熊本地震后临时住房居民高血压治疗状况和超声心动图结果:一项横断面研究

Pub Date : 2021-06-18 DOI:10.5603/ah.a2021.0010
Hidenori Onishi, O. Yamamura, Hiromasa Tsubouchi, Takeshi Hirobe, S. Enomoto, Tami Yamamoto, Satoshi Daitoku, Yasutaka Mizukami, Takahiro Kishimoto, Yutaka Kai, Youichirou Hashimoto, T. Hamano, B. Kaku, Hidekazu Terasawa
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引用次数: 1

摘要

背景:我们旨在调查和报道熊本地震后临时住房居民高血压治疗状况与心功能的关系。材料与方法:2016年12月对熊本县南阿苏村临时住宅小区的56名居民进行了超声心动图检查。根据高血压发病率及降压治疗情况将受试者分为正常组(无高血压)、治疗组和未治疗组。随后,比较他们的心脏功能。结果:年龄和BMI是高血压的积极预测因子。治疗组的年龄、LAVI、LVMI均高于治疗组。中度或重度二尖瓣反流在未治疗组明显多于治疗组。结论:控制血压可能有助于预防重大灾难后幸存者发生新的心脏疾病(如瓣膜反流)。此外,对于受到心理压力严重影响的幸存者,完善心理压力支持系统可能是减少健康问题的有效措施。
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Hypertension treatment status and ultrasonic cardiography findings in temporary housing residents after the Kumamoto earthquake: a cross-sectional study
Background: We aimed to investigate and report the relationship between hypertension treatment status and cardiac functions among temporary housing residents after the Kumamoto earthquake. Material and methods: Ultrasonic cardiography examinations were conducted for 56 residents at temporary housing complexes in Minami Aso village in Kumamoto Prefecture in December 2016. The subjects were divided into the following three groups according to the incidence of hypertension and the antihypertensive treatment status: normal (without hypertension), treated, and untreated. Subsequently, their cardiac functions were compared. Results: Age and BMI were found to be positive predictors for hypertension. Moreover, age, LAVI, and LVMI tended to be higher in the untreated group than in the treated group. Moderate or severe mitral regurgitation was significantly more common in the untreated group than in the treated group. Conclusions: Controlling blood pressure may help to prevent new cardiac diseases (e.g., valve regurgitation) among survivors after a major disaster. In addition, for survivors who are  severely affected by psychological stress, improving the mental stress support system may be an effective measure to reduce health problems.
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