| 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 Name | Affiliation | | 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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