呼和浩特地区高血压患病率与血脂和血糖的相关性研究

Relationship Between the Plasma Lipid,Blood Glucose, RHR and the Prevalence of Hypertension

目的 调查呼和浩特地区人群高血压的患病情况与血脂、血糖的关系,为健康管理提供理论依据.方法 内蒙古自治区人民医院体检中心进行健康体检的690例31～94岁的健康人群为研究对象,检测血压、血脂全项、空腹血糖,并行12导联心电图检查,分析血脂、血糖与高血压患病率之间的关系.结果 该地区人群高血压患病率为37.8％,显著高于其他地区人群高血压患病率（P＜0.05）.高血压患病率随甘油三酯、总胆固醇、低密度脂蛋白、空腹血糖的升高以及心率增快而升高,随高密度脂蛋白水平降低而升高,差异均有统计学意义（P＜0.05）.结论 呼和浩特地区人群高血压患病率较高,高血压患病率与TC、TG、血糖异常升高以及心率增快密切相关,应加强该地区人群的血糖、血脂、静息心率的系统化健康管理,以控制该病的发生率.

Objective To provide a guideline for medical care management, we investigated the relation- ship between the prevalence of hypertension and the level of plasma lipid, blood glucose and resting heart rate in Inner Mongolian people. Methods A total of 690 subjects over 30 years of age were recruited from the Inner Mongolia people＇ s hospital, health center in 2012. Blood pressure, plasma lipid and fasting blood glucose were measured. Association between affection status of hypertension and the level of plasma lipid, blood glucose and resting heart rate was tested according to parallel 12 - lead electrocardiographic examination results. Results Of the 690 subjects, 261 were diagnosed as hypertension. The prevalence of hypertension Inner Mongolian people was 37.8 %. The prevalence increased with increased levels of triglyceride（TG）, Cholesterol（Cho）, low density lipoprotein（LDL）, blood glucose, and RHR, while decreased with increased levels of high density lipoprotein （HDL）. The trends were statistically significant （P 〈 0.05 ）. Conclusions The prevalence of hypertension across elderly people was relatively high in the area being investigated. It was positively related with levels of TG, Cho, blood glucose, LDL and RHR, and negatively related with level of HDL. The findings highlighted the importance of systematic monitoring and management of levels of blood glucose, LDL and resting heart rate in the elderly people to better prevent from the disorder.