|
|
Analysis of dyslipidemia in 231 medical staff with hypertension in a third grade A hospital in Urumqi |
HUANG Bei1 WANG Huicai2,3 XU Xiaoyu1 WANG Meixin4 |
1.School of Nursing, Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830000, China;
2.Institute of Health Development Reform, Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830000, China;
3.Health Management Center, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830000, China;
4.The First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830000, China |
|
|
Abstract Objective To understand the current situation of dyslipidemia in medical staff with primary hypertension in the First Affiliated Hospital of Xinjiang Medical University, in order to analyze its relevant factors. Methods The medical staff′ medical examination reports in 2016 were collected. The biochemical indexes of 231 cases diagnosed as primary hypertension were analyzed, as well as the dangerous factors that may cause the occurrence of dyslipidemia. Results ①The overall incidence rate of dyslipidemia among medical staff with primary hypertension reached up to 70.13%, and the proportion of men was more than that of women, which the incidence rate of hypertriglyceridemia, mixed hyperlipidemia and low HDL-C cholesterol among men was higher than that of women ( P < 0.05). ②Single factor analysis showed that gender, fasting plasma glucose, BMI, smoking, drinking and family history of hypertension were dangerous factors for dyslipidemia associated with hypertension (P < 0.05). Logistic regression analysis showed that men, impaired fasting plasma glucose, and smoking were independent dangerous factors for dyslipidemia associated with hypertension (P < 0.05). Conclusion Affected by gender, fasting plasma glucose and smoking, the incidence of dyslipidemia associated with hypertension among medical staff is relatively high. Therefore, health management of medical staff should be carefully dealt with.
|
|
|
|
|
[1] Dawes MG,Kaczorowski J,Swanson G. The effect of a patient education booklet and BP “tracker” on knowledge about hypertension. A randomized controlled trial [J]. Family Practice,2010,27(5):472-478.
[2] 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.
[3] 葛茜,左君丽,初少莉.原发性高血压住院患者脂代谢状况分析[J].中华高血压杂志,2009,17(2):157-161.
[4] 张淑萍.体检人群中高血压与血脂异常相关性分析[J].大家健康:学术版,2015,9(22):20-21.
[5] 叶平,孙晓楠.高血压与血脂异常[J].中国实用内科杂志,2007,27(12):914-916.
[6] 中国成人血脂异常防治指南修订联合委员会.中国成人血脂异常防治指南(2016年修订版)[J].中华心血管病杂志,2016,44(10):833-853.
[7] 卫生部疾病控制司.中国成人超重和肥胖症预防控制指南[M].北京:人民卫生出版社,2006.
[8] 中华医学会糖尿病学分会代谢综合征研究协作组.中华医学会糖尿病学分会关于代谢综合征的建议[J].中华糖尿病杂志,2004,12(3):156-161.
[9] Lloyd-Jones DM,Evans JC,Larson MG,et al. Cross-classification of JNC Ⅵ blood pressure stages and risk groups in the Framingham heart study. [J]. Arch Intern Med,1999, 159(18):2206-2212.
[10] 何秉贤.高血压的防治务必重视调脂治疗[J].中华高血压杂志,2012,20(9):801-802.
[11] 陶然,周金意,苏健,等.成人血脂异常与高血压关系[J].江苏预防医学,2014,25(5):18-21.
[12] 程耀平. 1287例健康体检者高血压人群血脂异常探讨[J].世界最新医学信息文摘:连续型电子期刊,2015,15(34):13,15.
[13] O'Meara JG,Kardia SL,Armon JJ,et al. Ethnic and sex differences in the prevalence,treatment,and control of dyslipidemia among hypertensive adults in the GENOA study [J]. Arch Internal Med,2004,164(12):1313-1318.
[14] 梁惠英. 1876名医务人员健康体检报告及分析[J].医学理论与实践,2015(19):2714-2715.
[15] 胡遵松,黄辰,刘芳超,等.原发性高血压合并血脂紊乱患者吸烟与动态血压的关系[J].中国循环杂志,2013(z1):92,93.
[16] Kong C,Nimmo L,Elatrozy T,et al. Smoking is associated with increased hepatic lipase activity,insulin resistance, dyslipidaemia and early atherosclerosis in Type 2 diabetes [J]. Atherosclerosis,2001,156(2):373-378.
[17] 杨永昌,张淑艳,王海英,等.吸烟量对高血压患者血脂的影响[J].标记免疫分析与临床,2013,20(3):146-148. [18] 舒珍珍,臧淑妃.糖尿病患者血脂紊乱对大血管病变及胰岛素抵抗的影响[J].中国现代医生,2016,54(7):1-4.
[19] 李静,陈结凤,赵惠茹,等.挑战性压力和阻断性压力对医院工作者的影响及干预策略探究[J].中国医药导报,2016,13(22):157-160.
[20] 洪忻,李解权,王志勇,等.南京居民膳食模式与高血糖关系的随访研究[J].中华预防医学杂志,2013,47(2):135-141. |
|
|
|