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吸烟作为心血管疾病危险因素的机制的流行病学分析。

Epidemiological analysis on the mechanism of cigarette smoking as a risk factor in cardiovascular diseases.

作者信息

Yamori Y, Kihara M, Horie R, Note S, Tsunematsu T, Fukase M

出版信息

Jpn Circ J. 1980 Dec;44(12):965-70. doi: 10.1253/jcj.44.965.

Abstract

To clarify the mechanism involved in the contribution of cigarette smoking to increased mortality in patients of cardiovascular diseases (CVD), blood pressure (BP), serum cholesterol (Chl), triglycerides (TG), obesity index (OI), hematocrit (Ht), hemoglobin (Hb) etc, were examined in male smokers and non-smokers among 2500 inhabitants of a farming village in Japan. Smokers were classified by age and by the number (n) of cigarettes smoked per day into mild smokers (1 smaller than or equal to n < 20), moderate smokers (20 smaller than or equal to n < 30) and heavy smokers (n larger than or equal to 30). Ht was increased with the number of cigarettes smoked and was significantly higher in heavy smokers than in non-smokers, in most all the age groups. BP, Chl, TG, OI, Hb etc, showed no significant quantitative relation to the number of cigarettes smoked. This increase in Ht in smokers may represent a risk factor in increasing the morality rate in CVD.

摘要

为阐明吸烟导致心血管疾病(CVD)患者死亡率增加的机制,对日本一个乡村2500名居民中的男性吸烟者和非吸烟者的血压(BP)、血清胆固醇(Chl)、甘油三酯(TG)、肥胖指数(OI)、血细胞比容(Ht)、血红蛋白(Hb)等进行了检测。吸烟者按年龄和每日吸烟数量(n)分为轻度吸烟者(1≤n<20)、中度吸烟者(20≤n<30)和重度吸烟者(n≥30)。在几乎所有年龄组中,血细胞比容均随吸烟量增加而升高,且重度吸烟者的血细胞比容显著高于非吸烟者。血压、胆固醇、甘油三酯、肥胖指数、血红蛋白等与吸烟数量无显著定量关系。吸烟者血细胞比容的增加可能是心血管疾病死亡率增加的一个危险因素。

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