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北京市東城區35~59歲社區居民心血管疾病風險評估
作者:邢麗麗  常春  王威  楊勇  
單位:北京大學公共衛生學院  北京市東城區疾病預防控制中心  
關鍵詞:心血管疾病  危險因素  風險評估  
分類號:R193
出版年,卷(期):頁碼:2011,27(4):254-256
摘要:

 目的了解北京市東城區社區居民心血管病(CVD)危險因素的暴露情況及評估未來10年缺血性心血管病(ICVD)發病危險度,為不同風險類型個體或群體實施不同的健康管理策略提供科學依據。方法采用多階段隨機抽樣方法,抽取35~59歲常駐居民1076人,進行心血管疾病相關危險因素流行病學調查,并對人群用"國人缺血性心血管病十年發病危險度評估表"評估其10年ICVD的發病危險性。結果在35~59歲人群中,高血壓、糖尿病、血脂異常、體重異常、早發家族史和吸煙暴露率分別為36.8%、13.1%、69.9%、62.2%、53.3%和23.5%;超過半數的個體具有3個及以上危險因素,且男性大于3個及以上危險因素的比例明顯高于女性(P<0.01),危險因素的個數隨年齡的升高而升高;調查對象10年缺血性心血管疾病發病危險度處于中危及以上的檢出率為3.2%;男女不同年齡組發病平均危險度除35~39歲組,其余各組均顯著高于評估表提出的各年齡段絕對平均危險度參考標準。結論北京市東城區心血管疾病危險因素水平較高,35~59歲人群10年缺血性心血管疾病發病風險較大,提示應積極加強對心血管疾病危險因素的干預。

Objective To understand the exposure condition of the cardio vascular disease(CVD) risk factors and the evaluate risk of ischemic cardiovascular diseases(ICVD) in the next decade among the community residents in Dongcheng District,Beijing,and to provide the scientific basis for strategy-making on health management of individuals and groups at different risk degree of cardiovascular disease.Methods The survey was conducted among 1076 residents aged 35 to 59 in Dongcheng District through multi-stage random sampling for data collection and "National 10-year Risk Assessment for ICVD".Results Among the respondents aged 35-59 years old,the prevalence rate of hypertension,diabetes,dyslipidemia is 36.8%,13.1%,69.9%,62.2% are overweight or obesity,53.3% of the respondents have the family history of CVD,23.5% smoke.More than half of individuals take up three or more risk factors,the proportion of the males covering three risk factors is bigger than that of the females,the difference is of statistically significance(P<0.01).The elder the respondents are,the higher risk on CVD.3.2% of the respondents’ ICVD risk in 10 years was higher than 10%.And no matter males or female,the risk level of ICVD was higher than the reference indicator of ICVD risk in different age groups except the group aged 35 to 39.Conclusion The levels of cardiovascular disease of risk factors in Dongcheng District is high.and the risk level of ICVD was higher in the group aged 35 to 59.The results showed that we should enhance the intervention on CVD risk factors in Dongcheng District. 

基金項目:
中央補助地方成人慢病及相關危險因素監測項目
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