基础医学与临床 ›› 2015, Vol. 35 ›› Issue (11): 1486-1491.

• 研究论文 • 上一篇    下一篇

北纬53°高寒地区世居汉族人群生理特征及常见疾病

张可勇1,高志影1,张昊1,何宁1,李雪岩1,牛军2,张颖3,付金国3,程梦丽1,孙长杰1,丛明宇1,李丛阳3,李静平1,邱长春1,4   

  1. 1. 齐齐哈尔医学院
    2. 北极镇中心卫生院
    3. 漠河县人民医院
    4. 中国科学医学院
  • 收稿日期:2015-07-29 修回日期:2015-09-23 出版日期:2015-11-05 发布日期:2015-11-03
  • 通讯作者: 李静平 E-mail:ljping139@126.com
  • 基金资助:
    高原低氧慢性损伤/转归个体差异性分子遗传学研究- - 青藏铁路建设者健康状况的10年随访观察;GPR91基因结构/功能及其与藏族原发性高血压的关联;畸形胎儿

The Physiological Characteristics and the Most Common Diseases in the People Living in the Region from North Latitude 53°27′40″ to 53°29′30″

  • Received:2015-07-29 Revised:2015-09-23 Online:2015-11-05 Published:2015-11-03

摘要: 目的 了解生活在北纬53°27′40″-53°29′30″高寒地区世居汉族人的生理特征及多发常见疾病。方法 采用整体取样。研究对象纳入标准为:18岁及18岁以上;至少三代生活在该地区,无异民族婚配者。通过现场问卷调查、常规体检和生化指标测定,获得研究对象的人口学、人体学资料和血清生化参数。结果 该地区总人口有2806人,18岁及18岁以上人口有1145人,本次参加者1064人,未参加者81人,占该年龄段人口总数93%,男性489人(45.96%),平均年龄(48.8±13.5)岁;女性575人(54.04%),平均年龄(47.1±13.8)岁。经常吸烟、饮酒人数分别为29.23%和18.14%。男性收缩压和舒张压水平均高于女性,分别为(126±16)mmHg vs.(120±22) mmHg和(83±10)mmHg vs.(77±13) mmHg(P<0.001)。男性TG、AST、ALT、GGT和UA水平高于女性(P<0.01)。常见疾病有高血压(22.84%),肥胖(19.68%),高甘油三酯血症(18.74%),高胆固醇血症(17.12%)和脑卒中(4.63%)。结论 初步结果表明,超重、肥胖及脂代谢紊乱是该人群主要生理特征;肥胖和经常大量饮酒是心脑血管病高发的主要病因之一;较低动脉血氧饱和度是代谢综合症的主要危险因素。

关键词: 高寒地区, 高血压, 血脂异常, 肥胖, 脑卒中

Abstract: Objective To explore the physiological characteristics and the most common diseases in the people living in the region from North Latitude 53°27′40″to 53°29′30″. Methods A whole sampling design method was used to a population living at the region from North Latitude 53°27′40″to 53°29′30″. All people were included in this study.The inclusion criteria were that all participants were 18 years or older, they were descendants of at least three generations living in the same region, and there was no history of intermarriage. Interviewers administered a simple questionnaire to collect demographic and behavioural risk data. The anthropometric parameters were obtained by the medical examination. The prevalence of some common diseases(such as hypertension, obesity, diabetes, etc). Results 1)1064 people were included in this study, of them, 489(45.96%) were males, mean age (48.8±13.5) year; 575(54.04%) were females, mean age (47.1±13.8) years. The proportion of excessive drinking(more than 4 days in a week, and more than 250g for each day) was 18.14%(193/1064) in the participants. The level of systolic blood pressure and diastolic blood pressure in males were higher than that in females, they were SBP(126±16)mmHg vs.(120±22) mmHg and(83±10)mmHg vs.(77±13) mmHg(P<0.001). The levels of TG, UA, AST, ALT and GGT were higher in males than that in females(P<0.01). Some common diseases: the prevalence of hypertension, obesity, hypertriglyceridemia, hypercholesterolemia and stroke was 22.84%, 19.68%, 18.74%, 17.12% and 4.63%, respectively. The prevalence of abnormal liver function was 26.41% in all participants. Conclusion The priliminary results showed that the main physiological characteristics are high prevalence of overweight/obesity and dyslipidemia, and common diseases are hypertention and stroke. Obesity and excessive drinking might be the main risk factors for cardiovascular disease high prevalence of cardiovascular and cerebrovascular diseases in this population.

Key words: Cold environment, Hypertension, Dyslipidemia, Obesity, Stroke

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