新疆南山牧区哈萨克族人群高血压患病率及危险因素分析

发布时间：2018-03-21 00:13

  本文选题：哈萨克族　切入点：高血压　出处：《现代预防医学》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨人口学、饮食习惯、行为方式等危险因素与新疆南山牧区哈萨克族高血压患病的关系,为制定综合防制措施提供理论依据。方法采用整群随机抽样的方法对新疆南山牧区1镇3乡的哈萨克族牧民或半农半牧民3 126人,进行以高血压为主要内容的流行病学调查、血脂、血生化检查并分析高血压的患病率及影响因素。结果 (1)哈萨克族高血压的患病率为48.88%,平均收缩压(149.24±19.06)mm Hg,平均舒张压(90.08±19.07)mm Hg;(2)不同性别、年龄的调查对象对危险因素的暴露有所差异,男性以吸烟、饮酒、腌制熏肉及奶茶摄入等危险因素比例为高,女性以超重肥胖及酥油摄入等危险因素比例为高;奶茶摄入、超重肥胖、酥油摄入、吸烟、饮酒、食用腌制熏肉等危险因素均随着年龄的增加呈现抛物线趋势;(3)与正常组比较,高血压组的BMI、腰围、甘油三酯、α-羟丁酸及总胆固醇五个指标(P0.05)均明显增加,高密度脂蛋白(P0.05)明显降低,差异具有统计学意义;(4)饮酒、年龄、奶茶(≥10碗/天)、腌制熏肉(≥6月/年)、酥油(≥25g/d)及体质指数这6个危险因素对新疆南山哈萨克族高血压的影响最为严重,其发病风险分别是没有这些因素影响的6.752、3.730、7.472、5.352、6.206和2.558倍。结论科学合理饮食,改变世袭的不良饮食行为习惯,多食蔬菜水果,少食咸盐、脂肪类、腌制类食品可减少哈萨克族高血压发生的危险性。
[Abstract]:Objective to explore the relationship between the risk factors of demography, diet habit, behavior and hypertension in Kazak nationality in Nanshan pastoral area of Xinjiang. Methods A cluster random sampling method was used to investigate 3 126 Kazakh herdsmen or semi rural and semi rural herdsmen in 1 town and 3 townships in Nanshan pastoral area, Xinjiang, with hypertension as the main content. Results the prevalence rate of hypertension in Kazakh nationality was 48.88, the mean systolic blood pressure was 149.24 卤19.06mm Hg, and the mean diastolic blood pressure was 90.08 卤19.07mm Hg2). There were differences in exposure to risk factors among the subjects of age. The proportion of risk factors such as smoking, drinking, pickling bacon and milk tea was higher in men, and the proportion of risk factors such as overweight, obesity and butter intake in women was higher, the intake of milk tea was higher than that of women. Overweight and obesity, ghee intake, smoking, drinking, eating cured bacon and other risk factors all showed a parabolic trend with age) compared with the normal group, hypertension group BMI, waist circumference, The five indexes of triglyceride, 伪 -hydroxybutyric acid and total cholesterol (P0.05) were significantly increased, and the high density lipoprotein (HDL-C) P0.05) were significantly decreased. The difference was statistically significant (P < 0.05). Milk tea (鈮，

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