季节对血压血脂影响.docVIP

季节对血压血脂影响 　　【摘要】 目的 探讨不同季节变化对人体血压、血脂的影响。方法 分析我院2008年全年健康体检人员体检资料，按月份分为四个季节，比较其血压、血脂的变化。结果 人体血压、总胆固醇?高密度脂蛋白胆固醇和低密度脂蛋白胆固醇水平在不同季节成周期性变化。收缩压平均水平在冬季明显高于夏季，相差9.31 mm Hg；总胆固醇和低密度脂蛋白胆固醇平均水平在冬季明显高于夏季，冬季分别为4.80 mmol/L和2.65 mmol/L，夏季分别为4.62 mmol/L和2.39 mmol/L，差值分别为0.18 mmol/L(4%)和0.26 mmol/L(6%)(P0.05)；高密度脂蛋白胆固醇平均水平则相反，冬季为1.44 mmol/L，夏季为1.52 mmol/L,差值为0.08 mmol/L(5%)(P0.01)。结论 在寒冷的冬季，对血压、血脂轻度增高的诊断应充分考虑季节因素，对患者应加强血压及血脂的监测和适当调整药物的剂量。? 　　【关键词】 　　血压;血脂;季节 　　?? 　　 　　The impact of season for blood pressure and blood lipid 　　 　　LI Ji-zhan. Department of Cardiology, The Second of People’s Hospital of Wuhu City, Anhui 241000,China 　　? 　　 　　【Abstract】 Objective To investigate the influence of different seasons for blood pressure and lipids. Methods The people accepted health examination in our hospital in 2008 were enrolled. The data of blood pressure and lipids was compared between summer and winter. Results The levels of blood pressure, cholesterol, high density lipoprotein (HDL)and low-density lipoprotein(LDL) were changed periodically in different seasons. The mean level of systolic pressure in winter was significantly higher by 9.31 mm Hg than that in summer. And the level of cholesterol and LDL in winter increased by 0.18 mmol/L(4%)and 0.26 mmol/L(6%) respectively in average as compared with that in summer（P＜0.05）. However, in winter, the average level of HDL (1.44 mmol/L)was lower by 0.08 mmol/L(5%)than that in summer（P＜0.01）. Conclusion The season factor must be taken into account in the diagnosis of mild increase of blood pressure and lipids in winter. So patients should receive intensive lipid lowering and aggressive blood pressure lowering therapy.? 　　【Key words】 Blood pressure; Blood lipid; Seasonal variation 　　? 　　人体血压和血脂水平在不同的季节、不同的环境温度下会发生相应的变化，为探讨季节环境温度变化对血压、血脂的影响， 我对对不同季节健康体检人员的血压、血脂进行分析研究。? 　　1 资料与方法? 　　1.1 一肌资料 2008年01月01日至12月31日我院11738个健康体检人员血压、血脂资料，按体检时间分为四个季节(12~2月,3~5月,6~8月,9~11月)，结合全年的天气、相应的平均气温进行统计分析。全年天气温度数据由芜湖市气象部门提供。? 　　1.2 方法 清晨空腹静脉血检测血脂,包括