506例单位管理层人员心血管危险因素调查与干预  

A survey and intervention of cardiovascular risk factors in 506 white-collar workers

作　　者：张瑞华[1] 秦明照[1] 陈一文[1] 

机构地区：[1]首都医科大学附属北京同仁医院干部医疗科,北京100730

出　　处：《中国临床医生杂志》2015年第5期18-20,共3页Chinese Journal For Clinicians

基　　金：首都医学发展科研基金(20073101)"干部人群多重心血管危险因素预警及干预模式探讨"项目

摘　　要：目的探讨工作场所心血管健康管理有效模式。方法选取某单位管理层人员506例,干预并随访。调查干预前后吸烟、体质指数情况;高血压、糖尿病、血脂异常患病情况;高血压、低密度脂蛋白(LDLC)达标情况,进行心血管危险评估。结果干预前后高血压患者血压达标率分别是52.25%、69.00%(P<0.05),LDL-C水平分别是3.02 mmol/L、2.84 mmol/L(P<0.05);干预后45岁以上三组人群心血管病平均危险分别为2.6%、3.1%、3.8%,高于同年龄段国人总体人群平均危险(1.9%、2.6%、3.6%)。结论该人群存在多种心血管危险因素,45岁以上人群心血管病风险显著升高。干预后高血压达标率显著升高,LDL-C水平显著下降。Objective To explore a pattern of the cardiovascular health management in office-workplace. Method To recruited 506 managers aged 39-65 years without history of CVD as the study subjects. Follow-up 1 year after inter-vention. To analyzed the following CVD risk factors： smoking, body mass index （ BMI） , prevalence of hyperten-sion, diabetes and dyslipidemia. To achieved the target rates of blood pressure and low density lipoprotein （LDL-C） before and after the intervention. To evaluate the CVD risk in this population. Result The blood pressure target a-chievementwas69.00% and52.25%（P＆lt;0.05）,thelevelofLDL-Cwas3.02mmol/Land2.84mmol/L（P＆lt;0. 05） in baseline and after the intervention respectively. After intervention Chinese CVD risk score of the group of 45-49 years;50-55 years;56-59 years in the officer population was still higher than that in general population re-spectively （2. 6%, 3. 1%, 3. 8% vs 1. 9%, 2. 6%, 3. 6%）. Conclusion CVD risk factors are common in X de-partment in-service managers in Beijing. Older than 45 years in this study of white-collar population have higher CVD risk than that the same age group in general population. In addition, the control rate of blood pressure can be significantly improved and LDL-C level can be significantly decreased by intervention.

关 键 词：心血管疾病 危险因素 工作场所 危险性评估 

分 类 号：R54[医药卫生—心血管疾病]