成都市社区老年人心血管疾病危险因素调查  

INVESTIGATION ON RISK FACTORS OF CARDIOVASCULAR AMONG COMMUNITY AGED PEOPLE IN CHENGDU

作　　者：刘兵[1] 张本[2] 唐新[1] 杨洋[2] 刘晓琦[2] 鲁芳[2] 杨季云[2] 常晋霞[3] 尹一兵[1] 林婴[1] 

机构地区：[1]重庆医科大学检验系,重庆400016 [2]四川省医学科学院.四川省人民医院分子与生物遗传中心 [3]四川大学华西医学院

出　　处：《现代预防医学》2008年第11期2070-2073,共4页Modern Preventive Medicine

基　　金：国家自然科学基金(30671182);四川省杰出青年科技基金(05ZQ026-018);四川省科技厅基金(303005002094003)

摘　　要：[目的]研究成都地区各社区老年居民心血管病主要危险因素的流行现状,为预防和治疗提供依据。[方法]整群抽样成都地区社区老年居民,调查一般人口统计学指标,烟酒嗜好,个人及家庭史,查体,血压(BP)、心率(HR)、体重指数(BMI)及血液有关生化项目。[结果]调查人群的高血压、高血糖、尿酸、体重指数、高血脂的患病率呈上升趋势。吸烟率和饮酒率性别差异明显,吸烟率比其他调查有所下降,但也超过50%。SBP影响因素的多因素logistic回归分析发现:性别(OR=1.160)、年龄(OR=0.674)、吸烟(OR=1.213)、饮酒(OR=1.418)和体重指数(OR=-0.614),它们与高血压患病差异有统计学意义。[结论]该地区社区老年居民各项危险因素均较高,高血压、高血脂、体重进一步恶化。对上述危险因素进行深化研究和防治是当务之急。[Objective] To evaluate the epidemic status of main risk factors of cardiovascular disease （CVD） among community aged people in Chengdu, so as to provide basis for relevant prevention and treatment. [ Methods ] Aged people in community were cluster sampling, whose demographic indexes, smoking and drinking, medical and family history, physical examination （BP）, body mass index （HR）, habits and laboratory examination （BMI） and related blood biochemistry items were investigated. [Results] The prevalence of hypertension, diabetes meUitus （DM）. uric acid （UA） and Body mass index （BMI） showed increasing trend. The smoking rate and alcohol drinking rate had significant difference between male and female, smoking rate among aged people showed decreased than other people, but also above 50%.By multiple factors logistic regres- sion, the risk factors of cardiovascular included sex （OR = 1.160）, age （OR = 0.674）, smoking （OR = 1.213）, drinking （OR = 1.415）, and body mass index （OR = 0.614）, they have significantly associated with the prevalence of hypertension. [ Conclusion] All the risk factors for cardiovascular disease was still serious, and the status of hypertension, hyperlipemia, body weight got worse among these aged people in community of Chengdu. It is urgent to perform profound study and prevention for these risk factors.

关 键 词：危险因素 心血管疾病 流行病学调查 社区老年人 

分 类 号：R195.4[医药卫生—卫生统计学]