新疆哈萨克族和维吾尔族原发性高血压相关危险因素研究

目的 研究新疆哈萨克族(哈族)和维吾尔族(维族)人群原发性高血压的相关危险因素.方法 采用整群随机抽样的方法 对新疆地区哈、维两民族进行流行病学调查,同时收集哈族人群血液标本1 141例,维族人群血液标本894例,采用生化分析仪对收集的血标本进行生化检查.采用病例-对照研究方法 对两民族高血压组(EH组)和正常对照组(NT组)的流行病学资料及生化指标进行统计学分析和评价.结果 (1)哈族人群的平均收缩压和舒张压均高于维族,差异具有统计学意义(P＜0.05),其中哈族人群高血压检出率为61.6%,维族人群为47.4%,且两民族高血压患病率随年龄增大逐渐增高.(2)哈、维族两群体中,超重组和肥胖组血压增高明显多于体质量正常组,尤其是以肥胖组更明显,差异具有统计学意义(P＜0.05).(3)调整了年龄、性别和体质指数后两民族EH组血脂水平均明显高于NT组,差异具有统计学意义(P＜0.05).(4)两民族群体EH组吸烟率高于NT组,差异具有统计学意义(P＜0.05).两民族饮酒率差异无统计学意义(P>0.05).结论 哈萨克族人群原发性高血压患病率高于维吾尔族.年龄、肥胖、高甘油三脂、高胆固醇、吸烟为两民族高血压发病的危险因素.

Assessment of the risk factors of essential hypertension in Xinjiang Kazaks and Uygurs

Objective To assess the risk factors of essential hypertension(EH) in Xinjiang Kazaks and Uygurs.Methods A cluster and random sampling from the population of Kazaks and Uygurs with EH and normotensives(NTs) in Xinjiang area was performed in this study.And a case-control study was applied to assess the risk factors of EH in Xinjiang Kazaks and Uygurs.Results(1) the average family of systolic and diastolic blood pressure were higher than the Uighur,a statistically significant difference(P<0.05);Among them,61.6% detection rate for family high blood pressure,Uighur for 47.4%,and two nation′s blood pressure increased with age.(2) two groups overweight and obese increased blood pressure than normal weight,especially in obesity group more apparent,it showed a statistically significant difference(P<0.05).(3) adjusted the age,sex and body mass index after two national high blood pressure group(EH) lipid levels were significantly higher than that of the control group(NT) with a statistically significant difference(P<0.05).(4) the two ethnic groups smoking rates higher than EH group NT group with a statistically significant difference(P<0.05).Drinking alcohol in two ethnic differences in rate was not statistically significant(P>0.05).Conclusion There is more prevalence of EH in Kazaks relative to Uygurs.Aging,obesity,smoking,the total cholesterol and triglyceride are risk factors of EH in Xinjiang Kazaks and Uygurs.