The prevalence and risk factors of coronary heart disease among the elderly in Zhejiang community
-
摘要: 目的:为构建浙江省丽水市冠心病的规范化防治管理体系提供科学依据。方法:在丽水市10个城镇社区中,抽取年龄在45岁~75岁的常住人口为调查对象。收集基本人口学资料、就诊病历、既往史信息、完善体格检查。将研究对象分为非冠心病组和冠心病组,比较两组间基线资料、危险因素和生活方式等,采用多因素Logistic回归分析探讨本地区冠心病的危险因素。结果:冠心病组在收缩压、BMI、独居、抗高血压药、抗血脂药和抗血糖药比例上都大于非冠心病组(P<0.05),而且在家庭人均月收入、职业、学历等方面也存在差异(P<0.05)。在冠心病组中,高血压、糖尿病、血脂异常、肾功能不全和脂肪肝的比例较高(P<0.05),中等强度活动比例在两组中相同。多因素Logistic回归分析显示年龄(OR=1.80,P<0.05)、血脂异常(OR=2.86,P<0.05)、高血压(OR=2.21,P<0.05)、糖尿病(OR=2.02,P<0.05)、独居(OR=2.05,P<0.05)是冠心病发病的危险因素。结论:丽水市属于冠心病低发地区,建立精准的冠心病危险因素防控体系有利于降低冠心病的发病率。Abstract: Objective:To establish a standardized management system for the prevention and treatment of coronary heart disease in the region.Method:In 10 urban communities in Lishui City,Zhejiang Province,the permanent residents aged 45 to 75 were selected as the survey subjects.We collect basic demographic data,medical records,past history,and physical examination.The study subjects were divided into non-coronary heart disease group and coronary heart disease group.Baseline data,risk factors and lifestyle were compared between the two groups,and multivariate logistic regression analysis was used to explore the risk factors of coronary heart disease in the region.Result:The ratio of systolic blood pressure,BMI,living alone,antihypertensive drugs,anti-lipid drugs and anti-glycemic drugs in the coronary heart disease group was higher than those in the non-coronary heart disease group(P<0.05).There were significant difference in family monthly income,occupation,education between two groups(P<0.05).In the coronary heart disease group,the proportion of hypertension,diabetes,dyslipidemia,renal insufficiency,and fatty liver was higher than non-coronary heart disease group(P<0.05).The proportion of moderate-intensity activities was the same in two groups.Multivariate logistic regression analysis showed age(OR=1.80,P<0.05),hyperlipidemia(OR=2.86,P<0.05),hypertension(OR=2.21,P<0.05),diabetes(OR=2.02,P<0.05),living alone(OR=2.05,P<0.05)were risk factors in coronary heart disease.Conclusion:This city belongs to a low-incidence area of coronary heart disease.
-
Key words:
- coronary heart disease /
- incidence rate /
- risk of onset /
- cohort study
-
-
[1] 国家卫生和计划生育委员会.中国卫生和计划生育统计年鉴2017[M].北京:中国协和医科大学出版社,2017.
[2] 国家卫生计生委统计信息中心.2013第五次国家卫生服务调查分析报告[M].北京:中国协和医科大学出版社,2016.
[3] 胡盛寿,高润霖,刘力生,等.《中国心血管病报告2018》概要[J].中国循环杂志,2019,34(3):209-220.
[4] Kivimaki M,Jokela M,Nyberg ST,et al.Long working hours and risk of coronary heart disease and stroke:a systematic review and meta-analysis of published and unpublished data for 603,838 individuals[J].Lancet,2015,386(10005):1739-1746.
[5] Siri-Tarino PW,Sun Q,Hu FB,et al.Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease[J].Am J Clin Nutr,2010,91(3):535-46.
[6] Traina MI,Almahmeed W,Edris A,Murat Tuzcu E.Coronary Heart Disease in the Middle East and North Africa:Current Status and Future Goals[J].Curr Atheroscler Rep,2017,19(5):24-28.
[7] 蔡莉娜,杨文博,强红丽,等.393例女性冠心病患者的临床特征及预后探讨[J].临床心血管病杂志,2018,34(9):876-879.
[8] Chen J,Gu D,Huang J,et al.Metabolic syndrome and salt sensitivity of blood pressure in non-diabetic people in China:a dietary intervention study[J].Lancet (London,England),2009,373(9666):829-835.
[9] 高秀鑫,丁振江,王文丰,等.三酰甘油/高密度脂蛋白胆固醇比值与冠心病的患病风险[J].临床心血管病杂志,2019,35(12):1085-1088.
[10] 中国心血管病风险评估和管理指南编写联合委员会.中国心血管病风险评估和管理指南[J].中华预防医学杂志,2019,53(1):13-35.
[11] 杨娉婷,袁洪,王雅琴,等.中国人群血管内皮功能与心血管危险因素的相关性[J].临床心血管病杂志,2015,31(4):415-420.
[12] Yuan MZ,Fang Q,Liu GW,et al.Risk factors for post-acute coronary syndrome depression:a meta-analysis of observational studies[J].J Cardiovasc Nurs,2019,34(1):60-70.
[13] 乔娟.冠心病患者1年内再住院现状及相关因素分析[D] .2015.
[14] 乙伶,姚淮芳.抑郁与冠心病发病机制最新研究进展[J].中西医结合心脑血管病杂志,2007,5(10):984-987.
[15] WONCA 研究论文摘要汇编.20-64岁人群的抗抑郁药使用和心血管结局风险:初级医疗数据库的队列研究[J].中国全科医学,2016,19(15):1739-1739.
[16] 徐毅飞,李贞姬,李春玉,等.高血压患者冠心病十年发病风险及影响因素分析[J].中西医结合心血管病电子杂志,2019,7(24):82-83.
-
计量
- 文章访问数: 207
- PDF下载数: 461
- 施引文献: 0
下载: