论文部分内容阅读
背景随着社会经济的发展和生活方式的变化,我国高血压发病率及相关危险因素均有增加趋势,不健康的生活方式和膳食不平衡是导致高血压患病率上升的主要原因,知识水平较高的高校教师人群高血压患病率及其危险因素存在特殊性。目的探讨一组高校教师人群血压和血脂水平及其高血压与高血脂症的关系。方法采用整群抽样的方法对1028例信阳师范学院教师(高校教师人群)的血压、身高、体质量、体质量指数、血脂进行测定,并将其结果与862例当地的市直企事业单位健康体检人群(普通人群)作比较。结果高校教师人群收缩压[(125.2±18.4)vs(121.8±15.9)mm Hg]和脉压[(48.5±13.9)vs(44.8±11.2)mm Hg]水平显著高于普通人群(P<0.05),单纯收缩期高血压(10.2%比6.4%)和高血压(21.5%比15.6%)的患病率也明显高于普通人群(P<0.05);而总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇水平则显著低于普通人群(P<0.05～0.001),高胆固醇血症(24.5%比28.9%)患病率也显著低于普通人群(P<0.05),但高密度脂蛋白胆固醇水平值则显著高于普通人群(P<0.01)。高校教师人群高血压患病率与TG呈显著正相关(r=0.423,P<0.05),而普通人群高血压患病率则与TC呈显著正相关(r=0.618,P<0.01)。结论高校教师人群的血压和血脂水平与普通人群存在显著差异,其高血压防治具有特殊性。
Background With the development of social economy and lifestyle changes, the incidence of hypertension in China and related risk factors have increased. Unhealthy lifestyles and dietary imbalances are the main reasons leading to an increase in the prevalence of hypertension. The prevalence of high blood pressure and its risk factors in high-school college teachers are unique. Objective To investigate the relationship between blood pressure and blood lipid levels and hypertension and hyperlipidemia in a group of college teachers. Methods The blood pressure, height, body weight, body mass index and blood lipids of 1028 Xinyang Normal College teachers (college teachers) were measured by cluster sampling method. The results were compared with 862 local municipal enterprises and health examinations. Population (general population) for comparison. Results The levels of systolic blood pressure [(125.2±18.4) vs (121.8±15.9) mm Hg] and pulse pressure [(48.5±13.9) vs (44.8±11.2) mm Hg] in college teachers were significantly higher than those in the general population (P<0.05). The prevalence of isolated systolic hypertension (10.2% vs 6.4%) and hypertension (21.5% vs 15.6%) was also significantly higher than that of the general population (P<0.05); total cholesterol (TC) and triacylglycerol ( TG) and low-density lipoprotein cholesterol were significantly lower than those in the general population (P<0.05-0.001), and the prevalence of hypercholesterolemia (24.5% vs. 28.9%) was also significantly lower than that in the general population (P<0.05). High-density lipoprotein cholesterol levels were significantly higher than those in the general population (P<0.01). The prevalence of hypertension in college teachers was positively correlated with TG (r=0.423, P<0.05), while the prevalence of hypertension in the general population was positively correlated with TC (r=0.618, P<0.01). Conclusion The blood pressure and blood lipid levels of college teachers are significantly different from those of the general population. The prevention and treatment of hypertension is unique.