40岁以上人群冠心病和脑卒中死亡的危险因素分析  

Risk Factors Analysis of Coronary Heart Disease and Stroke Death among more than 40 years old

作　　者：杨晓妍[1] 潘晓平[1] 吴先萍[2] 张宁梅[2] 袁建国[2] 何君[2] 

机构地区：[1]四川大学华西公共卫生学院,成都610041 [2]四川省疾病预防控制中心

出　　处：《预防医学情报杂志》2004年第6期624-627,共4页Journal of Preventive Medicine Information

摘　　要：目的　了解 1991- 1999年四川省 4 0岁及以上人群冠心病、脑卒中死亡率水平及其危险因素。方法　对 74 11例随访对象的流行病学调查资料 ,用SPSSV12软件进行数据清理及描述性分析 ,在SASV8 2软件中用非条件logistic回归进行冠心病、脑卒中死亡危险因素的筛选。 结果　1991- 1999年冠心病死亡 2 5人 ,脑卒中死亡 10 0人 ,冠心病累积死亡率 3 4‰ ,脑卒中累积死亡率13 5‰。冠心病按世界标准[1] 标化年死亡率男性为 13 4 / 10万 ,女性为 11 5 / 10万 ,脑卒中标化年死亡率男性为 6 1 0 / 10万 ,女性为 33 4 / 10万。冠心病死亡的危险因素有 :地区、年龄 (按 10岁分组 )、就业情况、高血压家族史和血压水平 (5级 ) ,脑卒中死亡的危险因素有年龄 (按 10岁分组 )、饮酒史、脑卒中既往史和血压水平 (5级 )。结论　四川省 4 0岁及其以上人群冠心病死亡率低于北京地区 ,脑卒中死亡率与国际相比属于较低水平。为减少冠心病、脑卒中死亡危险 ,应重点加强老年人群的血压监测 ,倡导健康生活方式。Objective To find out the accumulative death rate of corona ry heart disease (CHD) and stroke of people aged more than 40 years old in Sichu an provinc e from 1991 to 1999 and their risk factors. Method SPSS V12 was adopted to audi t and analyze epidemiological investigation data of 7411 follow-up cases and lo g istic regression was done to filter risk factors in SAS V82. Result From 1991 t o 1999, there were 25 and 100 death cases of CHD and stroke, respectively. The a ccumulative death rate of CHD was 34‰ and stroke was 135‰.The standardized dea th rate of CHD was 134 per 100 000 (male) and 115 per 100 000 (female), and that of stroke was 610 per 100 000 (male) and 334 per 100 000 (female), respectively . The risk factors of CHD death included region, age (10 years interval every gr oup), occupation, family history of hypertension and the level of blood pressure (five rank), and the risk factors of stroke death included age (10 years interv al every group), history of drinking, anamnesis of stroke and the level of blood pressure (five rank). Conclusion The accumulative death rate o f CHD among peop le aged more than 40 years old in Sichuan province from 1991 to 1999 is lower th an that in Beijing, and that of stroke is lower compared to the international. I t is important to strengthen blood pressure surveillance and advocate healthy li fe style among elder people in order to reduce death risk of CHD and stroke..

关 键 词：冠心病 脑卒中 危险因素 LOGISTIC回归 

分 类 号：R195.4[医药卫生—卫生统计学]