北京地区部分军队老年人群中颈动脉粥样硬化的现况调查  

An epidemiological study on carotid atherosclerosis among veterans in Beijing

作　　者：刘丽[1] 赵玉生[1] 王士雯[1] 何耀[2] 陈瑞[1] 李彦华[1] 许强[1] 黄广勇[1] 

机构地区：[1]解放军总医院老年心血管病研究所,北京100853 [2]解放军总医院老年医学研究所,北京100853

出　　处：《中华流行病学杂志》2007年第4期358-361,共4页Chinese Journal of Epidemiology

基　　金：军队“十五”重点课题资助项目（012034）

摘　　要：目的探讨北京地区部分军队老年人群中颈动脉粥样硬化（CAS）的患病率及可能的危险因素。方法从北京地区21个部队干休所60岁以上8202名老年人中随机分层抽样820人,填写调查表,进行颈动脉超声多普勒检查,并对13项与CAS患病有关的因素进行多因素logistic回归分析。结果CAS的现患率为44．0%,60～69岁、70～79岁、80岁以上分别为30．4%、51．8%、65．2% （P＜0．05）,CAS主要危险因素为年龄、性别、吸烟、肥胖、高血压、糖尿病。结论北京地区部队老年人CAS的现患率随年龄增高,年龄、性别、吸烟、肥胖、高血压、糖尿病是CAS的危险因素。Objective To investigate the prevalence and risk factors of carotid atherosclerosis（CAS） among veterans in Beijing. Methods 820 individuals,aged 60 or above,were randomly selected out from 8202 individuals,21 military cadre retirement centers in Beijing. Each individual answered a questionnaire and received Doppler ultrasonic examination for an observation of the Internal-Media Thickness and structure of the carotid. A logistic regression analysis was also made to identify possible risk factors and their powers on the prevalence of CAS. Results The prevalence of carotid atherosclerosis by ultrasonic examinations among the veterans in Beijing was 44.0 % ,of which males raked 53.8 % and females raked 33.5 %. The prevalence rised with the increase of age. Among them,the prevalence ratio of CAS for ages of 60-69,70-79, and 80 or above were 30.4 % ,51.8 %, 65.2 %, respectively. Logistic regression was done to provide the following results： CAS risk factors include the age, sex, obesity, smoking, hypertention and diabetes mellitus. Conclusion The prevalence of CAS among the veterans in Beijing rises with the increase of age. CAS risk factors include age,sex,obesity, smoking, hypertention and diabetes mellitus.

关 键 词：颈动脉粥样硬化 超声多普勒 现患率 危险因素 

分 类 号：R686[医药卫生—骨科学]