鞍钢职工心脑血管疾病现状与发病趋势  

The investigation for present condition and control measure of cardiovascular and cerebrovasvular disease in employees of AISCO

作　　者：张家齐[1] 刘欣[1] 赵卫东[1] 耿树刚[1] 单晓清[1] 张凯[1] 张志晶[1] 王庆山[1] 陈茫茫[1] 李丽[1] 赵红[1] 

机构地区：[1]中国医科大学第八临床学院鞍钢总医院,辽宁鞍山114002

出　　处：《中国实用内科杂志》2007年第8期617-618,621,共3页Chinese Journal of Practical Internal Medicine

摘　　要：目的分析鞍钢职工大样本人群心脑血管疾病的发病率及易患因素分布情况。方法通过对鞍钢集团95 912例职工的心脑血管疾病既往史、吸烟、血压、糖尿病、血清总胆固醇、高密度脂蛋白、体重指数、总胆固醇与高密度脂蛋白胆固醇的比值等数据的分析,前瞻性分析受检人群心脑血管疾病发病的危险分层。结果冠心病1 910例(2.00%),脑血管病607例(0.63%),吸烟19 453例(20.28%),糖尿病788例(0.82%),高血压31 698例(33.05%),高脂血症8 347例(8.70%),体重超重55 462例(57.83%),总胆固醇(TC)/高密度脂蛋白胆固醇(HDL-C)≥3.5的10 487例(10.93%);缺血性心血管病发病概率多分布于极低危(68.14%)和低危(5.75%),中危(0.865%)占很小的比例,颈动脉粥样硬化斑块发生概率多分布于高危(44.23%)、中危(23.21%)和极高危(10.51%),无低危和极低危。结论目前鞍钢职工的健康状况不容乐观,应进一步加大健康知识宣教力度。Objective To analyse the prevalence rate of the cardiovascular and cerebrovascular disease and their susceptible factors in employees of AISCO. Methods A total 95 912 persons, to analyse the history of cardiovascular and cerebrovascular disease,smoking,blood pressure,diabetes mellitas,TC, HDL-C, BMI,and the value of TC/HDL-C so as to find the risk stratification of cardiovascular and cerebrovascular disease. Results There were 1 910 persons with CAD （2. 00% ） ,607 with cerebrovascular（0. 63% ） , 19453 smoking（20. 28% ） ,788 with diabete （0. 82% ） ,31698 with hypertention （ 33.05 % ） , 8347 with hypereholesteremia （ 8.70% ） ,55462 over weight （ 57.83 % ） , and 10 487 with TC/HDLC 〉13.5. the probability suffer from cardiovascular were mostly in very-low-risk （68. 14% ）and low-risk （5.75%） , and carotid atherosclerosis were mostly in high-risk （44.23%）, intermediate-risd （23.21% ）and very-high-risk （10. 51% ）without low-risk and very-low-risk. Conclusion The health condition of the investigation population was not optimism and we will make more efforts for health education.

关 键 词：心血管疾病 脑血管病 

分 类 号：R5[医药卫生—内科学]