個(gè)危險(xiǎn)因素對(duì)新疆南山哈薩克族高血壓的影響最為嚴(yán)重,其發(fā)病風(fēng)險(xiǎn)分別是沒(méi)有這些因素影響的6.752、3.730、7.472、5.352、6.206和2.558倍。結(jié)論科學(xué)合理飲食,改變世襲的不良飲食行為習(xí)慣,多食蔬菜水果,少食咸鹽、脂肪類(lèi)、腌制類(lèi)食品可減少哈薩克族高血壓發(fā)生的危險(xiǎn)性。
[Abstract]:Objective to explore the relationship between the risk factors of demography, diet habit, behavior and hypertension in Kazak nationality in Nanshan pastoral area of Xinjiang. Methods A cluster random sampling method was used to investigate 3 126 Kazakh herdsmen or semi rural and semi rural herdsmen in 1 town and 3 townships in Nanshan pastoral area, Xinjiang, with hypertension as the main content. Results the prevalence rate of hypertension in Kazakh nationality was 48.88, the mean systolic blood pressure was 149.24 鹵19.06mm Hg, and the mean diastolic blood pressure was 90.08 鹵19.07mm Hg2). There were differences in exposure to risk factors among the subjects of age. The proportion of risk factors such as smoking, drinking, pickling bacon and milk tea was higher in men, and the proportion of risk factors such as overweight, obesity and butter intake in women was higher, the intake of milk tea was higher than that of women. Overweight and obesity, ghee intake, smoking, drinking, eating cured bacon and other risk factors all showed a parabolic trend with age) compared with the normal group, hypertension group BMI, waist circumference, The five indexes of triglyceride, 偽 -hydroxybutyric acid and total cholesterol (P0.05) were significantly increased, and the high density lipoprotein (HDL-C) P0.05) were significantly decreased. The difference was statistically significant (P < 0.05). Milk tea (鈮,
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