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目的:探讨我国自行开发的“国人缺血性心血管病10年发病危险度评估方法”的临床应用价值。方法:采用中国医学科学院心血管病研究所开发的“国人缺血性心血管病10年发病危险评估方法”对北京朝阳区2465名社区居民的心血管病发病危险度进行评估,并进行相关分析。结果:(1)与女性组比较,男性组收缩压[(122.84±16.42)mm-Hg∶(126.83±16.36)mmHg],舒张压[(80.67±9.51)mmHg∶(84.54±9.89)mmHg]和总胆固醇[(4.86±1.06)mmol/L∶(5.01±0.97)mmol/L]水平显著升高,P均<0.001;(2)10年缺血性心血管病发病危险度≥10%者(高危者)所占的比例,男性为3.28%,显著高于女性的1.59%(P<0.05);这一结果与我国“十五”攻关课题组对9903名国人调查,随访15.1年缺血性心血管病绝对危险数据是一致的。结论:国人10年缺血性心血管病发病危险评估方法能较准确地检测人群的发病分布情况,有利于对高危人群的简单筛选。
OBJECTIVE: To explore the clinical value of self-developed “assessment of 10-year risk of ischemic cardiovascular disease in China”. METHODS: The risk of cardiovascular disease in 2465 community residents in Chaoyang District of Beijing was assessed using the “10-year risk assessment of ischemic cardiovascular disease in China” developed by Institute of Cardiovascular Diseases, Chinese Academy of Medical Sciences related analysis. Results Compared with female group, systolic blood pressure (122.84 ± 16.42) mm-Hg: (126.83 ± 16.36) mmHg and diastolic blood pressure (80.67 ± 9.51) mmHg: (84.54 ± 9.89) mmHg) The levels of total cholesterol [(4.86 ± 1.06) mmol / L vs (5.01 ± 0.97) mmol / L] were significantly increased, all P <0.001. (2) The 10-year risk of ischemic cardiovascular disease was> 10% Risk persons), the proportion of males was 3.28%, which was significantly higher than that of females (P <0.05). This result was compared with that of 9903 Chinese who were questioned in the “15th Five-Year Plan” The absolute risk of cardiovascular disease data is consistent. Conclusion: 10 years Chinese people risk assessment of ischemic cardiovascular disease risk assessment method can accurately detect the incidence of population distribution, is conducive to simple screening of high-risk groups.