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目的了解影响维吾尔族成年人高血压患病率的相关因素。方法以援疆医生和当地心血管医生为主,通过培训以1999年WHO高血压协会的标准,以抽样调查的方法对喀什地区12县市中3县1市总的18个自然村3个居民小区进行调查,并调查相关因素(水质、吸烟,饮酒、肥胖等),询问高血压的知晓及服用药情况。结果喀什地区维吾尔族人高血压的患病率为17.6%,随年龄的增长而升高,城市居民明显高于农村居民(P<0.05);高血压的知晓率为6.8%,服药率为11.3%。肥胖与高血压的患病率成正相关,吸烟与高血压关系不密切;水硬度、硫化物与高血压的患病率成正相关,氟化物、铁与高血压的患病率成负相关。结论维吾尔族人为主的喀什地区为高血压高发地区,肥胖、水质中的水硬度和硫化物有促使高血压发生的作用,水质中氟化物、铁有降低血压的作用。
Objective To understand the factors influencing the prevalence of hypertension in Uighur adults. Methods Aided by doctors and local cardiovascular doctors, by means of training, the WHO Hypertension Association (1999) standard was used to survey 3 residential areas in 18 villages in 3 counties and 1 city in 12 counties and cities in Kashgar by way of sampling. Conduct surveys and investigate relevant factors (water quality, smoking, drinking, obesity, etc.), ask about the knowledge of hypertension, and take medication. Results The prevalence of hypertension among Uighur people in Kashgar region was 17.6%, which increased with age. The urban resident was significantly higher than that of rural residents (P <0.05). The awareness rate of hypertension was 6.8% and the medication rate was 11.3% . The prevalence of obesity is closely related to the prevalence of hypertension. Smoking and hypertension are not closely related to each other. The water hardness, the prevalence of sulfide and hypertension are positively correlated, and the prevalence of fluoride, iron and hypertension are negatively correlated. Conclusions The Kashgar region, mainly of Uyghur people, is a region with high blood pressure. Obesity, water hardness in water quality and the role of sulfide in promoting blood pressure are high. Fluoride and iron in water have the effect of lowering blood pressure.