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目的探讨维哈蒙汉族中老年自然人群脉压水平、心血管危险因素聚集情况及两者之间的关系。方法采用随机整群抽样的方法对新疆博州40岁以上的蒙哈维汉四民族居民共2648人进行流行病学调查。结果(1)男女脉压水平与年龄、收缩压、舒张压、血糖、体重指数和腹围等呈正相关,男性脉压还与血胆固醇和血甘油三酯呈正相关。(2)心血管危险因素聚集为77.24%,有随年龄增长的趋势,四民族间无明显差异,但维族女性远高于男性,而蒙族男性高于女性。(2)脉压≤60 mmHg组者中高血压、高血糖和危险因素聚集评分的异常检出率低于其他组。结论新疆博州中老年人群心血管病的主要危险因素高血压、高脂血症、超重腹型肥胖、糖尿病和心血管危险因素聚集的流行程度均已达到较高水平,脉压>60 mmHg者心血管危险因素聚集明显增加。
Objective To investigate the relationship between pulse pressure and cardiovascular risk factors in the middle-aged and elderly population in the Vahamonian Han nationality and their relationship. Methods A total of 2648 people from four ethnic groups living in Menghaweihan over the age of 40 in Bo’zhou, Xinjiang were investigated by random cluster sampling method. Results (1) Male and female pulse pressure levels were positively correlated with age, systolic blood pressure, diastolic blood pressure, blood glucose, body mass index and abdominal circumference. Male pulse pressure was also positively correlated with blood cholesterol and triglyceride. (2) The cardiovascular risk factors were 77.24%, with the trend of age increasing. There was no significant difference among the four ethnic groups, but Uighur women were much higher than men, while Mongolian males were higher than females. (2) The detection rate of anomaly of aggregation score of hypertension, hyperglycemia and risk factors in pulse pressure ≤60 mmHg group was lower than other groups. Conclusion The prevalence of hypertension, hyperlipidemia, overweight belly obesity, diabetes mellitus and cardiovascular risk factors, the main risk factors of cardiovascular disease in middle-aged and elderly population in Bortala in Xinjiang have reached a high level. Pulse pressure> 60 mmHg Cardiovascular risk factors increased significantly.