基于女性特征血压分布的相关性分析
Correlation Analysis Based on the Distribution of Female Blood Pressure
DOI: 10.12677/MD.2017.73009, PDF, HTML, XML, 下载: 1,339  浏览: 2,373  国家自然科学基金支持
作者: 吴迪, 包研科, 郭嗣琮, 张利民:辽宁工程技术大学智能工程与数学研究院,辽宁 阜新;冯亮, 景凯, 张大义*:辽宁省阜新矿业集团总医院,辽宁 阜新
关键词: 列联表机会比高血压绝经生育胎数Contingency Table Odds Hypertension Menopause Number of Births
摘要: 针对辽宁阜新地区农村人群的高血压流行病学调查数据,以多维标度法(MDS)方法体系中基于χ2统计量的关联性度量方法为主,辅以Somers和Kendall关联性度量方法,分析和探讨女性特征对血压分布的影响。重点分析了40~54岁的女性绝经与否和生育胎数两个因素对血压的影响。数据分析表明,绝经与否对收缩压影响显著地大于对舒张压的影响,在血压等级迁移的敏感性方面,已绝经女性从正常高值向轻度和中度高血压迁移的机会大于未绝经女性,且在由正常高值向轻度高血压迁移上收缩压更敏感。对生育胎数因素,分析表明,生育第3胎对血压存在特异性影响,生育3胎的女性收缩压由中度迁移为重度、舒张压下由轻度迁移为中度级别的风险大。在绝经与否和生育胎数两个因素的交互影响上,生育胎数在收缩压上的影响应重点关注在绝经之前,而绝经特征对生育胎数在收缩压上的影响较为一致,而对舒张压的影响却极为复杂。
Abstract: According to the data of epidemiological survey on hypertension in rural population of Fuxin, Liaoning province, the method of correlation measurement based on χ2 statistic in the MDS method system are mainly used, and supported by Somers and Kendall correlation to analyze and discuss the effects of female characteristics on blood pressure distribution. This paper mainly analyzes the effects of two factors of menopause for women aged 40-54 and the number of births on blood pressure. For the factor of menopause, the data analysis shows that menopause has greater effects on systolic blood pressure than diastolic blood pressure. In the sensitivity of blood pressure level migration, the chance is greater for post-menopausal women migrating from high normal to mild and moderate blood pressure than non-menopausal women, and systolic blood pressure is more sensitive migrating from high normal to mild blood pressure. For the factor of the number of births, the data analysis shows being equal to 3 has special effects on blood pressure. For women who have 3 children have higher risk on systolic blood pressure migrating from moderate to severity, diastolic blood pressure migrating from mild to moderate. In the interactive effects between menopause or not and the number of births, the effects the number of births has on diastolic blood pressure should focus on pre-menopause. The effect menopause has on the number of births is consistent on systolic blood pressure, while is complicated on diastolic blood pressure.
文章引用:吴迪, 包研科, 郭嗣琮, 张利民, 冯亮, 景凯, 张大义. 基于女性特征血压分布的相关性分析[J]. 医学诊断, 2017, 7(3): 50-59. https://doi.org/10.12677/MD.2017.73009

参考文献

[1] Sun, Z., Zheng, L., Wei, Y., et al. (2007) The Prevalence of Prehypertension and Hypertension among Rural Adults in Liaoning Province of China. Clinical Cardiology, 30, 183-187.
https://doi.org/10.1002/clc.20073
[2] 孙兆青, 郑黎强, 张大义, 等. 辽宁省农村人群高血压的流行病学特征及危险因素调查[J]. 中华心血管病杂志, 2007, 35(1): 74-76.
[3] 中国高血压防治指南修订委员会. 中国高血压防治指南(2010年修订版) [J]. 中国实用乡村医生杂志, 2012, 19(12): 1-12.
[4] Hajjar, I., Kotchen, J.M. and Kotchen, T.A. (2006) Hypertension: Trends in Prevalence, Incidence, and Control. Annual Review of Public Health, 27, 465.
https://doi.org/10.1146/annurev.publhealth.27.021405.102132
[5] Reynolds, K., Gu, D., Muntner, P., et al. (2003) Geographic Variations in the Prevalence, Awareness, Treatment and Control of Hypertension in China. Journal of Hypertension, 21, 1273-1281.
https://doi.org/10.1097/00004872-200307000-00014
[6] Lombardi, M., Mercuro, G., Fini, M., et al. (2010) Gender-Specific Aspects of Treatment of Cardiovascular Risk Factors in Primary and Secondary Prevention. Fundamental & Clinical Pharmacology, 24, 699.
https://doi.org/10.1111/j.1472-8206.2010.00834.x
[7] 庞艳蕾, 王增武, 王馨, 等. 北方农村成年女性高血压患病情况及危险因素分析[J]. 中华高血压杂志, 2016(8): 779-782
[8] 张心刚. 辽宁省阜新农村地区高血压人群血脂流行病学调查及降压、降脂预防脑卒中研究[D]: [博士学位论文]. 沈阳: 中国医科大学, 2009.
[9] 米子川. 属性数据的多变量对应分析模型及应用[J]. 统计与信息论坛, 2010, 25(7): 16-21.
[10] 包研科. 数据分析教程[M]. 北京: 清华大学出版社, 2011.
[11] 周光亚, 夏立显. 非定量数据分析及其应用[M]. 北京: 科学出版社, 1993.
[12] Agresti, A. (2002) Categorical Data Analysis. Wiley-Interscience, New York.
https://doi.org/10.1002/0471249688
[13] 赵平. 定性数据的统计分析[M]. 北京: 社会科学文献出版社, 2014.
[14] 李艳芳. 母亲亚临床动脉粥样硬化风险与生育的子女数目相关[EB/OL]. http://www.365heart.com/show/98382.shtml, 2014.
[15] 张双月, 刘长涛, 卞秋武, 等. 生殖因素与绝经后女性单纯收缩期高血压的相关性[J]. 中华高血压杂志, 2015(4): 374-376.