粤西大学生心血管病患病状况

发布时间：2018-05-31 06:31

本文选题：心血管疾病 + 患病率　；参考：《中国学校卫生》2017年03期

【摘要】：目的了解粤西大学生心血管病流行特征,为防治青年学生心血管病提供参考依据。方法随机抽取粤西3所高校,整群抽取2013—2015年级全体在校学生共45 160名,使用卫生部统一制定的学生健康检查用表,按照初筛、复查、确诊3段式程序和心血管分类及诊断标准进行心血管病调查。初筛由全科或内科主治及以上医师担任,复查和确诊由三甲医院心内科医师担任。结果 45 160名受检学生中,检出心血管病553例,患病率为1.22%。其中男生为1.55%,女生为1.02%,差异有统计学意义(χ~2=24.830,P0.05)。城乡学生患病率分别为1.05%,1.31%,农村高于城镇,差异有统计学意义(χ~2=5.373,P0.05)。在心血管病分类统计中,器质性心脏病160例,患病率为0.35%,差异无统计学意义(χ2=1.469,P0.05)。心律失常192例,患病率为0.43%,男、女生分别为0.31%,0.50%,差异有统计学意义(χ~2=9.503,P0.05)。高血压201例,患病率为0.45%,男、女生分别为0.93%,0.14%,差异有统计学意义(χ2=151.969,P0.05)。结论大学生心血管病常见且对健康危害较大,农村是心血管病预防重点。学校医疗保健机构应加强青少年心血管病筛查、健康管理和干预,引导学生养成健康饮食习惯和生活方式。
[Abstract]:Objective to investigate the epidemiological characteristics of cardiovascular diseases among college students in western Guangdong province and to provide reference for prevention and treatment of cardiovascular diseases among young students. Methods A total of 45,160 students in grades 2013-2015 were randomly selected from 3 colleges and universities in western Guangdong province. The health checklists of students made by the Ministry of Health were used and checked according to the initial screening. A 3-segment diagnostic procedure and cardiovascular classification and diagnostic criteria were used to investigate cardiovascular diseases. Screening by general or internal medicine and above, review and diagnosis by the third class hospital cardiologists. Results 553 cases of cardiovascular disease were detected in 45,160 students, the prevalence rate was 1.22. The difference was statistically significant between male and female (蠂 ~ 2 = 24.830, P 0.05). The prevalence rate of students in urban and rural areas was 1.05 / 1.31, which was significantly higher in rural areas than in urban areas (蠂 ~ 2 / 2 / 5.373 / P 0.05). There were 160 cases of organic heart disease in the classification of cardiovascular diseases, the prevalence rate was 0.35. The difference was not statistically significant (蠂 2 / 1.469 / P 0.05). 192 cases of arrhythmia, the prevalence rate was 0.43, male and female were 0.31 and 0.50, the difference was statistically significant (蠂 2 / 9.503 / P 0.05). 201 cases of hypertension, the prevalence rate was 0.45, male and female were 0.93 and 0.14, respectively, the difference was statistically significant (蠂 2, 151.969, P 0.05). Conclusion Cardiovascular diseases are common and harmful to health of college students, and rural areas are the focus of prevention of cardiovascular diseases. Health care institutions should strengthen the screening of cardiovascular diseases, health management and intervention, and guide students to develop healthy eating habits and lifestyle.
【作者单位】：岭南师范学院门诊部;湛江中心人民医院心内科;
【基金】：湛江市科技攻关计划项目〔湛科(2015)76号〕
【分类号】：R54

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