阳江市城区中老年人冠心病危险因素调查研究.docVIP

阳江市城区中老年人冠心病危险因素调查研究 　　[摘要]目的 了解阳江城区50岁以上中老年人冠心病的流行病学特征和相关危险因素，为冠心病的预防和干预提供科学理论依据。方法 于2015年6月～2016年6月随机抽样阳江市城区6个社区≥50岁、常住5年以上的2000例居民，由培训过的医师对调查对象进行常见冠心病危险因素资料的收集，探讨冠心病的危险因素。结果 本次调查的2000例居民中，冠心病患者276例，患病率为13.8%。在未患冠心病的1724例居民中，869例为冠心病高危人群，占50.4%；542例为潜在高危人群，占31.4%；只有313例为健康人群，占18.2%。Logistic多因素回归分析显示，冠心病患病组在年龄、高胆固醇、吸烟史、冠心病家族史、高血压病史、糖尿病史方面与非冠心病患病组比较，差异有统计学意义（P0.01）。结论 阳江市城区居民的冠心病患病率较高，年龄、高血压、高胆固醇、糖尿病、吸烟、冠心病家族史是本地区中老年人冠心病的主要危险因素，冠心病的防治刻不容缓。 　　[关键词]冠心病；危险因素；阳江市 　　[中图分类号] R541.4 [文献标识码] A [文章编号] 1674-4721（2016）10（c）-0161-03 　　[Abstract]Objective To understand the epidemiological features and relative risk factors of coronary heart disease （CHD） in elderly people over 50 years old in Yangjiang city，and to provide scientific theoretical basis on prevention and therapy of CHD.Methods 2000 residents （in the age more than 50 years，over 5 years of residence） from six communities of Yangjiang city from June 2015 to June 2016 were interviewed randomly，data on common CHD risk factors in the study subjects were collected by well-trained physicians.The risk factors of CHD were explored.Results A total of 2000 cases were investigated，276 CHD patients were found，morbidity rate was 13.8%.In 1724 cases of the residents without coronary heart disease，869 cases were high-risk population of developing CHD （50.4%），542 cases were potential high risk population （31.4%），only 313 cases were healthy population （18.2%）.Logistic multi-factor regression analysis indicated that there was significant difference in the correlated with age，high cholesterol，smoking，family history of CHD，hypertension，diabetes between the non CHD group and the CHD group （P0.01）.Conclusion CHD is highly prevalent in Yangjiang city，and age，high cholesterol，smoking，family history of CHD，hypertension，diabetes are main risk factors in the elderly people in the region，prevention and modification of these risk factors should be urgently required. 　　[Key words]Coronary heart disease；Risk factor；Yangjiang city 　　随着生活水