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目的:探讨延边地区不同民族女性不同类型高血压患病率与其部分危险因素(吸烟、饮酒、肥胖类型、血脂水平及高血糖)之间的关系。方法:采取随机整群抽样法抽取1859例30～70岁朝鲜族和汉族常住女性居民,测量其身高、体重、腰围及血压,同时采集空腹静脉血测定血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)及血糖(GLU)水平。结果:①朝鲜族女性与汉族女性不同类型高血压患病率比较有统计学意义(P<0.01),高血压、单纯收缩期高血压(ISH)和收缩期高血压合并舒张期高血压(SDH)的患病率随年龄增长而升高,其升高趋势有统计学意义(P<0.001)。②汉族女性周围型肥胖患病率高于朝鲜族女性(P<0.05),而朝鲜族女性中心型肥胖患病率高于汉族女性(P<0.001);汉族女性的吸烟率显著高于朝鲜族女性(P<0.001)。朝鲜族女性高脂血症和高血糖患病率均显著高于汉族女性(P<0.01)。结论:本地区女性高血压患病率与民族、年龄、是否吸烟、肥胖类型和血脂水平密切相关。
Objective: To explore the relationship between the prevalence of different types of hypertension among different ethnic women in Yanbian and some of its risk factors (smoking, alcohol consumption, obesity type, blood lipid level and hyperglycemia). Methods: A total of 1859 Korean and Han female residents aged 30-70 years were enrolled in this study. Their height, weight, waist circumference and blood pressure were measured. Meanwhile, fasting venous blood was collected for determination of serum total cholesterol (TC), triglyceride TG), high-density lipoprotein cholesterol (HDL-C) and blood glucose (GLU) levels. Results: ①The prevalence of different types of hypertension among Korean women and Han women was statistically significant (P <0.01), hypertension, isolated systolic hypertension (ISH) and systolic hypertension with diastolic hypertension ) Prevalence increased with age, the rising trend was statistically significant (P <0.001). ②The prevalence of peripheral obesity in Han women was higher than that in Korean women (P <0.05), while the prevalence of central obesity in Korean women was higher than that in Han women (P <0.001). Smoking prevalence rate in Han women was significantly higher than that in Korean women Female (P <0.001). The prevalence of hyperlipidemia and hyperglycemia in Korean women was significantly higher than that in Han women (P <0.01). Conclusion: The prevalence of female hypertension in the region is closely related to ethnicity, age, smoking status, obesity type and blood lipid level.