对地震后心血管次生灾害的认识
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摘要
目的分析地震后引起心血管疾病次生灾害的可能性及其机制,并提出控制措施。方法对"5.12"地震当日进行动态血压监测(AMBP)的31例高血压患者(地震组)的监测结果进行分析,并与非地震日进行AMBP的31例高血压患者(对照组)的监测结果进行比较。设定14:28(地震发生时间)为时间基点。比较基点前后6小时内2组人群收缩压、舒张压及感知心率各项数据的变化。结果地震组在震后的各项指标与震前及对照组比较有明显增高,差异有统计学意义(P<0.01)。结论地震后可增加心血管疾病的风险,其机制可能与创伤后应激障碍有关,应采取积极措施控制震后心血管疾病的发生。
Objective To analyze the possibility of cardiovascular diseases(CVD) induced by the earthquake and control the secondary disaster of CVD.Method 62 hypertensive patients were divided into quake group(n=31,after earthquake) and control group(n=31,before earthquake).SBP,DBP and HR were continuously monitored with Ambulatory Blood Pressure Monitoring(ABPM) 6 hours before(quake group) and after(quake group) the earthquake.Results SBP,DBP and HR of quake group were higher than that of control group(P<0.01).Conclusion The risks of CVD would be increased after earthquake.
Objective To analyze the possibility of cardiovascular diseases(CVD) induced by the earthquake and control the secondary disaster of CVD.Method 62 hypertensive patients were divided into quake group(n=31,after earthquake) and control group(n=31,before earthquake).SBP,DBP and HR were continuously monitored with Ambulatory Blood Pressure Monitoring(ABPM) 6 hours before(quake group) and after(quake group) the earthquake.Results SBP,DBP and HR of quake group were higher than that of control group(P<0.01).Conclusion The risks of CVD would be increased after earthquake.
引文
[1]中国高血压防治指南修订委员会.中国高血压防治指南(2005年版)[M].北京:人民卫生出版社,2006:8.
[2]Brown D.Disparate effects on the 1994 Northridge earthquakeson hospital admissions for acute myocardial infaction[J].AmHeart J,1999,137:830-836.
[3]Suzuki S,Sakamoto S.Hanshkin-Awaju earthquake and acutemyocardial infarction[J].Lancet,1995,345:981.
[4]Huang JL.Sudden change in heart rate variability during the1999 Taiwan Earthquake[J].Am J of Cardiol,2001,87:185.
[5]Yehuda P.Post traumatic stress disorder[J].New Engl J Med,2002,346(2):108-114.
[6]Diz DI,Falgui B,Bosch SM,et al.Hypothalamic substance P re-lease attenuated angiotensions responses in nRen2(27)transgenicrats[J].Hypertension,1997,29(1pt 2):510-513.
[7]Driel RC,Velde OW.Myocardial infarction and PTSD[J].JTrauma Stress,2001,14(1):151-159.
[8]Jarvinen KL.Emotional helplessness risk factor for hypertensionand tachycardia after PTSD[J].J Psychosom Med,2000,50(2):409-413.
[9]张素珍,徐永,万瑜,等.应激大鼠血浆与肾上腺组织血管紧张素Ⅱ的水平及ANGmRNA在肾上腺组织中的表达[J].广东医学院学报,2002,20(02):87-88.
[10]杨菊贤.心血管疾病患者伴有焦虑或抑郁时的诊断与治疗[J].国外医学心血管分册,2002,29(2):67-70.
[2]Brown D.Disparate effects on the 1994 Northridge earthquakeson hospital admissions for acute myocardial infaction[J].AmHeart J,1999,137:830-836.
[3]Suzuki S,Sakamoto S.Hanshkin-Awaju earthquake and acutemyocardial infarction[J].Lancet,1995,345:981.
[4]Huang JL.Sudden change in heart rate variability during the1999 Taiwan Earthquake[J].Am J of Cardiol,2001,87:185.
[5]Yehuda P.Post traumatic stress disorder[J].New Engl J Med,2002,346(2):108-114.
[6]Diz DI,Falgui B,Bosch SM,et al.Hypothalamic substance P re-lease attenuated angiotensions responses in nRen2(27)transgenicrats[J].Hypertension,1997,29(1pt 2):510-513.
[7]Driel RC,Velde OW.Myocardial infarction and PTSD[J].JTrauma Stress,2001,14(1):151-159.
[8]Jarvinen KL.Emotional helplessness risk factor for hypertensionand tachycardia after PTSD[J].J Psychosom Med,2000,50(2):409-413.
[9]张素珍,徐永,万瑜,等.应激大鼠血浆与肾上腺组织血管紧张素Ⅱ的水平及ANGmRNA在肾上腺组织中的表达[J].广东医学院学报,2002,20(02):87-88.
[10]杨菊贤.心血管疾病患者伴有焦虑或抑郁时的诊断与治疗[J].国外医学心血管分册,2002,29(2):67-70.
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