多民族高校社区高血压视网膜病变影响因素的临床分析

发布时间：2018-05-06 10:10

本文选题：原发性高血压 + 高血压视网膜病变　；参考：《哈尔滨医科大学学报》2014年04期

【摘要】：目的探讨多民族高学历高校社区高血压视网膜病变(hypertension retinopathy,HRP)的相关影响因素。方法对社区内管理的381例原发性高血压患者(essential hypertension,EH)进行眼底照相,结合患者的病程、血压、血糖、糖化血红蛋白、血脂等指标进行分析。结果在381例原发性高血压患者中,大学本科及以上学历297例(78%),少数民族259例(68%),汉族122例(33%),发生高血压眼底病变205例(53.81%)。发生高血压眼底病变患者与未出现高血压眼底病变患者比较在病程、收缩压、舒张压、是否伴发空腹血糖升高、低密度脂蛋白等方面有显著性差异(P0.05),而在性别、脉压差、餐后2 h血糖、糖化血红蛋白、甘油三酯、胆固醇、高密度脂蛋白等方面无显著性差异(P0.05)。结论高血压眼底病变的发生与高血压患者的病程长、血压控制不良、伴随血糖升高、血脂等指标控制不良相关,是今后社区工作防治的重点。
[Abstract]:Objective to investigate the related factors of hypertension retinopathy (HRP) in multiethnic higher education community. Methods the fundus photography was performed in 381 patients with essential hypertension (EH), and the clinical course, blood pressure, blood glucose, glycosylated hemoglobin and blood lipid were analyzed. Results among 381 patients with essential hypertension, 297 cases with bachelor's degree or above were involved, 259 cases were from ethnic minorities, 122 cases were from Han nationality, and 205 cases had hypertension fundus lesion. There were significant differences in course of disease, systolic blood pressure, diastolic blood pressure, whether accompanied by increased fasting blood glucose, low density lipoprotein and so on in patients with hypertension fundus disease compared with those without hypertensive fundus disease (P 0.05), but in gender, pulse pressure difference, etc. 2 h postprandial blood glucose, glycosylated hemoglobin, triglyceride, cholesterol, high density lipoprotein had no significant difference (P 0.05). Conclusion the occurrence of hypertension fundus disease is related to the long course of hypertension, poor blood pressure control, accompanied by increased blood sugar, poor control of blood lipid and so on, which is the focus of community prevention and treatment in the future.
【作者单位】：中国矿业大学(北京)社区卫生服务站眼科;中央民族大学医院;首都医科大学宣武医院神经变性病教育部重点实验室;
【基金】：首都医学科研发展基金(2007-1035)
【分类号】：R544.1;R774.13

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