新疆伊犁地区2438例哈萨克族儿童血压现况分析

Blood pressure levels of 2438 Hasakh children in the Yili region of Xinjiang Province

目的了解新疆伊犁地区哈萨克族儿童血压水平和高血压的发生状况及影响因素。方法 2009年5～6月采用随机整群抽样方法,抽取新疆伊犁地区哈萨克族学龄儿童2438例,进行身高、体重、腰围、臀围、皮褶厚度、血压测量,并计算体质指数(BMI)。结果 2438名儿童收缩压(SBP)平均水平为94±13 mm Hg,舒张压(DBP)平均水平为60±9 mm Hg,低于国内同年龄段汉族平均水平;检出高血压儿童138名,患病率5.66%(138/2438),其中男童患病率4.38%(54/1232),女童患病率6.97%(84/1206),女童患病率高于男童(P<0.05);血压及高血压患病率与BMI、腰围、臀围、皮褶厚度、性别、年龄均呈正相关。结论新疆伊犁地区哈萨克族儿童血压平均水平较国内儿童低;女童高血压患病率高于男童;肥胖与哈萨克族儿童高血压患病率密切相关。

Objective To study blood pressure levels, the prevalence of hypertension and factors associated with the development of hypertension in Hasakh children in the Yili region of Xinjiang Province. Methods A total of 2438 Hasakh school children from the Yili region of Xinjiang Province were sampled by stratified random cluster sampling method between May and June 2009. Height, weight, waist circumference, hip circumference, skinfold thickness and blood pressure were measured. Body mass index （BMI） was calculated. Results Mean systolic blood pressure （SBP） and diastolic blood pressure （DBP） were 94 ~ 13 mm Hg and 60 ＋ 9 mm Hg respectively in the 2438 children, and both averages were lower than in the HaM children. Hypertension was noted in 138 children （5.66%）. The prevalence of hypertension in girls （6.97%, 84/1206） was higher than in boys （4.38%, 54/1232） （P 〈 0.05 ）. The prevalence of hypertension and blood pressone were positively correlated with BMI, waist circumference, hip circumference, skinfold thickness circumference, gender and age. Conclusions Average blood pressure levels in Hasakh children in the Yili region of Xinjiang Province are lower than in domestic age-matched HaM children. The prevalence of hypertension in girls is higher than in boys. Obesity is highly correlated with the development of hypertension.