台籍与内陆男性多重心血管病危险因素特点分析

Analysis of multiple risk factors of cardiovascular disease in male from Taiwan and China's Mainland

目的探讨台籍与内陆男性多重心血管病危险因素的特点。方法检测台籍组(611名男性,根据年龄分为<40岁组,40岁～49岁组和≥50岁组3组)和内陆组(520名男性,根据年龄分为<40岁组,40岁～49岁组和≥50岁组3组)原发性高血压,肥胖,高血糖,高脂血症和吸烟的发生率并进行比较分析。结果台籍组原发性高血压、高甘油三酯血症的检出率高于内陆组,高胆固醇血症、吸烟的检出率低于内陆组。台籍组与内陆组肥胖、高胆固醇血症、高甘油三酯血症、高血糖及吸烟的检出率在40岁～50岁组比在<40组高,而且增幅高于>50岁组比40岁～50岁组。在台籍组中,>50岁组除原发性高血压外,其他危险因素的检出率低于40岁～50岁组,其中吸烟和高胆固醇血症的下降有差异有统计学意义(P<0.05)。台籍组与内陆组2或3项以上危险因素聚集情况接近我国的平均水平。结论台籍人群原发性高血压及高甘油三酯血症的检出率较内陆人群高,原因尚待探讨;台籍人群更加关注控制心血管危险因素,生活方式更健康;脑力劳动者多种危险因素在同一个体聚集,更容易发生心血管事件。

Objectives To compare the risk factors of cardiovascular disease in the male from Taiwan and China's Mainland. Methods There were 611 male from Taiwan in Taiwan group and 520 male from China's Mainland in Mainland group. Both the 2 groups were divided into 〈40 y group, 40 y-49 y group and ≥50 y group according to the age, respectively. Incidences of obesity, essential hypertension, hyperoholesterolemia, hypertriglycefidemia, hyperglycosemia and smoking habits were investigated. Results Compared with the Mainland group, the incidence of hypertriglyceridemia and essential hypertension were higher, and the incidence of hyperoholesterolemia and smoking habit were lower in the Taiwan group, the diference had statistical signifieence （P〈0.05）. Incidences of obesity, hyperoholesterolemia, hypertriglyeeridemia, hyperglycosemia and smoking habits in both groups were higher in 40 y- 49 y groups than those in 〈40 y groups, and the amplifications were higher when 40 y-49 y groups comparing with 〈 40 y groups than when≥ 50 y groups comparing with 40 y-49 y groups. Compared with 40 y-49 y group, all the incidence of risks except that of essential hypertension were lower in ≥ 50 y group in Taiwan group, the decrease of the incidence of smoking habit and hypercholesterolemia had statistical signifieence （P〈0.05）. The gathering status of over 2 or 3 risks in both Taiwan group and Mainland group approximated to the level of that of China. Conclusions The incidence of hypertriglyceridemia and essential hypertension were higher in pepole in Taiwan than in Mainland people, and the cause should be further study; pepole in Taiwan control the cardiovascular risk factors better than Mainland people do and their life styles were more healthy; Mental labour which has muhiple risk factors in one will have the liability to suffer from cardiovascular incidence,