某高校老年高血压患者体重指数与血脂、脂肪肝的相关性探讨

目的探讨老年高血压患者体重指数与脂肪肝、血脂及血压之间的关系。方法对参加校体检所有人员均进行病史询问并检查血压、体重、身高、腰围、臀围、心电图、胸透、眼底检查、空腹12小时的晨生化检查、尿常规检查、空腹上腹部B超检查。对资料完整离退休高血压患者313例,按体重指数(BMI)分为三组:正常体重组,超重组,肥胖组,进行分析。结果肥胖组、超重组TC、TG、LDL均高于正常组,有显著性差异(P<0.05),BMI与脂肪肝的发生率呈正相关(rs=0.911,P<0.01),肥胖组与正常组、超重组比较收缩压及舒张压均明显升高,超重组较正常组血压值高。结论肥胖高血压患者应减轻体重,BMI应控制在正常范围,对控制高血压、高脂血症、冠心病、糖尿病、脂肪肝的发生发展,降低心脑血管事件的发生有重要的意义。

A Discuss on the Relation Between the BMI of Elder People with Hypertensive Disease and Lipemia, Fatty Liver and etc

Objective To discuss the relation between the BMI of elder people with hypertensive disease and lipemia, fatty liver and etc. Method To require all the people going for the physical examination about their medical history and exam their blood pressure, weight, height, waistline, hipline, cardiogram, X-ray, eye ground, routine urine, superior venter. According to the complete data of 313 cases of the retirees with hypertension, we divide them into three groups by BMI to analyze, which is normal weight group, overweight group and obese group. Results The indexes of TC, TG, and LDL in obese weight group and overweight group are higher than those in normal group. The distinction is obvious (P<0.05). BMI has relation with the paroxysm rate of fatty liver (rs=0.911, P<0.01). Both systolic and diastolic pressures of obese group are obviously higher then those of the rest two group. The pressure of overweight group is superior to normal weight group. Conclusion Obese hypertensive patients should lose weight and control BMI index in a normal scale. It has a great significance for the control of the paroxysm and deterioration of hypertension, hyperlipemia, coronary heart disease, diabetes, fatty liver and cardiovascular and cerebrovascular disease.