百色市现症高血压各亚型患病率及其与体质糖脂和血尿酸关联性的研究.docVIP

百色市现症高血压各亚型患病率及其与体质糖脂和血尿酸关联性的研究 　　【摘要】 目的 探讨高血压患病率，现症高血压单纯性收缩期高血压亚型(ISH)、单纯性舒张期高血压亚型（IDH）和联合性高血压亚型（SDH）的患病率及其与肥胖、血糖、血脂和血尿酸的关联性。 　　方法对百色市16～81岁居民进行血压、肥胖、血糖、血脂和血尿酸检测，计算ISH、IDH和SDH的患病率，分析ISH、IDH和SDH与肥胖、血糖、血脂和血尿酸的关系。结果 受检15102例，高血压患者4427例;其中新诊2605例，已诊1822例;现症3561例，ISH、IDH和SDH的患病率分别为8.7%、6.5%和8.4%，男性以SDH为主，女性以ISH为主，与非高血压组比较，ISH组和SDH组的BMI、腰臀比、空腹血糖、血尿酸、TC、TG、LDLC和vLDLC高（P＜0.01），HDLC低（P＜0.01），IDH的BMI、腰臀比、血尿酸、TC、TG、LDLC和vLDLC高（P＜0.01），HDLC低（P＜0.01），空腹血糖差别无统计学意义（P＞0.05）；与ISH组和SDH组比较，IDH组的空腹血糖和LDLC低（P＜0.01），TG和vLDLC高（P＜0.01）。结论百色市社区居民高血压累计患病率为29.3%，现症患病率为23.6%，普查新发现率为12.0%，高血压现症患者IDH亚型患病率高于SDH和ISH；男性以IDH为主，女性以SDH为主；IDH组空腹血糖均值低于SDH组和ISH组，不高于非高血压组，TG和vLDLC均值高于SDH组和ISH组，不同高血压亚型临床预防与治疗方法应当分别对待，有60%的高血压患者长期处于漏诊之中，提示该地区高血压面上防治宣传仍然任重而道远。 　　【关键词】 高血压亚型；患病率；肥胖；血糖；血脂；血尿酸 　　文章编号：1003-1383(2010)06-0653-04 中图分类号：R 544.1 文献标识码：A 　　doi:10.3969/j.issn.1003-1383.2010.06.001 　　 　　Analysis on morbidity rate of the new diagnosed subtypes of hypertension and the itscorrelation with glycolipid and serum uric acid in Baise 　　HUANG Zhaoquan，TANG Yujin，LU Kexing，LI Tianzi， PAN Xingshou， WANG Junli， 　　LIANG Ye， LAN Jiafu， LUGaoxiang， WANG Ruoqi，XU Xiaoping 　　(Cardiovascular Prevention Institute of Youjiang Medical College for 　　Nationality， Baise Guangxi 533000， China) 　　【Abstract】 ObjectiveTo study the morbidity rate of the new diagnosed subtypes of hypertension in Baise city and its relationship with metabolic syndrome (MS). 　　Methods The blood pressure,obesity,blood glucose,blood lipid and serum uric acid of the residents age from 16 to 81 in Baise city was measured.The indices of hypertension of isolated systolic hypertension (ISH),isolated diastolic hypertension(IDH) and systolic??diastolic hypertension(SDH)was calculated, and their relationship with metabolic syndrome(MS) was analyzed. 　　Results 4427 in 15102 participants were suffered from the hypertension，2605 case were new diagnosed; 3561 present hypertensive cases，the morbidity rate of isolated systolic hypertension(ISH)，iso