论文部分内容阅读
目的探讨甘南藏族自治州藏族高血压病患者的盐敏感性分布。方法采用多阶段抽样的方法,对2013年6月至2014年11月甘南藏族自治州夏河县和合作市所辖社区藏族高血压病患者进行统计,再按照各社区高血压病患者所占总人数的比例,随机抽取原发性高血压病患者799例,最终纳入772例,对其进行问卷调查、体格检查及盐敏感性检测,根据盐敏感性的检测结果,分为盐敏感性高血压病(SS)组和非盐敏感性高血压病(NSS)组进行统计分析。结果甘南藏族自治州藏族高血压病患者中筛查出盐敏感性患者288例,非盐敏感性患者484例,检出率为37.3%;SS组腰围、臀围和体质量指数(BMI)均高于NSS组,年龄低于NSS组,2组比较差异均有统计意义(P<0.05或P<0.01);2组患者的文化程度、职业和家庭收入比较,差异均有统计意义(P<0.05或P<0.01);不同文化程度、职业和家庭收入对高血压病盐敏感性的检出率比较,差异均有统计意义(P<0.05或P<0.01)。结论甘南藏族自治州藏族高血压病患者盐敏感性检出率较高,应结合实际情况加强宣传教育,提高藏族居民高血压病的预防和保健知识。
Objective To investigate the salt sensitivity of Tibetan patients with hypertension in Gannan Tibetan Autonomous Prefecture. Methods A multistage sampling method was used to count the Tibetan patients with hypertension in Xiahe County and the cooperative cities of Gannan Tibetan Autonomous Prefecture from June 2013 to November 2014. According to the total number of hypertension patients in each community Ratio, randomly selected 799 cases of essential hypertension patients, the final inclusion of 772 cases, the questionnaire survey, physical examination and salt sensitivity test, according to salt sensitivity test results, divided into salt-sensitive hypertension ( SS) group and non-salt-sensitive hypertension (NSS) group for statistical analysis. Results 288 cases of salt sensitivity were detected in Tibetan patients with hypertension in Gannan Tibetan Autonomous Prefecture, 484 cases were non-salt-sensitive, the detection rate was 37.3%. The waist circumference, hip circumference and body mass index (BMI) of SS group were high There was significant difference between the NSS group and the NSS group (P <0.05 or P <0.01). There was significant difference between the two groups in education, occupation and family income (P <0.05) Or P <0.01). There was significant difference in the detection rate of salt sensitivity between different education levels, occupation and family income and hypertension (P <0.05 or P <0.01). Conclusion The detection rate of salt sensitivity of Tibetan patients with hypertension in Gannan Tibetan Autonomous Prefecture is high. Publicity and education should be strengthened according to the actual conditions so as to improve prevention and health care knowledge of Tibetan residents.