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目的了解北京市顺义区社区居民心血管疾病(CVD)危险因素的暴露情况及评估未来10年缺血性心血管病(ICVD)发病危险度,为不同风险类型个体或群体实施不同的健康管理策略提供科学依据。方法 2014年5-8月,采用多阶段随机抽样方法,在北京市顺义区25乡镇(街道)抽取35~59岁常住居民1 882人为研究对象,进行CVD相关危险因素流行病学调查,并根据“国人ICVD10年发病危险评估方法”评估其10年ICVD的发病绝对危险度。采用SPSS 16.0进行t检验、χ2检验及秩和检验。结果 ICVD10年发病绝对危险度<10%者,男性占94.1%,女性占94.3%;发病危险度≥10%者,男性占5.9%,女性占5.7%。男性ICVD10年发病绝对危险度水平中位数为2.1%(P25、P75分别为1.1%和5.4%),女性为1.2%(P25、P75分别为0.3%和2.8%)。男女两性ICVD 10年发病危险均有随年龄增长而升高的趋势(P<0.01)。不同年龄组ICVD10年发病平均危险度除35~39岁组以及40~45岁组女性外,其余各组均高于同年龄组人群10年ICVD平均危险度参考标准。结论北京市顺义区35~59岁人群10年ICVD发病风险较大,提示应积极加强对CVD危险因素的干预。
Objective To understand the risk factors of CVD in community residents in Shunyi District of Beijing and to evaluate the risk of ischemic cardiovascular disease (ICVD) in the next 10 years and to implement different health management strategies for individuals or groups with different risk types Provide a scientific basis. Methods From May to August 2014, a total of 1,882 permanent residents aged 35-59 years were enrolled in 25 townships (streets) in Shunyi District of Beijing from May to August in 2014. The epidemiological investigation of risk factors related to CVD was conducted. “National ICVD 10-year risk assessment of ICU” to assess its 10-year absolute risk of ICVD onset. SPSS 16.0 was used for t test, χ2 test and rank sum test. Results ICVD 10 years incidence of 10% of those with the risk of men, 94.1%, 94.3% of women; the incidence of ≥ 10%, men accounted for 5.9%, 5.7% of women. Men’s ICV at 10 years was 2.1% (P25, P75 1.1% and 5.4% respectively) and 1.2% for women (P25, P75 0.3% and 2.8%, respectively). The 10-year risk of ICVD between men and women tended to increase with age (P <0.01). The average risk of ICVD for 10-year ICVD in all age groups was higher than that of age group 35-39 and 40-45. Conclusions The incidence of ICVD in 10-year population of 35-59 years old in Shunyi District of Beijing Municipality is very high, suggesting that the intervention of CVD risk factors should be strengthened.