南京市社区居民早发冠心病现况及高危因素研究  

Cross-sectional study on premature coronary artery disease and its high risk factors in the community of Nanjing City

作　　者：王莉娜[1] 顾丽华[2] 智宏[3] 朱海滨[2] 周爱兰 熊琰[1] 吴建茹[1] 

机构地区：[1]东南大学公共卫生学院流行病与卫生统计学系,南京市210009 [2]南京市下关区疾病预防控制中心 [3]东南大学附属中大医院心脏病科 [4]热河南路社区卫生服务中心

出　　处：《江苏医药》2010年第17期1989-1991,共3页Jiangsu Medical Journal

基　　金：国家自然科学基金青年项目(30901230)

摘　　要：目的了解南京市下关地区居民早发冠心病(pCAD)的现况及其高危因素。方法采用多阶段分层随机整群抽样方法对该区内6个街道年满18周岁、居住满5年的18186例进行冠心病的现况调查。结果根据社区居民提供的临床诊断信息,pCAD患者288例,现患率2.3%。其中,男59例,现患率1.1%,标化率0.8%,女229例,现患率3.1%,标化率1.9%。Logistic回归分析显示,按性别、年龄、民族、文化程度、职业、婚姻状况等因素调整,超重、肥胖、高脂血症、高血压、糖尿病及父母一方或双方患有高血压、冠心病时均可增加发生早发冠心病的风险。结论 pCAD是遗传、环境及行为多种影响因素相互作用的结果,倡导健康合理的膳食习惯,控制血压、体重是预防CAD发生的重要措施。Objective To explore the prevalence rate and the risk factors for premature coronary artery（pCAD）disease in Xiaguan community of Nanjing City.Methods A cross-sectional study on premature coronary artery disease was conducted in Xiaguan community of Nanjing City（6 street areas）.A total of 18186 subjects were surveyed by multistage stratified sampling survey method.Results The crude prevalence rate of pCAD in Xiaguan community was 2.3%,which of male and female was 1.1% and 3.1%,respectively.The age-standardized prevalences rate of pCAD in male and female were 0.8% and 1.9%.The prevalence rate of pCAD was higher in the subjects with lower culture degree,overweight and obesity.The factors of overweight,obesity,hyperlipidemia,hypertension,diabetes and one or two of parents with hypertension,diabetes were associated with an increased risk for pCAD.Conclusion Several noncommunicable diseases are associated with an increased risk for pCAD.The pCAD is a result of interaction among the inheritances,environments and actions.The healthy dietary habits,normal blood pressure and weight should be advocated for preventing the pCAD.

关 键 词：早发冠心病 

分 类 号：R541[医药卫生—心血管疾病]