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目的:比较单纯收缩期、单纯舒张期及收缩期合并舒张期初发高血压患者代谢特征的差别。方法:以2002-03/07重庆大学和珞璜电厂20岁以上常住人口为调查对象。抽样个体主要为教师和工程技术人员3717人,对能完成血压、血糖、血脂和体脂参数测定且既往没有高血压病史的2431人进行统计分析。所有调查对象均进行血压、体质量指数、腰围、血糖、血脂、胰岛素等指标的测定。比较分析不同血压人群的糖脂代谢紊乱、肥胖患病情况。结果:按意向处理分析,完成调查人数2431人,初发高血压415人,发病率17.07%。单纯收缩期高血压222人(53.49%);单纯舒张期高血压80人(19.28%);收缩压期高血压合并舒张期高血压113人(27.23%)。血压正常者共2016人,男1141人(56.6%),女875人(43.4%)。单纯收缩期高血压、单纯舒张期高血压、收缩期高血压合并舒张期高血压人群腹型肥胖、糖脂代谢紊乱患病率和发生率均明显高于正常血压者(χ2=5.991～288.353,P<0.01)。单纯舒张期高血压人群超重/肥胖、腹型肥胖、糖尿病患病率和发生率(52.50%,67.50%,8.75%)均明显高于单纯收缩期高血压人群(33.78%,54.05%,22.07%,χ2=8.518,4.288,7.748,P<0.01);收缩期高血压合并舒张期高血压人群超重/肥胖和腹型肥胖患病率和发生率(49.56%,65.49%)明显高于单纯收缩?
OBJECTIVE: To compare the metabolic characteristics of patients with simple hypertension, simple diastole and systolic hypertension combined with diastolic hypertension. Methods: The resident population above 20 years of age from Chongqing University and Luohuang Power Plant was investigated from March to March in 2002-03. The sampled individuals consisted of 3,717 teachers and engineers respectively. Statistical analyzes were performed on 2431 people who completed the measurement of blood pressure, blood glucose, lipids and body fat parameters and no prior history of hypertension. All subjects were measured blood pressure, body mass index, waist circumference, blood glucose, blood lipids, insulin and other indicators of determination. Comparative analysis of different blood pressure glucose and lipid disorders, the prevalence of obesity. Results: According to the analysis of intention to treat, the number of completed survey of 2431 people, the initial high blood pressure of 415 people, the incidence rate of 17.07%. There were 222 patients (53.49%) with isolated systolic hypertension, 80 patients with simple diastolic hypertension (19.28%) and 113 patients with systolic hypertension (27.23%) with diastolic hypertension. A total of 2016 normal blood pressure, male 1141 (56.6%), female 875 (43.4%). Simplex systolic hypertension, simple diastolic hypertension, systolic hypertension with diastolic hypertension abdominal obesity, the prevalence of dyslipidemia and the incidence was significantly higher than those with normal blood pressure (χ2 = 5.991 ~ 288.353, P <0.01). The prevalence of overweight / obesity, abdominal obesity, diabetes mellitus and incidence of diastolic hypertension were significantly higher in those with diastolic hypertension (52.50%, 67.50%, 8.75%) than in those with isolated systolic hypertension (33.78%, 54.05%, 22.07% , χ2 = 8.518,4.288,7.748, P <0.01). The prevalence and incidence of overweight / obesity and abdominal obesity (49.56%, 65.49%) in patients with systolic hypertension and diastolic hypertension were significantly higher than those in patients with simple systole.