冠心病危险因素Logisic回归分析.docVIP

冠心病危险因素Logistic回归分析 　　摘 要 目的：探讨社区冠心病患者的发病危险因素，为制定冠心病早期预防策略提供依??。方法：选取2011年10月至2015年9月经二、三级医院行冠状动脉造影确诊为冠心病，并纳入社区系统管理的冠心病患者62为病例组，运用频数匹配病例对照研究方法，选取同期参加体检排除冠心病，并建立健康档案的62例健康人员为对照组。对研究因素采用单因素和多因素Logistic回归分析。结果：多因素非条件Logistic回归分析结果显示，高血压（OR=2.868，95%CI：1.170-7.180）、高脂血症（OR=2.863，95%CI：1.295-6.630）、糖尿病（OR=2.627，95%CI：1.067-6.472）、肥胖（OR=2.471，95%CI：1.047-5.836）、吸烟（OR=3.046，95%CI：1.234-7.518）是冠心病发病的独立危险因素。结论：针对冠心病危险因素采取强化干预措施，有助于降低冠心病发病的风险。 中国论文网 /6/viewhtm　　关键词 冠心病；危险因素；Logistic回归分析 　　中图分类号：R541.4 文献标志码：A 文章编号：1006-1533（2017）16-0049-03 　　Analysis of the risk factors of coronary heart disease by logistic regression 　　HUANG Xue， WANG Fang， ZHAO Xifang 　　（Industrial Zone Community Health Service Center of Jinshan District， Shanghai 201506， China） 　　ABSTRACT Objective： To investigate the risk factors of the patients with coronary heart disease in the community to provide the basis for making the early prevention strategy of coronary heart disease. Methods： From Oct. 2011 to Sept. 2015 62 patients with coronary heart disease diagnosed by coronary angiography at the three grade hospital of the city and included in the community system management were selected as an observation group and using frequency matched case-control study， 62 healthy persons who participated in the physical examination to exclude coronary artery disease and whose health records were established were selected as a control group. Univariate and multivariate logistic regression analysis was used for the research factors. Results： Multivariate unconditional logistic regression analysis showed that hypertension， （OR=2.868， 95% CI： 1.170-7.180）， hyperlipidemia （OR=2.863， 95% CI： 1.295-6.630）， diabetes mellitus （OR=2.627， 95% CI： 1.067-6.472）， obesity（OR=2.471， 95% CI： 1.047-5.836） and smoking （OR=3.046， 95% CI： 1.234-7.518） were independent risk factors of coronary heart disease. Conclusion： Intensive intervention measures taken for the risk factors of coronary heart disease help reduce the risk of