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盐茶区和非盐茶区农民食盐与高血压关系的流行病学调查报告

AN EPIDEMIOLOGIC INVESTIGATION OF THE RELATIONSHIP BETWEEN SALT UPTAKE AND HYPERTENSION,A COMPARISON OF SALT-TEA TAKING VILLAGE AND NON-SALT-TEA TAKING VILLAGE

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【作者】 李善康李伟芳黄秩厚袁大伟杜养志丁文斌

【Author】 Li Shankang Li Weifang Huang Zhihou Yuan Dawei Cardiovascular Research Laboratory,Department of Medicin The Second Affiliated Hospital,Hunan Medical CollegeDu Yangzhi Department of Statistics,Hunan Medical College

【机构】 湖南医学院第二附属医院内科湖南医学院第二附属医院检验科湖南医学院卫生统计学教研组湖南省汨罗县卫生局

【摘要】 本文是在同一个县内调查了一个长期喝盐茶的地区和一个不喝盐茶地区农民的血压及24小时尿钠、钾排出量。发现:一、盐茶区农民平均尿钠排出量明显高于非盐茶区,平均高55.5毫克当量/日(p<0.01)。同样,盐茶区农民的收缩压,舒张压,平均压水平亦明显高于非盐茶区,平均分别高7.1、6、6.2毫米汞柱(p<0.01)。二、尿钠排出量与收缩压呈正相关(p<0.01)。

【Abstract】 In order to study the relationship between salt uptake and hypertension,weinvestigated the blood pressure and the amount of 24-hr urinary sodium excretionin peasants of two nearly villages,the peasants of one village had the habit ofdrinking salt-tea,while those of the other hadn’t.Other conditions were comparable,we found out:(1)The mean of 24-hr urinary sodium excretion of the peasants in the salt-teataking area was 55.5meq,which was significantly higher than that of the non-salt-tea taking area (P<0.01),the mean of systolic pressure,diastolic pressure and average,pressure of the peasants in the former area were also higher than those of the latterby an average of 7.1,6.0,6.2 mmHg respectively (p<0.01).These results tallied with most of epidemiologic investigations on this problemboth abroad and at home,these data supported that the risk of hypertension and/or thelevel of blood pressure in high salt uptake areas were higher than those of low salttaking areas.(2)A positive correlation between the amount of urinary sodium excretionand systolic blood pressure was obtained (P<0.01).(3)Multifactor progressive regression analysis showed that whether in salt-tearegion or in non-salt-tea region,the age and the ratio of sodium/potassium in urineof the peasants could always be selected into the diastolic blood pressure and the meanblood pressure regression equation.

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