军队社区老年人冠心病8项危险因素的分布及其集聚  

Distribution and aggregation of 8 risk factors for coronary heart disease in the elderly people in army community

作　　者：吴青[1] 牟小芬[1] 孔曲[1] 唐丽君[1] 蔡兰平[1] 李金梅[1] 任素琴[1] 肖玉兰[1] 

机构地区：[1]解放军总医院门诊部九诊室,北京市100853

出　　处：《中国临床康复》2005年第19期1-3,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨军队社区老年人冠心病8项危险因素的流行率及集聚特点。方法:于2004-05/06集中对军队社区离退休干部2319人进行健康查体,同时填写总后勤部卫生部制定的干部健康体检及问卷调查表。选择资料完整、年龄≥60岁且自愿参加本项目的男性1728人,作为军队老年组,年龄60～94岁;将已在国内正式发行刊物上发表的北京医院资料中60～92岁男性5197人作为地方老年组,30～44岁男性3993人为中青年组。统计军队社区老年人的吸烟、高血压、高胆固醇、高三酰甘油、高空腹血糖、超重及肥胖等冠心病危险因素的流行率及其集聚率,并与中青年对照组和地方老年组进行对比分析。结果:军队老年组1728人、地方老年组5197人及中青年组3393人全部进入结果分析。①军队老年组冠心病危险因素流行率分别为年龄100%、高血压43.8%、吸烟率15.8%、总胆固醇46.3%、高三酰甘油32.8%、高空腹血糖13.0%、超重40.0%及肥胖5.0%。②军队老年组三酰甘油流行率显著高于地方老年组犤31.5%,(χ2=29.78,P<0.01)犦,高血糖及超重显著低于地方老年组犤15.7%,43.8%,(χ2=7.62,7.44,P<0.01)犦。③无论是在军队社区还是地方社区,老年人冠心病多种危险因素集聚率明显高于中青年对照组(χ2=6.54～2770.32,P<0.01)。④2项危险因素集聚军队老年组显著低于地方老年组犤73.0%,84.2%,(χ2=107.98,P<0.01)犦。⑤在8项危险因素的调查中,≥3项危险因素集聚现象两组比较数据基本接近(P>0.05)。结论:军队社区老年人冠心病的主要危险因素流行率依次为年龄、高胆固醇、高血压、超重、高三酰甘油、吸烟、高血糖及肥胖。军队社区老年人高三酰甘油流行率明显高于地方社区老年人,高血压、高血糖及超重的流行率显著低于地方社区老年人,而军队社区老年人冠心病≥3项危险因素的集聚与地方社区老年人大致相同。AIM:To investigate the prevalence rate a nd the aggregativ e characteristics of the 8risk factors for coronary heart disease in the elderly people in army community.METHODS:A total of 2319retired cadres in army c ommunity collectively received physical education between May and June 2004 ;Meanwhile,they were required to fill in the physical education questionnaire and invent ory designed by the General Logistics De partment,Ministry of Healt h.Totally1728males with complete data,aged≥60years took part in this st udy voluntarily as the army elderly grou p(at the age of 60to 94years);An other5197males at 60to 92years old,whose data in Beijing hospital had b een pulblished in formal national journ als,were taken as local elderly grou p ,and another 3993male aged 30to 44years were taken as middle-aged and young group.The prevalence rates and aggregative rates of smoking,hypertension ,high cholesterol,high triglycerid e,high fasting blood glucose,overw eight and obesity,which were the risk factors for coronary heart disease,were invest igated in the elderly people in army communi ty,and the results were compared w ith those in the middle-aged and young group and the local elderly group.RESUL TS:All the 1728cases in the army elderly group,5197cases in the local elderly group and 3393cases in the middle-aged and young group were involve d in the analysis of results.①In the army elderly group,the preva-lence rate of the risk factors for coronary heart disese was that 100%for a ge,43. 8%for hypertension,15.8%for sm oking rate,46.3%for total choles-t erol,32.8%for high triglyceride,13.0%for high fasting blood glucose ,40.0%for overweight and 5.0%for obesity.②The cases in the army el- derly group had significant higher p revalence rate of triglyceride(31.5% ,χ 2 =29.78,P<0.01),but significantly lower prevalence rates of hig h blood glucose and overweight (15.7%,43.8%,χ 2 =7.62,7.44,P<0.01)than those in the local elderly group.③ The aggregative rates of the multipl e risk factors for coronary heart dise ase of elde

关 键 词：冠状动脉疾病 流行病学 军队 社区卫生服务 因素分析 

分 类 号：R541.4[医药卫生—心血管疾病]