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河南省鄭州市中年人缺血性心血管病發病危險評估
作者: 安偉鋒  張雷  王培玉  
單位:河南省疾病預防控制中心健康教育與慢病防治研究所  北京大學腫瘤醫院  北京大學公共衛生學院  
關鍵詞:缺血性心血管病  危險評估  評估模型  
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出版年,卷(期):頁碼:2012,28(1):22-24
摘要:

目的評估鄭州市中年人缺血性心血管病(ICVD)十年發病危險,為進一步改善該人群健康狀況提供參考依據。方法采用多階段整群隨機抽樣方法,對鄭州市3561名35~59歲居民進行橫斷面調查收集資料,以"國人ICVD十年發病危險評估方法"簡易模型進行ICVD十年發病危險評估。結果 ICVD十年發病絕對危險度<10%(低危)者,男性為96.2%,女性為98.2%;發病危險度≥10%(中危)者,男性為3.8%,女性為1.8%;發病危險度≥20%(高危)者,男性為0.8%,女性為0.3%。ICVD各主要危險因素發生情況在不同絕對危險度(≥10%和<10%)的兩組間比較,差異均有統計學意義。結論鄭州市中年人ICVD發病危險處于較高水平。ICVD絕對危險度評估方法簡單易行,有利于高危人群的簡單篩檢,在以后ICVD及危險因素的改善和防治工作中應有效運用。 
 

Objective To evaluate the risk of ischemic cardiovascular diseases(ICVD) among middle-aged resident in Zhengzhou for better health status in the future.Methods A cross-sectional sampling survey was applied among 3561 residents aged 35 to 59 years,using a simplified " methods and tools of the 10-year risk estimation of ICVD among Chinese" for risk evaluation.Results Among the group with less than 10% absolute risk(low risk) developing ICVD next 10 years of: male 96.2% and female 98.2%,among the group with above or equal to 10% absolute risk(middle risk): male 3.8% and female 1.8%,among group with above or equal to 20% absolute risk(high risk): male 0.8% and female 0.3%.There is significant difference among prevalence of risk factors for ICVD in different groups with different absolute risk(≥10% vs <10%) of ICVD.Conclusion The risk of ICVD in middle-aged resident in Zhengzhou is high.The absolute risk evaluation method of ICVD is simple and convenient and profits to screening the high-risk group,it is suggested to use this method in improving and preventing risk factors of ICVD. 

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