摘要
目的了解獐子岛地区居民心血管疾病的危险因素发生情况，为实施心血管疾病干预措施提供依据。方法按年龄性别随机分层抽取獐子岛镇18岁以上常驻居民（≥5年）1024例，进行心血管疾病危险因素流行病学调查，并对35～59岁人群用“国人缺血性心血管病十年发病危险度评估表”进行评估，对结果进行统计学分析。结果（1）高血压、高总胆固醇、高低密度脂蛋白胆固醇、低高密度脂蛋白胆固醇、高三酰甘油、糖尿病、高尿酸血症患病率依次为43．8％、28．4％、12．4％、9．4％、21．7％、7．2％、9．8％。吸烟率27．1％，超重率56．3％，高摄盐率56．2％。（2）具有1个以上危险因素的个体占89．8％，无同时≥8个以上危险因素的个体。男性具有1个以上危险因素者比例大于女性，差异具有统计学意义（P〈0．01）。（3）10年缺血性心血管病发病危险度〈10％（低危）：男性为96．3％，女性为94．4％；≥20％（高危）：男性为1．5％，女性为0．4％。不同性别10年缺血性心血管病发病危险度在中高危以上（≥10％）检出率差异无统计学意义（P〉0．05）。结论獐子岛地区心血管疾病危险因素的人群比例高，应积极加强对心血管疾病危险因素干预。
Objective To investigate the status of primary risk factors of cardiovascular disease （CVD） in Zhangzi Island. Methods All 1024 participants aged ≥ 18-years and lived for more than 5-years were selected with stratified random sampling and investigated with epidemiological methods. The risk of CVD in aged from 35 to 59 was evaluated by the methods and tools of 10-Year＇s risk estimation of ischemic cardiovascular disease （ICVD） in Chinese. The data were analyzed with statistical methods. Results （1）The prevalence rate of hypertension, total cholesterol, high density lipoprotein-cholesterol, low high density lipoprotein-cholesterol, diabetes mellitus, triglyceride and blood uric acid were 43.8%, 28.4%, 12. 4%, 9. 4%, 21.7%, 7. 2%, 9. 8% respectively. The rate of smoking was 27. 1%. The abnormal BMI was 56. 3%. The higher salt intake was 56. 2%. （2） 89. 8% of the participants had at least one risk factor and no one had eight risk factors simultaneously. Men has more risk factors than women. （3） 96. 3% of male and 94.4% of female had a 10-year absolute risk of ICVD less than 10%. 1.5% of male and 0. 4% of female had a 10-year absolute risk of ICVD higher than 20%. Conclusion There were higher risk factors of CVD in Zhangzi Island. Actively enhance intervention of CVD risk factors will be prospected to find an effective way, which can decrease prevalence of CVD.
出处
《中国心血管杂志》
2008年第4期280-283,共4页
Chinese Journal of Cardiovascular Medicine
关键词
心血管疾病
危险因素
流行病学
危险性评估
Cardiovascular disease
Risk factors
Epidemiology
Risk assessment
