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目的探讨工业园社区老年高血压人群体质指数(BMI)与血脂及血压的关系。方法采用分层随机整群抽样方法,对该社区≥60岁的818例老年高血压患者按不同BMI分为I组(578例BMI<24kg/m2),II组(198例,24kg/m2≤BMI<28kg/m2),III组(42例,BMI≥28kg/m2),进行流行病学调查和血脂及血压检测。结果II、III组收缩压、TC、TG、LDL-C较I组显著升高(P<0.05)血脂异常发生率显著升高(P<0.05),HDL-C异常率组比较无显著差异,随BMI升高,高血压分级逐渐升高。结论积极控制BMI对预防血脂异常,高血压发生发展,降低心脑血管事件的发病率有重要意义。
Objective To explore the relationship between body mass index (BMI) and blood fat and blood pressure in elderly hypertensive population in industrial park community. Methods A stratified randomized cluster sampling method was used to divide 818 elderly hypertensive patients ≥60 years of age in this community into groups I (578 BMI <24kg / m2) and group II (198 cases, 24kg / m2≤ BMI <28kg / m2), group III (42cases, BMI≥28kg / m2), epidemiological investigation and blood lipid and blood pressure test. Results The systolic blood pressure, TC, TG and LDL-C in group II and group III were significantly higher than those in group I (P <0.05), and the incidence of dyslipidemia was significantly increased (P <0.05) As BMI increases, the grade of hypertension gradually increases. Conclusion The positive control of BMI is of great significance in preventing the development of dyslipidemia, hypertension and reducing the incidence of cardiovascular and cerebrovascular events.