“临界”水平心血管病危险因素随访研究  

"Borderline" Main Cardiovascular Risk Factors:A Follow-up Study

作　　者：季和平 孙滨 王辉 李奎宝[2] 朱建国[2] 张志勇[2] 张麟[2] 

机构地区：[1]北京市朝阳区高碑店社区卫生服务中心,100024 [2]首都医科大学附属北京朝阳医院心脏中心

出　　处：《中国全科医学》2011年第12期1281-1284,共4页Chinese General Practice

基　　金：首都医学科学发展基金(2007-1029)

摘　　要：目的探讨有"临界"水平心血管病危险因素的居民疾病发展变化情况。方法对某社区共446人的心血管病危险因素的变化情况进行随访观察3年。结果 "临界"高血压(120～139/80～89 mm Hg)、高血糖(6.1～6.9 mmol/L)、高胆固醇血症(5.18～6.19 mmol/L)者分别占居民的45.3%、16.4%、16.1%。3年间高血压、糖尿病和高胆固醇血症的发生率分别为28.7%、9.6%、6.9%,其相对危险性分别是血压、血糖、胆固醇处于正常水平者的3.2倍、11.2倍和4.3倍(P均<0.05)。结论心血管病危险因素血压、血糖、胆固醇处于"临界"水平的居民3年间高血压、糖尿病、高脂血症的发病率较血压、血糖、胆固醇处于正常水平者显著升高;其中"临界"高血压居民的比例最高,其发展为高血压的发生率亦较高。Objective To explore the disease development in patients with ＂borderline＂ main cardiovascular risk factors.Methods A total of 446 subjects in a community were followed up for 3 years to observe the changes of their ＂borderline＂ main cardiovascular risk factors.Results Subjects with ＂borderline＂ hypertension（120～139/80～89 mm Hg）,hyperglycosemia（6.1～6.9 mmol/L） and hypercholesterolemia（5.18～6.19 mmol/L） accounted for 45.3%,16.4%,16.1%,respectively.The incidences of hypertension,diabetes and hyperlipidemia were 28.7%,9.6%,6.9%,respectively,in 3 years,and their relative risks were 3.2 times,11.2 times,4.3 times higher than those of normal people（P0.05）.Conclusion People with ＂borderline＂ main cardiovascular risk factors have higher incidences of hypertension,diabetes and hyperlipidemia than normal people,among whom ＂borderline＂hypertensive subjects account for the highest proportion and their incidence of hypertension is higher.

关 键 词：危险因素 高血压 糖尿病 高胆固醇血症 

分 类 号：R54[医药卫生—心血管疾病]