论文部分内容阅读
目的了解北京市房山区35~59岁居民缺血性心血管病(ICVD)危险因素暴露及分层情况,评估未来10年该人群ICVD事件的发病风险,为ICVD的防治工作提供科学依据。方法于2012年4-5月采用分层等比例抽样方法在北京市房山区抽取2357名35~59岁居民进行问卷调查、体格检查和实验室检测,采用“国人缺血性心血管病10年发病危险度评估方法”简易模型评估该人群未来10年发生ICVD的绝对危险度及平均危险度。结果北京市房山区35~59岁居民高血压、糖尿病、血脂异常、超重或肥胖、吸烟等危险因素的暴露率分别为41.3%、14.7%、52.0%、69.6%、29.5%;居民未来10年ICVD发病绝对危险分级中极低危、低危、中危、高危的检出率分别为84.8%、11.2%、3.4%、0.6%,不同性别、年龄居民未来10年ICVD发病绝对危险度分级差异均有统计学意义(均P<0.001);房山区35~59岁居民未来10年ICVD发病平均危险度均高于评估方法的参考值,其中男性居民未来10年ICVD的发病平均危险度为(3.02±2.88),高于女性居民的(2.44±3.59),差异有统计学意义(t=4.31,P<0.001)。结论北京市房山区35~59岁居民ICVD发病的危险因素暴露水平较高,未来10年ICVD发生风险较大,应积极控制吸烟、体重、高血脂异常、高血压、糖尿病等危险因素,做好ICVD的预防工作。
Objective To investigate the risk factors of ischemic cardiovascular disease (ICVD) in 35- 59-year-old residents of Fangshan District in Beijing and to assess the risk of ICVD events in the future 10 years, so as to provide a scientific basis for the prevention and treatment of ICVD. Methods From April to May in 2012, stratified proportional sampling method was used to survey 2357 35- to 59-year-old residents in Fangshan District of Beijing for questionnaire survey, physical examination and laboratory test. Annual risk assessment of risk assessment "simple model to assess the population over the next 10 years ICVD absolute risk and the average risk of occurrence. Results The exposure rates of hypertension, diabetes, dyslipidemia, overweight or obesity, smoking and other risk factors were 41.3%, 14.7%, 52.0%, 69.6% and 29.5% respectively in residents aged 35-59 in Fangshan District of Beijing. Residents’ The detection rates of ICVD were 84.8%, 11.2%, 3.4% and 0.6% in the absolute risk classification, respectively. The absolute risk of ICVD in different sexes and ages was significantly different in the next 10 years (All P <0.001). The average risk of ICVD incidence in residents aged 35-59 years in Fangshan district was higher than the reference value of evaluation method. The average risk of ICVD in male residents in the next 10 years was ( 3.02 ± 2.88), higher than female residents (2.44 ± 3.59), the difference was statistically significant (t = 4.31, P <0.001). Conclusion The risk factors of ICVD in Fangshan District of Beijing aged 35-59 years old are relatively high. ICVD risk is high in the next 10 years. Risk factors such as smoking, weight, hyperlipidemia, hypertension and diabetes should be positively controlled ICVD prevention work.