| 严重创伤对远期血压值及高血压发生率的影响 |
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| 引用本文： | 马宇杰,吴寿岭,田炜,王剑利,韩艳华,李善庭,刘健宇,舒新刚,李文利,焦文兰. 严重创伤对远期血压值及高血压发生率的影响[J]. 高血压杂志, 2010, 0(3) |
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| 作者姓名： | 马宇杰 吴寿岭 田炜 王剑利 韩艳华 李善庭 刘健宇 舒新刚 李文利 焦文兰 |
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| 作者单位： | 华北煤炭医学院附属开滦医院ICU;华北煤炭医学院附属开滦医院心内科;华北煤炭医学院实验中心;开滦林西矿医院ICU;迁安市人民医院心内科;唐山市丰润区医院普外科;唐山钢铁集团公司医院普外科;开滦赵各庄矿医院心内科;唐山市丰润区医院心内科; |
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| 基金项目： | 唐山市科技局项目(09130253a) |
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| 摘 要： | 目的探讨创伤对远期血压值及高血压发生率的影响。方法采用回顾性队列研究方法,选择1997-01-1998-06在唐山6家医院重症病房住院的创伤患者497例(创伤组)及同期无创伤史的体检人员762例(对照组),对创伤组和对照组的基线资料、10年后高血压发生率进行分析。将创伤组按急性生理学及慢性健康状况评分Ⅱ(APACHEⅡ)评分值分为15～24分(n=283)、25～34分(n=162)及≥35分亚组(n=52),分析不同亚组受试者的血压值及高血压发生率。结果与对照组比较,创伤组收缩压、舒张压均增高[(135.1±23.0)/(86.7±14.1)比(118.4±16.1)/(77.6±9.5)mm Hg,均P<0.01]。创伤组高血压发生率也明显高于对照组(42.7%比20.6%,P<0.01)。随着APACHEⅡ评分值增加,收缩压、舒张压、高血压发生率均增高。Logistic回归分析显示,创伤是高血压的独立危险因素(RR=2.60,95%CI:1.99～3.40,P<0.01)。结论创伤是高血压的独立危险因素。创伤作为应激刺激增加患者远期血压值和高血压发生率。
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| 关 键 词： | 创伤 高血压 发生率 应激 |
Influence of Trauma on Long-term Blood Pressure and the Prevalence of Hypertension |
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| MA Yu-jie,WU Shou-ling,TIAN Wei,WANG Jian-li,HAN Yan-hua,LI Shan-ting,LIU Jian-yu,SHU Xin-gang,LI Wen-li,JIAO Wen-lan.. Influence of Trauma on Long-term Blood Pressure and the Prevalence of Hypertension[J]. Chinese Journal of Hypertension, 2010, 0(3) |
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| Authors: | MA Yu-jie WU Shou-ling TIAN Wei WANG Jian-li HAN Yan-hua LI Shan-ting LIU Jian-yu SHU Xin-gang LI Wen-li JIAO Wen-lan. |
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| Affiliation: | MA Yu-jie1,WU Shou-ling2,TIAN Wei3,WANG Jian-li4,HAN Yan-hua5,LI Shan-ting4,LIU Jian-yu6,SHU Xin-gang7,LI Wen-li8,JIAO Wen-lan9.1.Department of ICU,2.Department of Cardiology,Affiliated Kailuan Hospital of North Coal Medical University,Hebei Tangshan 063000,3.Experimental , Research Center,North Coal Medical University,4.Department of ICU,Linxi Mine Hospital,Hebei Tangshan 063103,5.Department of Cardiology,the People's Hospital of Qian'an City,Hebei Tangshan 064400,6.Department of Su... |
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| Abstract: | Objective To investigate the influence of trauma on long-term blood pressure and the prevalence of hypertension.Methods A retrospective cohort study was carried out in Tangshan City.Baseline clinical indexes and the prevalence of hypertension 10 years after trauma collected from both the healthy people(n=762)and the trauma patients(n=497)selected from 6 hospitals in Tangshan City during January 1997 to June 1998 were analyzed with the logistic regression test.The trauma patients were devided into three grou... |
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| Keywords: | Trauma Hypertension Prevalence Stress |
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