衡阳市城区老年人群心血管事件风险预测及评估管理  

Prediction,Assessment and Management of Risk of Cardiovascular Events in Urban Older Adults in Hengyang City

作　　者：刘赞[1] 曾颖[2] 

机构地区：[1]南华大学附属第一医院手术室,湖南衡阳421001 [2]南华大学护理学院

出　　处：《中南医学科学杂志》2014年第3期258-261,共4页Medical Science Journal of Central South China

基　　金：湖南省科技厅项目(2012SK3152);湖南省卫生厅项目(B2012-044);湖南省教育厅项目(13C812)

摘　　要：目的了解衡阳市城区老年人心血管疾病危险因素及心血管事件10年风险情况,为老年人心血管疾病预防提供依据。方法采取方便抽样法,于2011年10月5日～2012年3月30日抽取在衡阳市南华大学附一、附二医院进行健康体检的1 200名城区老年人为调查对象,有效问卷1 120份,采用自行设计的老年人社会人口学及体检一般项目问卷进行调查与分析,采用WHO/ISH《心血管疾病预防指南》进行心血管风险评估（心血管事件10年风险评估）。结果衡阳市城区老年人心血管疾病危险因素的控制不理想：高血压、高血脂、高血糖患病率分别为37.5%、36.2%、18.9%,服药率分别为：43.6%、7.6%、16.4%;冠心病、脑卒中等心血管疾病发病率男性高于女性;衡阳市城区老年人心血管事件10年风险较高：心血管风险〈10%222人（19.8%）,心血管风险10%～40%的510人（45.5%）,心血管风险≥40%388人（34.6%）。结论衡阳市城区老年人心血管疾病危险因素控制不理想,心血管风险水平较高,应针对老年人群积极开展心血管疾病预防与干预。Objective To describe the current situation of cardiovascular risk factors and assess the 10 years＆#39;risk of car-diovascular events in older adults in Hengyang city. Methods A cross-sectional descriptive study was made. 1 200 older adults were included by a cluster random sampling method,who were consecutively admitted to the health examination centers of the first and the second affiliated hospitals of University of South China. Socio-demographic data and cardiovascular risk factors of disease were collected by face-to-face interviews using two self-designed questionnaires. The cardiovascular risk of the older adults was assessed using the 2008 WHO/ISH Pocket Guide for cardiovascular risk assessment and management. Results The control of CVD risk factors of the older adults was not ideal in Hengyang City. The prevalence of hypertension,dyslipidemia,hyperglycemia were 37. 5%,36. 2%,18. 9%and rates of medication treatment were：43. 6%,7.6%,16. 4% respectively. The incidence rate of coronary heart disease,stroke and other cardiovascular disease was higher in male than in female. The 10-year risk of cardiovascu-lar events was higher in the older adults. There were 222 （19. 8%） older adults whose cardiovascular risk was ＆lt;10%,510 （45.5%） older adults whose cardiovascular risk was 10% ~40%,whose 388（34.6%） cardiovascular risk was≥40%. Con-clusion The control of CVD risk factors of the older adults was not ideal,and the level of cardiovascular risk was high in older adults in Hengyang City. The prevention and intervention of cardiovascular disease should be actively carried out in older adults.

关 键 词：老年人 心血管疾病危险因素 心血管风险评估 心血管疾病预防 

分 类 号：R54[医药卫生—心血管疾病]