我国北方农村脉压分布特点及其与脑卒中的关系
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辽宁省科技厅重大项目(2003225003)


The Distribution Feature on Pulse Pressure and the Influence of the Pulse Pressure in Patients with Cerebral Apoplexy in Northern Rural Village of China
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    目的探讨脉压在农村人群的分布特征及其与脑卒中的关系。方法采用2004年辽宁省阜新市农村自然人群高血压普查资料(≥35岁),共41 676人,分析脉压在人群不同性别、不同年龄、不同血压水平分布频率,以及不同脉压水平脑卒中分布特点。结果(1)不同性别脉压分布最高频度均为40~49 mmHg;(2)随着血压的增高脉压的分布频率也在增高,血压正常人群,脉压为40~49 mmHg分布频度最高,在血压Ⅰ级人群中脉压为50~59mmHg分布频率最高,在血压Ⅱ级人群中脉压为70~79 mmHg分布频率最高,在血压Ⅲ级人群中脉压为80~89 mm-Hg分布频率最高,男女间差异无显著性。(3)随着年龄的增加脉压分布频率逐渐增加。(4)校正其他因素后脉压为60~69 mmHg者脑卒中患病率增加,且独立于收缩压。结论脉压随着年龄和血压的增加而升高,脉压为60~69mmHg者脑卒中的患病率显著增高。

    Abstract:

    Aim To study the distribution feature on pulse pressure and the influence of the pulse pressure in patients with cerebral apoplexy in northern rural village. Methods Acohort study was carried out in a nature population(aged ≥35) of total 41 676 subjects in rural village of Liaoning province with blood pressure measurement in 2004.The frequency on different sex,age,level of blood pressure and the distribution feature of cerebral apoplexy in different pulse pressure levels were analysed. Result(1) The high frequency is 40~49 mmHg in different sex.(2)Frequency of high pulse pressure increased with blood pressure,the high frequency is 40~49 mmHg on normotensive,50~59 mmHg on BPI,70~79 mmHg on BPⅡ,and 80~89 mmHg on BPⅢ. There is no difference on different sex.(3)Frequency of high pulse pressure increased with age.(4)After correcting other factors,the prevelence rate is increased in pulse pressure 60~69 mmHg,and in no relation with systolic blood pressure. Conclusion Frequency of high pulse pressure increased with age or blood pressure.Pulse pressure 60~69 mmHg is an individual risky marker of cerebral apoplexy.

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高志广, 任国成, 郑黎强, 孙兆青, 张心刚, 许长禄, 孙英贤.我国北方农村脉压分布特点及其与脑卒中的关系[J].中国动脉硬化杂志,2008,16(3):233~235.

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  • 收稿日期:2007-06-05
  • 最后修改日期:2008-02-15
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