云南的农村的血压和左心室的粒量的关系

1、会计学1云南的农村的血压和左心室的粒量的关云南的农村的血压和左心室的粒量的关系系University of California, Irvine加州大学加州大学, Peking University School of Public Health北京大学公共卫生学院北京大学公共卫生学院,Yunnan Province Second Peoples Hospital云南省第二人民医院云南省第二人民医院, China California Heart Watch中加心脏检查机构中加心脏检查机构American Journal of Hypertension, 200927.5Rural China

2、One eigth of the worlds population800000000One eigth of the worlds population八分之一 Number of Participants Rate (%) Age-adjusted rate (%) Criteria of Diagnosis 1958-59a 739,204 5.11 - 1979-80b 4,012,128 7.73 7.5 W H O (1978)# 1991c 950,356 13.57 (11.44#) 9.4 JN C V(1993)* 2002d 17.7 12.4 a: Proceeding

3、s of the National Cardiovascular Diseases Conference, 1959. Peoples 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 Hyperte

4、nsion, 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.#: SBP141 mmHg or DBP91mmHg, without consideration on use of medic

5、ation.*: SBP140 mmHg or DBP90 mmHg or on medication in 2 weeks.37PWT = 1.6LVID = 4.6IST = 1.8Age 年龄年龄57.8 (5.8) Males 男男48.3%BMI: 体重指数22.6kg/m2 (2.7)Present smoker 抽烟抽烟38.4 High cholesterol 高血脂高血脂0.9% Diabetes 糖尿病糖尿病1.2% SBP 收缩压收缩压130 mm Hg (26.3) DBP 舒张压舒张压 75 (12.5)LVM 心左室粒量心左室粒量(g) 138.3 g (40.4)

6、收缩压心左室粒量指数心左室粒量指数心左室粒量指数心左室粒量指数舒张压血压种类心左室粒量指数心左室粒量指数1.46 million metric tons per year2.Double production and increase in imports in past 20 years; Plans to continue increase. 3.Now higher than the US production4.Industry monopoly by government5.More consumed in North than SouthSystolic Blood Pressur

7、eSodium ExcretionCheng (2006)Systolic Blood PressureSodium ExcretionDoes decreasing salt ingestion decrease risk?The China Salt Substitute Study Collaborative Group. (2007). 173 men and 188 women.Mean age was 57.7 +/- 5.7 years. Prevalence of Hypertension 32% Untreated Hypertension: 96%Understanding

8、 the problem is the first step to a solution.认识问题是第一步解决认识问题是第一步解决Research and Teaching242730-39 years40-49 years50-59 years60-69 years70 years or olderChi-square p-valueMen2/9 (22.2%)3/9 (33.3%)10/35 (28.6%)4/21 (19.1%)2/4 (50%)0.72Women0/9 (0%)3/12 (25%)12/40 (30%)10/19 (52.6%)0/2 (0%)0.05 4CCUDefibrillatorPreventive CardiologyCABGPCI11.thousands412.USAChinaWHO statisticsProjecting forwa