1153例预备拘押人员血压及心电图分析

Blood Pressure and ECG on 1153 Prepare Detainees.

目的分析预备拘押人员的血压、心电异常发生特征,探讨其影响因素,为防治该人群心脑血管意外、保障收押期间生命安全提供有效参考。方法回顾性分析1153例预备拘押人员的血压、心电图等体检资料和汉密尔顿抑郁量表(HAMA)评分结果,并将1153例相同年龄、性别构成比的同期日常体检人员资料和HAMA评分结果作为对照,将两组结果及影响血压、心电的主要因素进行统计学分析。结果①预备拘押人员高血压的检出率为37.47%,明显高于日常体检人员组(16.91%)(χ2=149.506,P=0.000);预备拘押组发生心电图异常的检出率为50.22%,明显高于对照组(28.36%)(χ2=144.755,P=0.000);②预备拘押人员与日常体检人员的高血压检出率均与年龄、体重指数(BMI)呈正相关,但两组差异具有统计学意义(χ2和P分别为17.822,0.003;87.453,0.000);预备拘押人员各年龄亚组的收缩压水平均高于日常体检组(t=23.126,P=0.000);预备拘押人员男女性别亚组高血压检出率均高于日常体检组(男性亚组χ2=104.860,P=0.000;女性亚组χ2=19.465,P=0.000);③预备拘押组HAMA评分男女性别亚组均高于日常体检组(男性亚组t=13.672,P=0.000;女性亚组t=16.486,P=0.000)。结论精神因素是导致预备拘押人员中高血压、心电异常发生率显著增加的主要原因。

Objective To analyze characteristics of abnormal blood pressure,electro cardio variation and their relevant risk factors in prepare detainees,and provide effective reference for cardio-cerebral vascular accidents and protecting their lives during custody.Methods To retrospective analyze of blood pressure,ECG medical information and HAMA score results on 1153 prepare detainees,and 1153 cases with the same age,gender composition and HAMA score results of the same period in general physical examination staff as control information,thus two groups＇ results and main factors which affectted blood pressure and ECG were statistically analyzed.Results ①The hypertension detection rate for the prepare detainees group was 37.47%,much higher than the general physical examination group（16.91%）（χ2=149.506,P=0.000）;The abnormal ECG detection rate for the prepare detainees group was 50.22%,significantly higher than the detection rate in the control group（28.36%）（χ2=144.755,P=0.000）;②The hypertension detection rate for prepare detainees and general physical examination staff were positively correlated with age and BMI,but there were significant differences between two groups（χ2 and P value respectively 17.822 and 0.003;87.453 and 0.000）;Systolic blood pressure levels about all age subgroups of prepare detainees were higher than general physical examination staff（t=23.126,P=0.000）;The hypertension detection rate for gender subgroups of prepare detainees were significantly higher than general physical examination staff（Male subgroups χ2=104.860 and P=0.000;Female subgroups χ2=19.465 and P=0.000）;③HAMA score results of gender subgroups of prepare detainees were significantly higher than general physical examination staff（Male subgroups t=13.672 and P=0.000;Female subgroups t=16.486 and P=0.000）.Conclusion Neuropsychical factors are the major reasons to increase incidence of abnormal blood pressure and ECG for prepare detainees.