中老年干部住院患者心血管危险评估  

Evaluation and analysis of the cardiovascular disease risk of hospitalized middle aged and aged cadres

作　　者：赵卫刚[1] 胡世莲[2] 丁西平[1] 殷实[1] 方向[1] 刘卉卉[1] 

机构地区：[1]安徽省立医院干部病房五病区,安徽合肥230001 [2]安徽省立医院肿瘤免疫与营养治疗安徽省重点实验室,安徽合肥230001

出　　处：《中国老年学杂志》2017年第1期56-58,共3页Chinese Journal of Gerontology

基　　金：国家自然科学基金资助项目(No.81071808);安徽省自然基金项目(No.1408085MH167);安徽省科技攻关项目(No.1301042094)

摘　　要：目的探讨中老年干部住院患者未来10年心血管病发病危险的评估。方法应用"国人缺血性心血管病(ICVD)10年发病危险评估方法"对150例40~80岁我院干部住院患者未来10年心血管发病危险进行评估。结果老年患者糖尿病及高血压的检出率高于中年;老年患者未来10年ICVD发病的绝对危险明显高于中年患者(χ~2=61.422,P=0.000,P=0.01);随着年龄的增长,老年患者未来10年ICVD发病绝对危险逐渐升高(χ~2=21.658,P=0.000);中年患者未来ICVD发病绝对危险高于平均危险及最低危险的比例较高(34%、89%)。结论我院中老年干部住院患者未来10年ICVD发病危险较高,中年干部住院患者应关注心血管发病相对危险,应该针对心血管危险因素对干部住院患者进行干预。Objective To evaluate the 10-year＇s risk of cardiovascular disease of middle aged and aged cadres patient. Methods The 10-year＇s risk of cardiovascular disease for 150 cadres inpatients who were 40 - 80 years old were evaluated by ＂methods and tools of the 10-year＇s risk estimation of ischemic cardiovascular disease（1CVD） in Chinese＂. Results Detective rate of diabetes and hypertension was higher in aged cadres patients than that of middle aged cadres patients. The absolute 10-year＇s risk of ICVD of aged patients was higher than that of middle-aged patients. The absolute 10-year＇s ICVD risk of aged patients was increased with the growth of age （P = 0.000）. The most of absolute 10-year＇s of ICVD risk of middle-aged patients was higher than their average and the lowest risk（43%, 89% ）. Conclusions The 10-year＇s risk of ICVD of middle-aged and aged patients is higher. Relative risk of cardiovascular disease for middle aged patients should be paid attention and intervened.

关 键 词：心血管疾病 风险评估 

分 类 号：R543[医药卫生—心血管疾病]