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[职业压力——原发性高血压的风险因素]

[Occupational stress--risk factor in essential arterial hypertension].

作者信息

Ciocoiu M, Azoicăi D, Bădescu M, Ivan A, Colev V

机构信息

Facultatea de Medicină, Disciplina Fiziopatologie, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2000 Apr-Jun;104(2):113-7.

Abstract

The stress was recorded taking into consideration the epidemiological interview, using a standard methodology by filling in the type card the occupational stress (OS) and the family stress (FS). The constitutional factors (behaviour type A, body weight index > 25 Kg/m2) as well as the consumption in excess of salt, have significantly correlated themselves, both in individuals with OS and FS, and in those with the exclusively OS. The modification of biochemical constants (total cholesterol, triglycerides, total lipids, HDL-cholesterol, LDL-cholesterol) significantly associate themselves in persons to which the presence of OS and FS, of the occupational one, respectively was put into evidence (chi 2 = 94.10 for 5 freedom degrees and p < 0.001, chi 2 = 118.94 and p < 0.001, respectively). The prevalence of persons with pathologic values of total lipids was 58.7%, of triglycerides 35.7%, of total cholesterol 12.7%, of LDL cholesterol 27%, and of HDL-cholesterol 44.4%. Measuring the values of systolic and diastolic arterial hypertension an increase above the normal values of limit systolic arterial hypertension at 23.8% and at 12.3% for illness systolic arterial hypertension was found. The evaluation of association of certain cardiovascular risking factors in individuals with occupational stress has permitted a global understanding, useful for the elaboration of some preventive programmes.

摘要

通过采用标准方法,在进行流行病学访谈时记录压力,即在类型卡片上填写职业压力(OS)和家庭压力(FS)。在患有职业压力和家庭压力的个体以及仅患有职业压力的个体中,体质因素(A型行为、体重指数>25 Kg/m2)以及过量食盐摄入均存在显著相关性。生化常数(总胆固醇、甘油三酯、总脂质、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇)的改变在分别被证明存在职业压力和家庭压力、职业压力的人群中显著相关(自由度为5时,卡方值分别为94.10,p<0.001;卡方值为118.94,p<0.001)。总脂质病理值人群的患病率为58.7%,甘油三酯为35.7%,总胆固醇为12.7%,低密度脂蛋白胆固醇为27%,高密度脂蛋白胆固醇为44.4%。测量收缩压和舒张压高血压值发现,疾病收缩期动脉高血压的收缩期动脉高血压限值高于正常值的比例分别为23.8%和12.3%。对职业压力个体中某些心血管危险因素关联的评估有助于全面了解,这对制定一些预防方案很有用。

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