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中国初级卫生保健:2025,39(4):16-20
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常熟市成年居民心血管病高危人群流行特征及影响因素分析
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中文摘要: 摘 要:目的:了解江苏省常熟市成年居民心血管疾病高危人群检出情况及相关影响因素,为科学制定常熟市心血管疾 病的防控措施提供依据。方法:2018 年 11 月—2019 年 7 月,采用整群随机抽样法在常熟市 6 个乡镇抽取 11 809 名城乡居民进 行面对面问卷调查、体格检查和生化指标检测。结果:共检出心血管高危人群 1 854 人,高危检出率为 15.70%,女性高危检 出率 (16.60%) 高于男性 (14.40%),差异有统计学意义 ( χ 2 =9.828,P<0.01)。多因素分析结果显示,高年龄、丧偶、吸 烟和中心性肥胖是常熟市成年男性居民心血管疾病高危人群检出的危险因素 (OR 值分别为 2.818、1.529、1.341、1.468),行 政/专业技术人员、饮茶、工作时间是正常白班或工作时间不固定为保护因素 (OR 值分别为 0.378、0.706、0.426、0.449)。 高年龄、丧偶、中心性肥胖是成年女性居民心血管疾病高危人群检出的危险因素 (OR 值分别为 4.253、1.423、1.428),成年 男性和女性居民心血管疾病高危组体检指标中的身体质量指数 (BMI)、收缩压 (SBP)、舒张压 (DBP)、血尿酸、空腹血糖 (FPG)、总胆固醇 (TC)、甘油三酯 (TG) 均高于非高危组,差异有统计学意义 (P<0.01)。结论:应积极开展综合预防措 施,做好高危人群常态化筛查工作,控制心血管疾病的发病风险,鼓励居民限制吸烟、适量饮茶、合理膳食、控制体重、增 强锻炼,促进健康生活方式的形成。
Abstract:Abstract: OBJECTIVE To understand the prevalence of high-risk population of cardiovascular disease (CVD) and related influ⁃ encing factors in Changshu, and to provide theoretical basis for scientific prevention and control measures of cardiovascular disease in Changshu. METHODS From November 2018 to July 2019, a total of 11 809 urban and rural residents from 6 towns in Changshu were selected by cluster random sampling method for face-to-face questionnaire survey, physical examination and biochemical index detection. RESULTS A total of 1 854 high risk subjects were detected, and the high risk rate was 15.70%. The high risk rate of fe⁃ males (16.60%) was higher than that of males (14.40%) (χ 2 =9.828, P<0.01). Older age, widowed, smoking and central obesity were the risk factors for CVD high-risk population in Changshu male residents (OR=2.818, 1.529, 1.341, 1.468). Administrative/profes⁃ sional and technical personnel, tea drinking, normal day shift OR variable working hours were protective factors (OR=0.378, 0.706, 0.426, 0.449). Older age, widowed and central obesity were the risk factors for CVD high-risk population in female residents (OR= 4.253, 1.423, 1.428). Body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), serum uric acid (UA), fasting plasma glucose (FPG), total cholesterol (TC) and triglyceride (TG) in male and female CVD high-risk group were higher than those in non-high-risk group, there was statistically significant difference (P<0.01). CONCLUSION It should actively carry out comprehensive prevention measures, do a good job of regular screening of high-risk groups, control the risk of cardiovascular dis⁃ ease, encourage residents to limit smoking, moderate tea drinking, reasonable diet, body weight control, strengthen exercise, and pro⁃ mote the formation of healthy lifestyle.
文章编号:3202410005     中图分类号:R181.3;R54    文献标志码:
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高晋懿,张秋伊  
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