摘要
目的探讨随诊间盘龙区新迎社区脑卒中高危人群的血压变异性(BPV)与脑卒中事件的相关性。方法选取2018-11-13-2020-06-08盘龙区新迎社区>40岁社区居民中脑卒中高危人群2782名。收集基本资料,每3个月测量1次血压,分析随诊间BPV与脑卒中事件的相关性。结果2782例脑卒中高危人群平均年龄(63.1±6.7)岁,收缩压平均值为(133.7±8.2)mm Hg,舒张压平均值为(76.2±5.8)mm Hg,其中收缩压变异系数(SBPV)为(8.8±3.9)%,舒张压变异系数(DBPV)为(8.3±4.1)%。发生脑卒中事件20例,总发生率为0.72%。按年龄、是否患高血压及高血压分级进行分层后,不同层间的BPV比较,差异有统计学意义,均P<0.05。单因素logistic回归分析显示,高血压患者、高血压3级以及SBPV对脑卒中事件的OR值分别为1.38(95%CI为1.25~5.52)、1.56(95%CI为1.17~2.63)和1.73(95%CI为1.03~2.60)。结论社区高危人群发生脑卒中事件的独立危险因素包括高血压患者、高血压3级和长时SBPV,长时SBPV与脑卒中事件有明显相关性,脑卒中社区防控的工作重点应当重视血压变异性。
Objective To investigate the correlation between blood pressure variability and stroke events among high-risk groups of stroke in Panlong community during follow-up.Methods Totally 2782high-risk people of stroke among community residents over 40years old in Xinying community,Panlong District were selected from November 13,2018to June8,2020,to collect their basic data,measure blood pressure once every three months and analyze the correlation between BPV and stroke events during follow-up.Results The average age of 2782high-risk people of stroke was(63.1±6.7)years old.The average systolic blood pressure was(133.7±8.2)mm Hg,and the average diastolic blood pressure was(76.2±5.8)mm Hg.The coefficient of variation of systolic blood pressure(SBPV)was(8.8±3.9)%,and the coefficient of variation of diastolic blood pressure(DBPV)was(8.3±4.1)%.There were 20cases of stroke,with a total incidence of 0.72%.There was significant difference in BPV among different layers according to age,whether suffering from hypertension and hypertension classification(P<0.05).Univariate logistic regression analysis showed that the ORvalues of patients with hypertension or not,grade 3hypertension and SBPV for stroke events were 1.38(95%CI:1.25-5.52),1.56(95%CI:1.17-2.63)and 1.73(95%CI:1.03-2.60),respectively.Conclusions The independent risk factors of stroke in high-risk groups in the community include patients with hypertension or not,grade 3hypertension and long-term SBPV.Long-term SBPV is significantly correlated with stroke events.Blood pressure variability should be emphasized in the prevention and control of stroke in community.
作者
卜琪
黄英
周飞燕
王志敏
张伟
BU Qi;HUANG Ying;ZHOU Fei-yan;WANG Zhi-min;ZHANG Wei(Kunming Yan'an Hospital,Kunming 650051,China)
出处
《社区医学杂志》
CAS
2022年第16期891-895,共5页
Journal Of Community Medicine
基金
昆明市延安医院院内项目(yyky019-010)
关键词
血压
血压变异性
脑卒中事件
社区防控
blood pressure
blood pressure variability
stroke events
community prevention
作者简介
第一作者:卜琪,女,云南昆明人,副主任护师,主要从事内科护理和社区延续性护理的研究工作。E-mail:1047209184@qq.com;通信作者:张伟,男,云南昆明人,副主任医师,主要从事心脑血管疾病中西医诊治的研究工作。E-mail:2424273297@qq.com;通信作者:王志敏,女,云南昆明人,副主任医师,主要从事动态血压监测和心血管变异性分析的研究工作。E-mail:2803946798@qq.com
