目的研究长驻高原地区官兵高血压患病与当地气候、饮食、驻训情况等因素的关系, 为其防治提出办法。方法 对337例高原地区工作的官兵进行常规体检, 包括血压、体重指数(BMI)、腹部超声、胸部X线片, 统计当地气候环境、海拔高度、官兵日常饮食习惯、职务、籍贯, 服役年限等, 并分析高血压与上述多因素的关系。结果 高原地区中青年官兵高血压患病率为25.43%, 高血压患病与海拔高度、缺氧、气压、寒冷, 官兵日常饮食习惯, 特别是驻守时间相关。军官高血压患病以基层主官为主, 士官中以司机为主。结论 长驻高原官兵高血压患病与当地的气候、饮食习惯、精神压力有密切关系, 应加强高血压防治工作。

Objective To investigate the risk factors of altitudes affecting young and middle-aged servicemen. Methods 337 young and middle-aged servicemen were recruited, and interviewed with a questionnaire, and their blood pressure, BMI, type-B ultrasonograms of abdomen, chest radiograph, the local climate, elevation, and diet habits, position, native place, and length of service were investigated. Results 1)The prevalence of essential hypertension was 25.43%, and there was an increasing trend along with the growth of the elevation and age.2)Through the single factor analysis, the local tough working conditions, frequent emergency task, lack of cultural and entertainment, low oxygen and low pressure, cold, dietary habit, etc, were related to hypertension. Conclusions Hypertension in middle-aged officers and men in altitudes is the results of mental pressure of the high strength, the dietary habits and the environment factors, The highest prevalence of hypertension lies in leaders and drivers.