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몽골의 수도 울란바토르에서 고혈압의 역학적 특징 및 심전도와 단백뇨의 평가

Epidemiological Characteristics and Proteinuria Patterns of Hypertensive Disease in Mongolian

전민영|도영석
대한의료커뮤니케이션학회 (Korean Academy on Communication in Healthcare)|2010.12|의료커뮤니케이션 (Health Communication, the Official Journal of Korean Academy on Communication in Healthcare)|제5권 제2호|pp. 108-118

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참고문헌

키워드

고혈압몽골심전도단백뇨
주제분류의학일반

초록

Abstract

During medical support activities in Ulaanbaatar city of Mongolia, we found out that hypertension is prevalentand we investigated the epidemiological characteristics of hypertension in this region. According to JNC-VII,490 medical patients over 18 years of age that were treated at Hanuul district hospital for 6 days from 30thApril 2009 were classified in the order of normal (normal group), prehypertension (group 1), 1st stage hypertension(group 2), and 2nd stage hypertension (group 3). Age, Body Mass Index (BMI), diabetes, sex, clinical symptoms,electrocardiogram, proteinuria of each group were compared with data from studies conducted in East Asia. Age, BMI, frequency of chest pain were significantly different between groups. The proportions of abnormalECG in each group were high and showed increasing tendency as blood pressures were higher but wasnot statistically significant due to the limitations of the study. In patients with chest pain, the proportionof abnormal ECG findings in each group showed a sharp increase in the order of 0%, 17%, 29%, 53%, respectively(p <0.05). In patients with chest pain, systolic and diastolic blood pressure, mean blood pressure, pulse pressure,hypertension, male sex were statistically significant risk factors for abnormal ECG findings (p<0.05). But age,BMI, diabetes did not show statistically significant relationship. Meanwhile, as the blood pressure increases,proteinuria ('1+' or higher: 30 mg/dL or greater) ratio was significantly higher (p<0.05) and heavy proteinuria('2+' or higher: 100 mg/dL or greater) ratio increased more rapidly. The proteinuria prevalence was higherthan that of Korea and other countries. This study was conducted with hospital patients in certain area ofthe city and the female proportion was high. However, it could be concluded that the more abnormal ECGsand the heavier proteinuria are accompanied with the higher blood pressure group in Mongolia by a higherproportion compared with reports of the other studies with primary healthcare in East Asia.

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