北京市房山区35～59岁居民缺血性心血管病风险评估

发布时间：2018-03-30 02:27

本文选题：缺血性心血管病(ICVD)　切入点：风险评估　出处：《中国公共卫生》2017年09期

【摘要】：目的了解北京市房山区35~59岁居民缺血性心血管病(ICVD)危险因素暴露及分层情况,评估未来10年该人群ICVD事件的发病风险,为ICVD的防治工作提供科学依据。方法于2012年4-5月采用分层等比例抽样方法在北京市房山区抽取2357名35~59岁居民进行问卷调查、体格检查和实验室检测,采用"国人缺血性心血管病10年发病危险度评估方法"简易模型评估该人群未来10年发生ICVD的绝对危险度及平均危险度。结果北京市房山区35~59岁居民高血压、糖尿病、血脂异常、超重或肥胖、吸烟等危险因素的暴露率分别为41.3%、14.7%、52.0%、69.6%、29.5%;居民未来10年ICVD发病绝对危险分级中极低危、低危、中危、高危的检出率分别为84.8%、11.2%、3.4%、0.6%,不同性别、年龄居民未来10年ICVD发病绝对危险度分级差异均有统计学意义(均P0.001);房山区35~59岁居民未来10年ICVD发病平均危险度均高于评估方法的参考值,其中男性居民未来10年ICVD的发病平均危险度为(3.02±2.88),高于女性居民的(2.44±3.59),差异有统计学意义(t=4.31,P0.001)。结论北京市房山区35~59岁居民ICVD发病的危险因素暴露水平较高,未来10年ICVD发生风险较大,应积极控制吸烟、体重、高血脂异常、高血压、糖尿病等危险因素,做好ICVD的预防工作。
[Abstract]:Objective to investigate the exposure and stratification of risk factors of ischemic cardiovascular disease (ICVD) in residents aged from 35 to 59 years old in Fangshan District, Beijing, and to evaluate the risk of ICVD events in this population in the next 10 years. Methods from May to May 2012, 2357 residents aged 35 to 59 years old in Fangshan District of Beijing were selected by stratified and equal proportion sampling for questionnaire, physical examination and laboratory examination. A simple model was used to evaluate the absolute risk and average risk of ICVD in this population in the next 10 years. Results there was hypertension and diabetes mellitus in residents aged 35 to 59 years old in Fangshan District, Beijing. The exposure rates of dyslipidemia, overweight or obesity, smoking and other risk factors were 41.3 and 14.7and 52.00.69.6and 29.50.The absolute risk classification of ICVD in the next 10 years was extremely low, low risk, moderate risk, and high risk detection rate was 84.8% 11.22% 3.40.60.6, different sex, respectively. There were significant differences in the absolute risk of ICVD in the next 10 years (all P 0.001), the average risk of ICVD in the next 10 years in Fangshan District was higher than the reference value of the evaluation method, the average risk of ICVD in the next 10 years in Fangshan District was higher than that in the other 10 years. The average risk of ICVD in male residents in the next 10 years was 3.02 卤2.88g, which was higher than that in female residents (2.44 卤3.59g). The difference was statistically significant (P 0.001). Conclusion the exposure level of ICVD risk factors in 3559 year old residents of Fangshan District in Beijing is higher than that of female residents in the next 10 years, and the risk of ICVD in the next 10 years is higher. Risk factors such as smoking, body weight, hyperlipidemia, hypertension and diabetes should be actively controlled and the prevention of ICVD should be done well.
【作者单位】：北京市房山区石楼镇中心卫生院;北京大学医学部;北京市疾病预防控制中心;
【基金】：国家自然科学基金(81230066)
【分类号】：R54

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