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目的 研究分析高血压家族中高血压病患者与非高血压人员各项危险因素 (如一般状况、生活饮食习惯及实验室生化检查 )的差别。方法 选取 2 0 0 3年初至 2 0 0 4年初在宣武医院心内科门诊就诊的原发性高血压患者 ,经询问确定为高血压家族 ,对家族成员进行问卷调查及实验室检查 ,涉及家族 84个 ,共 36 8人 ,选出直系同辈共 192人。代谢综合征的诊断根据ATPⅢ来确定。结果实验室检查高血压家族中的高血压患者较非高血压人员血脂水平高 ,血糖水平高 ,体重指数 (BMI)高 ;在生活调查中 ,高血压患者男性为多 ,吸烟、饮酒者多 ,喜咸食 ,性格易急躁。在进行logistic回归后 ,超重 (BMI>2 3)、吸烟、性格急躁同发生高血压存在相关关系。两组代谢综合征的发生率差异有统计学意义。结论 高血压家族中非高血压人员首要的预防措施为控制体重 (BMI)。高血压家族中高血压患者较非高血压人员代谢综合征的发病率高。
Objective To analyze the differences of various risk factors (such as general condition, daily living habits and laboratory biochemical tests) between hypertensive patients and non-hypertensive patients in the hypertensive family. Methods From the beginning of 2003 to the beginning of 2004 in Xuanwu Hospital Cardiology outpatient treatment of patients with essential hypertension identified as hypertension by asking the family members of the family questionnaire and laboratory tests involving the family 84 A total of 368 people, elected a total of 192 direct peer. The diagnosis of metabolic syndrome is based on ATP III. Results Hypertension patients with hypertension in laboratory were higher than non-hypertensive patients in blood lipid levels, high blood sugar levels, high body mass index (BMI); in the life survey, hypertensive patients were more men, smoking, drinking more, Hi salty food, easy to impatient character. After the logistic regression, there was a relationship between overweight (BMI> 23), smoking, impatience with hypertension. The incidence of metabolic syndrome between the two groups was statistically significant. Conclusion The primary preventive measure for non-hypertensive individuals in the hypertensive family is weight management (BMI). The incidence of metabolic syndrome is higher in hypertensive patients with hypertension than in non-hypertensive patients.