中老年高级知识分子3428名1998～2004年心血管病危险因素水平及聚集程度分析  

Risk factors level and clustering degree of cardiovascular diseases among 3 428 middle-aged and elderly senior intellectuals from 1998 to 2004

作　　者：成守金[1] 罗云杰[1] 周桂梅[1] 

机构地区：[1]河南省焦作煤业(集团)公司中央医院检验科,河南省焦作市454000

出　　处：《中国临床康复》2005年第3期11-13,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:研究焦作煤业集团公司45岁以上高级知识分子1998～2004年心血管病危险因素水平及危险因素聚集程度的变化趋势。方法:按照北京阜外医院心血管流行病研究室统一设计的规格,分别于1998,2000,2002,2004年对集团公司45岁以上的高级知识分子3428人进行了调查研究。纳入45岁以上,且有高级职称者。排除45岁以下的非高级职称人员。测量项目包括身高、体质量、腰围、收缩压、舒张压、体质量指数以及总胆固醇、三酰甘油、空腹血糖、高密度脂蛋白胆固醇(highdensitylipoproteincholesterol,HDL-C)等指标。结果:男性人体测量指标和血清学指标近年来呈上升趋势,年度间差异有显著性意义(F=1.93～17.63,P<0.05～0.01),女性只有收缩压和三酰甘油在各年度间差异有显著性意义(F=3.21,5.26,P<0.05,0.01);男性危险因素检出率及危险因素聚集程度均呈明显上升趋势,而女性只有高血压和高血脂检出率呈上升趋势(χ2=46.3,12.75,P<0.01)。结论:中老年高级知识分子心血管病危险因素水平呈逐年上升趋势,应加强对这一层次人群的宣传教育,以预防心血管疾病的发生。AIM:To study the changing trends of risk factors level and the clustering degree of cardiovascular diseases among the middle-aged and elderly senior intellectuals crows in Jiaozuo Coal Company from 1998 to 2004. METHODS:A survey,designed by the Department of Epidemic Cardiovascular Disease,Fuwai Hospital,was carried out among 3 428 senior intellectuals in 1998,2000, 2002 and 2004 respectively.All the subjects were above 45 years old,and with senior professional title,while those who were younger than 45 years old and without senior professional title were excluded.The questionnaire consisted of body height,body mass,systolic pressure(SP),diastolic pressure(DP),body mass index(BMI),total cholesterol(TC),triglyceride(TG),fasting glucose and high density lipoprotein-cholesterol(HDL-C). RESULTS:The anthropometrical and serological indexes in males showed an increasing trend in recent years,and there were significant differences among different years(F=1.93 to 17.63,P< 0.05 to 0.01), while only SP and TG showed significant differences among differences in females (F=3.21, 5.26,P< 0.05,0.01).The detection rate and clustering degree of risk factors showed an increasing trend in males,while only the detection rates of hypertension and hyperlipemia in females(χ2=46.3,12.75,P< 0.01). CONCLUSION:The level of cardiovascular disease risk factors becomes higher and higher with years.Countermeasures to the crowd should be further strengthened so as to prevent the occurrence of cardiovascular disease.

关 键 词：心血管疾病/预防和控制 危险因素 流行病学 

分 类 号：R54[医药卫生—心血管疾病]