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目的探讨从西藏高原移居成都市与世居成都市人群罹患心血管疾病的异同特征和分布规律。方法选择从西藏高原移居成都市且住地相对集中的汉族成人500例为观察组,世居成都市人群500例为对照组,就两组调查人群数、性别、年龄及居住环境进行配对,通过问诊查体和有关检查,结合相关心血管疾病标准做出诊断。采用Stata(Ver5.0)统计软件进行资料分析,两组计数资料比较采用χ2检验。结果观察组心血管疾病总患病率(16%)及心血管疾病亚组人群中高血压(19.8%)和风心病患病率(0%)均明显低于对照组(42.0%,26.4%,2.4%)(P均<0.05),其他各类心血管疾病患病率两组差异均无显著性(χ2=0～2.25,P均>0.05);男性心血管病总患病率(37.2%)对照组高于观察组(49.6%)(χ2=7.33,P<0.05),两组均显示心血管疾病随年龄增加而增加,尤其61～80岁中对照组更为显著(χ2=12.39,P<0.05)。结论高原移居成都市人群高血压患病率低于世居成都市人群,显示部分高原高血压在移居成都后血压可恢复正常;世居成都市人群风心病患病率高于高原移居成都市人群,表明气候潮湿在风心病发病中可能为一独立的重要诱因;世居成都市人群中男性心血管病总患病率高于西藏移居成都市人群,同时,世居成都市人群中,老年心血管疾病患病率高于西藏移居成都市人群,均提示该性?
Objective To explore the similarities and differences in the distribution and characteristics of cardiovascular diseases among people who migrated from Chengdu to Chengdu and Chengdu to Chengdu city. Methods One hundred and fifty cases of Han adults who lived in Chengdu from the Tibetan plateau and lived relatively concentrated were selected as the observation group and 500 cases of the resident population in Chengdu were selected as the control group to match the population, sex, age and living environment of the two groups. Diagnostic body and related tests, combined with the relevant standards of cardiovascular disease diagnosis. Using Stata (Ver5.0) statistical software for data analysis, the two sets of count data were compared using χ2 test. Results The prevalence of cardiovascular disease (16%) and hypertension (19.8%) and rheumatic heart disease (0%) in the observation group were significantly lower than those in the control group (42.0%, 26.4%, 2.4 %) (P <0.05). The prevalence of other cardiovascular diseases was no significant difference between the two groups (χ2 = 0-2.25, P> 0.05). The overall prevalence of cardiovascular disease in men was 37.2% The control group was higher than that of the observation group (49.6%) (χ2 = 7.33, P <0.05). Both groups showed that the cardiovascular disease increased with age, especially in the control group from 61 to 80 years old (χ2 = 12.39, P <0.05). Conclusion The prevalence of hypertension in Chengdu population who lived in Chengdu Plateau was lower than that in other cities of Chengdu. It showed that the blood pressure of some highland hypertension patients in Chengdu was normal when they migrated to Chengdu. The prevalence of rheumatic heart disease in Chengdu residents was higher than that in Chengdu , Indicating that climate dampness may be an independent and important predisposing factor in the incidence of rheumatic heart disease. The prevalence of cardiovascular disease among men living in Chengdu is higher than that of Tibetans migrating to Chengdu. In addition, among the population in Chengdu, The prevalence of vascular disease is higher than that of Tibet migrating to Chengdu City, suggesting that sexuality?