Abstract
陈争鸣,李婉先.上海部分农村血压与死亡率的关系[J].Chinese journal of Epidemiology,1987,8(2):80-83
上海部分农村血压与死亡率的关系
The Blood Pressure and Mortality Rates in Some Rural Communities of Shanghai
  
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Author NameAffiliation
Chen Zhengming Shanghai Medical University 
Li Wanxian Shanghai Medical University 
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Abstract:
      随访了1973年调查的735名40~70岁的农村社员,按当时测量的血压值计算并比较高血压组与血压正常组累计死亡率的差别并计算相对危险度。
全人群中,高血压组与血压正常组相比,全心血管疾病死亡的相对危险度为2.22,脑血管病为2.53,其他死因为2.17,总死亡的相对危险度为1.59,差别均有显著性,平衡了其他因素后仍显示了这种联系存在,除总死亡外差别皆达到显著性水平。血压与各类疾病死亡率的关系在女性较为明显,在男性未能显示出,其原因尚待探讨。
English Abstract:
      The impact of diastolic blood Pressure upon total and cause-specific mortality during 12-yr follow-up was investigated for 735 commune members in the suburbs of Shanghai, aged 40-70 at baseline examination. The analysis of survivoral data showed a significant difference between elevated (DBP=90mmHg or more) and normal groups in overall mortality with relative risk of 1.59. Similar significant associations were found for CVD (RR=2.22), Cerebrovascular disease (RR=2.53), and other death cause (RR=2.17). These associations remained significant except with overall mortality when eight other variables were controled in Cox's regression model. No significant differences of mortality between elevated and normal DBP groups were found in men even treated with Cox's model. The cause requires further investigation. Our results confirmed, that high blood pressure is a major public health problem.
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