贵阳市社区冠心病患病现状及其危险因素分析  

ANALYSIS ON EPIDEMIC STATUS AND RISK FACTORS OF CORONARY HEART DISEASE AMONG RESIDENTS OF URBAN COMMUNITY IN GUIZHOU

作　　者：姚蕴桐[1] 殷子[2] 刘涛[1] 张晓石[3] 张凤霞 李凌[1] 陈敏[1] 熊美华[1] 刘露霞[1] 

机构地区：[1]贵州省疾病预防控制中心,550004 [2]中山大学中山医学院 [3]贵阳市疾病预防控制中心 [4]贵阳市云岩区疾病预防控制中心

出　　处：《现代预防医学》2010年第4期620-623,共4页Modern Preventive Medicine

摘　　要：[目的]了解我省社区居民冠心病患病情况及其相关危险因素,为冠心病的干预提供科学依据。[方法]通过整群抽样的方式对贵阳市5个社区年满15岁以上的居民入户进行问卷调查及相关体格检查,数据用Epidata3.1进行录入,Spss13.0进行统计分析。[结果]人群冠心病患病率为2.32%,男性2.16%,女性2.47%,男女患病率无差别(χ2=2.90,P=0.0887)。冠心病男女患病率随年龄的增长呈逐步上升趋势,最低为15～组0.06%,最高为75～组12.55%,差异有统计学意义(χ2男=562.29,P﹤0.001;χ2女=679.93,P﹤0.001);在不同职业人群中,以离、退休人员患病了率最高,为8.11%,其次为教师和家庭妇女,分别为2.10%,1.99%,人群患病率差异有统计学意义(χ2=1055.87,P﹤0.001);不同教育水平冠心病患病率以未受教育人群最高,为4.17%,其次为6年及以下,为3.86%,之后患病率又随着受教育年限的增长呈逐步上升趋势,差异有统计学意义(χ2=72.47,P﹤0.001);在不同收入中,以家庭人均月收入1000元以上最高,为3.21%,随着收入的增长患病率呈逐步上升趋势,差异有统计学意义(χ2=40.45,P﹤0.001);在不同医疗费用承担方式中,公费医疗的患病率最高,为4.77%,自费最少,为1.28%;差异有统计学意义(χ2=87.60,P﹤0.001);经多因素Logistic回归分析发现高血压病史、脑血管病史、糖尿病病史、冠心病家族史、现在锻炼、高血压家族史、肥胖是冠心病的危险因素,而饮酒是其保护性因素。[结论]冠心病正在成为我省的重要公共卫生问题之一,我省冠心病的危险因素具有地方特征,应尽快开展相应的预防控制工作。[ Objective] To know epidemic status and risk factors of Coronary heart disease among urban residents, and to contribute the scientific basis to the intervention measurements. [ Methods ] Residents of 15year-old and older were selected based on a cluster sampling design and went through questionnaire survey and medical examination. The data was entered by Epidata 3.1 and analyzed by Spss13.0. [ Results] Of all the residents surveyed, the incidence of Coronary heart disease was 2.32%. The prevalence rate between male （2.160%） and female （2,47%） had no significant difference （Х^2 = 2.90, P = 0.088 7）, and it increased with age between male and female; The lowest group was 0.06%, the highest group was 12.55%, and had signifieant difference （Х^2男= 562.29, P 〈 0.001 ; Х^2女= 679.93, P 〈 0.001 ）. In terms of occupation, the highest incidence was 8.31% in retirees, followed by 2.10% and 1.99% among teachers and homemakers, and there was statistical significanee of differences in the prevalence rate （Х^2 = 1 055.87, P 〈 0.001 ）. In terms of education, the highest Coronary heart disease prevalence rate was among undereducated population （4.17%） , followed by the population with less than 6 years of education （3.86%） ; Among the rest of the surveyed population, the prevalence rate gradually increased along with the increase of number of years of education received, and there was statistical significance of differences （Х^2 = 72.47, P 〈 0.001 ）. In terms of income, the highest prevalence rate was among families with an average monthly income of RMB 1 000 per capita （3.21%） ; the prevalence rate gradually increased along with the increase of income, and there was statistical significance of differences （Х^2 = 40.45, P〈 0.001）. In terms of payment method of medical cost payment; the highest prevalence rate was among population with public funded medical insurance （4.77%）, and the lowest among population at their own expense （1.28%） ; there was statistical sign

关 键 词：冠心病 患病率 危险因素 分析 

分 类 号：R541.4[医药卫生—心血管疾病]