论文部分内容阅读
目的了解民航飞行人员高血压的血压水平，探究飞行人员高血压与体重、血脂、血糖的关系。方法以某航空公司飞行人员年度体检鉴定中检出的１１２名高血压飞行人员（其中确诊高血压３３人，临界高血压７９人）作为对象，按工种、年龄随机配对设置对照组，分析各组收缩压（ＳＰ）、舒张压（ＤＰ）、体重指数（ＢＭＩ）、血清总胆固醇（ＴＣ）、甘油三脂（ＴＧ）、高密度脂蛋白胆固醇（ＨＤＬ－Ｃ）和空腹血糖水平。结果高血压组ＳＰ、ＤＰ、ＴＣ、ＢＭＩ水平明显高于非高血压组（Ｐ＜０．０１）；超重高血压组ＴＣ、ＴＧ、ＬＤＬ／ＨＤＬ、ＴＣ／ＨＤＬ明显高于非超重高血压组（Ｐ＜０．０１），超重高血压组临界高血压者ＨＤＬ－Ｃ明显低于非超重高血压组（Ｐ＜０．０５）．各组之间血糖无明显差异。结论民航飞行人员高血压的血压水平较高；超重是心血管疾病危害最大的危险因素，积极减重和控制体重是预防心血管疾病的主要环节；建议对飞行人员高血压治疗进行有效的医学指导，并建议对血压应控制的适宜水平和胰岛素抵抗（ＩＲ）与高血压的关系进行研究。
Objective To understand the blood pressure level of civil aviation pilots and explore the relationship between the high blood pressure and body weight, blood fat and blood glucose of pilots. Methods A total of 112 hypertensive pilots (including 33 confirmed hypertension and 79 critical hypertensive) detected in the annual medical examination of an airline pilot were selected as the control group according to work type and age. Systolic blood pressure (SP), diastolic blood pressure (DP), body mass index (BMI), serum total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C) and fasting blood glucose. Results The levels of SP, DP, TC and BMI in hypertension group were significantly higher than those in non-hypertension group (P <0.01). TC, TG, LDL / HDL and TC / HDL in hypertension group were significantly higher than those in non-overweight hypertension group (P <0.01). The HDL-C of hypertensive patients with hypertension was significantly lower than that of non-overweight hypertensive patients (P <0.05). No significant difference between the groups of blood glucose. Conclusions The blood pressure level of hypertension in civil aviation pilots is high. Overweight is the most dangerous risk factor of cardiovascular disease. Active weight loss and weight control are the main links to prevent cardiovascular disease. It is suggested that effective medical guidance should be given to the treatment of hypertension in pilots And suggested that the appropriate level of blood pressure control should be studied and the relationship between insulin resistance (IR) and hypertension.