云南的农村的血压和左心室的粒量的关系.pptxVIP

云南的农村的血压和左心室的粒量的关系第1页/共39页 A Akasheh, Y Wu武阳丰, Y Li李易, LD Dustin, ND Wong, JM Gardin, SP Azen, RC Detrano狄家诺. University of California, Irvine加州大学, Peking University School of Public Health北京大学公共卫生学院,Yunnan Province Second People’s Hospital云南省第二人民医院, China California Heart Watch中加心脏检查机构American Journal of Hypertension, 2009第2页/共39页 China27.5Rural ChinaOne eigth of the worlds population800000000One eigth of the worlds population八分之一第3页/共39页 Prevalence of Hypertension in China中国高血压的患病率a: Proceedings of the National Cardiovascular Diseases Conference, 1959. People’s Health Publisher, 1960, Beijing. b: Wu YK, et al: Nation-wide hypertension screening in China during 1979-1980. Chin Med J, 1982;95:101-108. c: Wu XG, et al: Prevalence and development trends of hypertension in China. Chin J Hypertension, 1995;3(Suppl.):7-13. d: the National Nutrition and Health Survey in 2002 （material for the Press Conference of the State Council Information Office）@: According to national census data in 1964 and WHO diagnosis criteria in 1978.#: SBP≥141 mmHg or DBP≥91mmHg, without consideration on use of medication.*: SBP≥140 mmHg or DBP≥90 mmHg or on medication in 2 weeks.第4页/共39页 Methods方法Study Sample Design:研究采样Random cluster sampling to select 10 villages 随机抽样10村子 50 residents between the ages of 50 and 70 years from each village。每个村子50人490 men and women. 490人344 available, without other confounding vascular disease (stroke, MI, severe valve disease)344接受探访的（没有脑梗没有心肌梗）第5页/共39页 Methods方法Smoking, alcohol use, medication use, hypertension, hyperlipidemia, and diabetes.抽烟喝酒服药高血脂糖尿病的病历 Blood pressure measured three times三次量血压 Height and weight.身高体重第6页/共39页 Methods方法Cardiac Ultrasound -- Philips Optigo portable ultrasound, 2-5 megahertz transducer. Parasternal long axis view.心脏超声波（Philips Optigo)2-5MHz 探头，胸骨旁心长轴End-diastolic 舒张期Inter-ventricular septal wall thickness (IST)心室隔厚度Left ventricular posterior wall thickness (PWT)心左室后壁厚度Left ventricular diastolic internal diameter (LVID) 心左