Abstract
詹思延,刘美贞,姚巍,胡永华,李立明,祝国英,孙宁玲,戴立强.上海市社区高血压人群左室肥厚的患病率及影响因素[J].Chinese journal of Epidemiology,2002,23(3):182-185
上海市社区高血压人群左室肥厚的患病率及影响因素
Prevalence and relevant factors on echocardiographic left ventricular hypertrophy among community-based hypertensive patients in Shanghai
Received:December 18, 2001  
DOI:
KeyWord: 高血压  左室肥厚  横断面研究
English Key Word: Hypertension  Left ventricular hypertrophy  Cross-sectional studies
FundProject:国家“九五”科技攻关项目(96-906-02-05)
Author NameAffiliation
ZHAN Siyan The Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China 
LIU Meizhen 北京大学附属人民医院心内科 
YAO Wei The Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China 
HU Yonghua The Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China 
LI Liming The Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100083, China 
ZHU Guoying 上海市南市区卫生局 
SUN Ningling 北京大学附属人民医院心内科 
DAI Liqiang 上海市南市区卫生局 
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Abstract:
      目的 了解社区人群左室肥厚的患病率及其影响因素. 方法 对上海市南市区高血压人群进行横断面调查. 结果 调查高血压人群1 686人, 其中男性978人, 女性 708人. 左室肥厚患病率为29. 2%, 男女性分别为25. 4%和34. 5%, 女性明显高于男性 (χ2=16. 17, P<0. 01), 且患病率在两性均随年龄而增加, 在45、55~、65~岁年龄段男女性别之间左室肥厚的患病率差异均有显著性 (P<0. 05). 单因素及多因素分析结果表明性别、年龄、文化程度、体重指数、收缩压均是左室肥厚的影响因素, 其中文化程度为保护性因素. 结论 社区中老年人左室肥厚的患病率高, 与多种复杂因素有关, 应从多方面对这些因素进行针对性防治.
English Abstract:
      Objective To investigate the prevalence and relevant factors on the echocardiographic left ventricular hypertrophy (LVH). Method A cross sectional study was conducted among the hypertensive patients in an urban community. Results The prevalence of LVH was 29.2 % in 1 686 hypertensive patients, with 25. 4 % in males and 34. 5 % in females, respectively. The prevalence was significantly higher in females than in males(χ2= 16. 17, P<0. 01 ). The rate was increasing with age and significantly higher prevalence was observed in 45, 55, 65 age groups of females(P<0. 05 ). Moreover, elevated systolic blood pressure and higher BMI were related to the LVH in hypertensive patients, while higher education level seemed a protective factor. Conclusion These Results implied that a comprehensive intervention should be taken in the prevention of LVH.
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