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大学生人群无症状性心律失常相关因素分析

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目的 探究大学生人群无症状性心律失常的患病情况及影响因素,为大学生无症状性心律失常患者的心率控制和健康管理提供科学依据。方法 采用整群抽样法,选取2022年9-11月在河南中医药大学第一临床医学院和河南中医药大学第二临床医学院就读的3 012名大学生为研究对象,秋季入学(2022年9月)后对所有大学生进行问卷调查,对比无症状性心律失常者和正常大学生的一般资料和生活习惯,采用Logistic回归分析大学生人群发生无症状性心律失常的影响因素。结果 共发现62例无症状性心律失常者,体质量指数(BMI)≥24。0 kg/m2、收缩压(SBP)≥ 120 mmHg、舒张压(DBP)≥80 mmHg、有心血管疾病家族史、吸烟、饮酒、每周运动锻炼次数<3次、学习压力大、作息不规律、有抑郁倾向、有焦虑倾向者中无症状心律失常的检出率分别为5。58%,4。49%,5。63%,6。18%,4。26%,4。50%,3。72%,4。29%,4。28%,9。15%,9。03%,分别高于BMI<24。0 kg/m2、SBP<120 mmHg、DBP<80 mmHg、无心血管疾病家族史、不吸烟、不饮酒、每周运动锻炼次数≥3次、学习压力不大、作息规律、无抑郁倾向、无焦虑倾向患者中无症状心律失常者的比例(1。20%,1。37%,1。35%,1。53%,1。55%,1。59%,1。27%,1。52%,1。38%,1。71%,1。71%),差异均有统计学意义(x2 值分别为45。33,25。20,37。74,32。24,16。69,17。25,19。57,17。83,22。36,37。23,39。42,P值均<0。01)。Logistic 回归分析结果显示,BMI、SBP、DBP 偏高,心血管疾病家族史,吸烟,饮酒,运动锻炼次数,学习压力大,作息不规律,抑郁倾向和焦虑倾向均与大学生无症状性心律失常正性相关(P值均<0。05)。结论 BMI、血压偏高,心血管疾病家族史,不良的生活习惯和心理状况均是大学生发生无症状性心律失常的相关因素。合理控制体重和血压,保持良好的生活习惯和心理状态对于预防和改善大学生无症状性心律失常发生具有重要意义。
Analysis of influencing factors of asymptomatic arrhythmia in college students
Objective To research the prevalence and influencing factors of asymptomatic arrhythmia among college students,and provide scientific basis for heart rate control and health management of asymptomatic arrhythmia among college students.Meth-ods Using cluster sampling method,3 012 college students who studied in the First Clinical Medical College of Henan University of Traditional Chinese Medicine and the Second Clinical Medical College of Henan University of Traditional Chinese Medicine were selected as the research objects from September to November 2022.After entering school in autumn(September in 2022),all col-lege students were investigated by questionnaire,and the general data and living habits of asymptomatic arrhythmia college students and normal college students were compared.Logistic regression was used to analyze the influencing factors of asymptomatic arrhyth-mia among college students.Results A total of 62 patients with asymptomatic arrhythmia were found.The detection rates of the pa-tients with body mass index(BMI)≥24.0 kg/m2,systolic blood pressure(SBP)≥120 mmHg,diastolic blood pressure(DBP)≥80 mmHg,family history of cardiovascular disease,smoking,drinking,exercising less than three times a week,heavy study pressure,irregular work and rest,depression tendency and anxiety tendency were 5.58%,4.49%,5.63%,6.18%,4.26%,4.50%,3.72%,4.29%,4.28%,9.15%,9.03%,which were significantly higher than those of patients with BMI<24.0 kg/m2,SBP<120 mmHg,DBP<80 mmHg,no family history of cardiovascular disease,no smoking,no drinking,exercise more than three times a week,lit-tle study pressure,regular work and rest,no depression tendency and no anxiety tendency(1.20%,1.37%,1.35%,1.53%,1.55%,1.59%,1.27%,1.52%,1.38%,1.71%,1.71%),and the differences were statistically significant(X2=45.33,25.20,37.74,32.24,16.69,17.25,19.57,17.83,22.36,37.23,39.42,P<0.01).Logistic regression analysis showed that the higher of BMI,SBP and DBP,family history of cardiovascular disease,smoking,drinking,times of exercise,heavy study pressure,irregular work and rest,depression tendency and anxiety tendency were positively correlated with asymptomatic arrhythmia of college students(P<0.05).Conclusions The higher of BMI and blood pressure,family history of cardiovascular diseases,bad living habits and psychological status are related to asymptomatic arrhythmia in college students.It is of great significance to control weight and blood pressure reasonably and maintain good living habits and mental state for preventing and improving asymptomatic arrhythmia.

ArrhythmiaDepressionAnxietyRegression alaysisStudents

高俊英、韩萌、曹海英

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河南省中医院/河南中医药大学第二附属医院心内科,郑州 450002

河南中医药大学第一附属医院心内科

心律失常 抑郁 焦虑 回归分析 学生

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(1)
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