Ocean Seafarers' Hypertension Present Situation And Affecting Factors Analysis Of Illness

Ocean seafarer remote Marine operations as an important group in the crowd, long life in away from land, diet single, working intensity big, psychological burden and other special environment, their health more and more attention by the domestic and international medical experts, the living environment for crew Marine health effects of disease-related repeatedly see articles. Marine life environment for crew healthy influence embodies due to the Marine environment in the chronic disease caused does not adapt, this point in related study has been confirmed. The most common in hypertension as the cardiovascular disease, is also the most common chronic disease crew, has become a pelagic crew health impact main problems. Due to the crew sea the limitations of working and living environment and our operations at sea medical conditions relatively lags behind, the hypertension "three-high" (i.e., high mortality rates high, Handily high) and "three low" (i.e., low, low survival 62.89% particularly pronounced control low) phenomenon. This study, starting from the basic data collected for ocean seafarers' blood pressure condition, diet, psychological factors, such as living habits, working intensity in the statistical analysis, data description of pelagic seafarers' hypertension sicken, meanwhile, tried to find out the ocean Marine life environment for hypertension incidence influence factors and discussed, for taking a targeted prophylaxis intervention measures to provide the scientific basis.Objective:In order to better understand and master the ocean staff in special working environment and conditions for seafarer with the influence of hypertension prevalence of hypertension related susceptibility relationship. Seafarer on its may cause hypertension ocean many triggers for statistical investigation, and based on this, purposeful formulate the corresponding prevention measures of medical treatment, movement, and puts forward constructive Suggestions on the reasonable, the prevention and recovery actively explore further. 1.To understand wanted port ocean crew blood pressure level2.To describe wanted port ocean crew hypertension pop the present situation.3.To analysing the influential ocean crew hypertension sick for major risk factors for ocean environment and formulated the characteristic health policy and intervention measures provided scientific basis;4.For ocean crew hypertension prevention and control, puts forward constructive Suggestions raise ocean crew health conscious, reduce hypertension complications, explore the corresponding medical intervention model establish appropriate for the final of the ocean environment effectively provide scientific basis for hypertension management mode.Material and method1. Source: using simple random sampling method, extraction of 1,000 male ocean seafarer and 1,000 male staff as a comparison, land controlled seafarer and ages 18 years old or above 60 years of age. Sample selection of standard: eliminate mental disorders, dementia, cognitive disabilities, and severe acute or chronic diseases, such as trauma, acute abdominal pain, malignant tumor, severe heart failure can't cooperate with investigators.2. Routine check: seafarer and control content consistent routine check-up. Check project including height and weight, quiet blood pressure, biochemical examination, medical, function mostly.the function in the urine. Diagnostic criteria: primary hypertension disease diagnosis by 1999 diagnostic criteria; international hypertension alliance Dyslipidemia press 1997 editorial dyslipidemia trail.lancet diagnostic criteria; Type 2 diabetes in 1999, according to the WHO standards Other diseases by reference to the 6th edition of internal diagnostic criteria.3. Questionnaire: according to the risk factors may cause hypertension of life habit of smoking administered questionnaires, questionnaire survey and physical examination by trained investigators in accordance with the prescribed survey methods and quality control unified completed.4.Statistical methods: the establishment of database, SAS 8.2 PEMS 3.1 software for investigation and data analysis and statistics processing, hypertension risk factors analysis using unconditional Logistic regression analysis.Research results1. Polled each age crew and contrast between the crowd constitutes a chi-square test, the difference was not statistically significant (P > 0.05), sample internal components is consistent, has good comparability.2. Survey the crowd in ocean crew hypertensive number for 281 people, prevalence was 1999, including mild hypertension 168 people, mild hypertension 88 people, highly hypertension rates of 25 people, respectively, 8.8%, 16.8% of 2.5%. Control the crowd hypertensive number, prevalence was for 222, including mild hypertension 135 22.2% 61 people, mild hypertension, high blood pressure 26, respectively, 6.1% 13.5% morbidity, 2.6%.3. Investigation objects crew hypertension rates than the control groups (P < 0.05). Along with the increase of age, mild hypertension, mild hypertension and severe hypertension an upward trend in the prevalence of (P < 0.05). Respondents crew and contrast between different degree hypertension rates crowd there statistically significant (P < 0.05), and the crew light, mild hypertension rates were higher than in the corresponding control crowd.4. Weight for hypertension rates low crowds of people of normal weight 6.3%, hypertension, and pressure prevalence was 37.1% hypertension overweight respectively, the prevalence of statistical inspection, 37.9% different body mass index of hypertension rates exist statistically significant (P < 0.05). The crowd of light, medium and severe hypertension rates as body mass index increases shows ascendant trend.5. Dyslipidemia crowd 32.81%, lipid profiles for hypertension prevalence rates for the general population, have high blood pressure 21.54 statistical differences (P < 0.05). Will hypertension grading, dyslipidemia crowd of light, medium, heavy hypertension rates are higher than normal blood fat groups (P < 0.05).6. Polled each lipid index and blood pressure the correlation analysis found that: TC, TG, LDL - C, hdl-c level and SBP and DBP level into linear correlation (P < 0.05), correlation coefficient 0.2137 and 0.1835 respectively; 0.0838 and 0.0570; 0.1391 and 0.1330; - 0.1442 and - 0.1422.7. Normal blood sugar, blood glucose is divided into three levels abnormal blood sugar, diabetes, three levels of blood pressure levels and hypertension rates are tested was not statistically significant (P > 0.05).8. No fatty liver crowd hypertension rates for booting stages, fatty liver patient morbidity 29.79%, both for hypertension compared statistically significant (P < 0.05). And there is increased with fatty liver in increasing prevalence of hypertension.9. Hypertension related factors Logistic regression showed that: occupation, age, body mass index, dyslipidemia, expensive, eating meat food, working strain degree and parents history of hypertension is high blood pressure risk factors.10.Hypertension related factors Logistic regression showed that: occupation, age, body mass index, dyslipidemia, expensive, eating meat food, working strain degree and parents history of hypertension, alcohol consumption index higher, the use of fresh vegetables less were high blood pressure risk factors for Ocean seafarers .11.Blood pressure after Logistic regression showed that classification: occupation, age, body mass index, dyslipidemia, expensive, eating meat food, working strain degree, finds attitude, per capita household income and parents history of hypertension is high blood pressure risk factors.Conclusion1. Ocean seafarers hypertension prevalence rate was higher than the control populations.2. The SBP respondents with DBP level and hypertension prevalence rate and increased with age, and in the same age group, the ocean crew DBP level than the control crowd.3. The crowd's light, medium and severe hypertension rates as body mass index increases shows ascendant trend.4. Dyslipidemia crowd hypertension rates higher than normal blood pressure prevalence crowd; Will be after classification, dyslipidemia crowd of light, medium, heavy hypertension rates are higher than normal blood fat crowd. TC, TG, LDL - C, hdl-c level and SBP and DBP level into linear correlation.5. Blood sugar level and hypertension prevalence was statistically significant.6. Fatty liver disease patients hypertension rates higher than that of the fatty liver patient hypertension rates; And different degree fatty liver and different degree hypertension rates positive correlation exists between the linear, and.7.Career, age, body mass index, dyslipidemia, expensive, eating meat food, working strain degree, finds attitude, per capita household income and parents history of hypertension is high blood pressure risk factors. In addition, alcohol consumption index higher, the use of fresh vegetables less were high blood pressure risk factors for Ocean seafarers .