社区≥80岁人群心血管与代谢危险因素概貌调查:2254例分析  

Epidemiological survey on cardiovascular and metabolic risk factors profile in over-80-year-old community population in Chengdu:an analysis of 2254 participants

作　　者：徐俊波[1] 张廷杰[1] 聂晓莉[2] 李秋[2] 吕艳[3] 刘雅[4] 黄刚[2] 王琼[5] 文瑞莲[1] 杨雷[2] 曾双龙[2] 杨慧馨[1] 张卉[6] 黄光亮 杨春 刘建 

机构地区：[1]成都市第二人民医院心血管及代谢疾病研究室,成都610017 [2]成都市第二人民医院心血管内科,成都610017 [3]成都市第二人民医院检验科,成都610017 [4]成都市第二人民医院内分泌科,成都610017 [5]成都市第二人民医院社区办公室,成都610017 [6]西南交通大学校医院,成都610000 [7]狮子山社区卫生服务中心,成都610066 [8]书院街社区卫生服务中心,成都610017 [9]青龙社区卫生服务中心,成都610081

出　　处：《中华老年多器官疾病杂志》2017年第5期344-348,共5页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：成都市科技局项目(11PPYB034SF-289)~~

摘　　要：目的调查社区≥80岁人群心血管与代谢危险因素的概貌。方法 2013年5月至2015年10月期间,采用分层随机整群抽样的方法,对成都44个社区≥80岁人群进行现场问卷、查体、心电图及血液生化调查。实际调查2254例,应答率90.6%。按性别分为两组:男性组(n=1122)和女性组(n=1132)。结果本组人群吸烟率为11.2%,饮酒率8.4%,男性中吸烟和饮酒者均显著高于女性(P<0.05)。受调查者中,血压增高现象最为突出,血压正常者仅占6.6%。男性中空腹血糖受损、血肌酐增高和心律失常者显著多于女性,而高尿酸血症、肥胖和非高密度脂蛋白胆固醇(non-HDL-C)增高者显著低于女性,差异均具有统计学意义(P<0.05)。受调查者的平均收缩压和脉压均已高于正常值,心率、腰围、总胆固醇和血肌酐均值与临界值相近,BMI、甘油三酯、血尿酸和舒张压均值均在正常范围。女性的收缩压、脉压、心率、腰围身高比、甘油三酯、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇和non-HDL-C均值均显著高于男性,而舒张压、空腹血糖、血尿酸、血肌酐和肾小球率过滤估计值均值显著低于男性,差异均具有统计学意义(P<0.05)。结论≥80岁人群的高血压现象较为严重,许多参数极端值明显增加,提示该人群个体差异大,临床治疗更需要个体化。Objective To investigate the epidemiological risk factors profile for cardiovascular and metabolic diseases among the over-80-year-old community residents.Methods Stratified random sampling was used in this survey conducted from May 2013 to October 2015.Totally 2254 elderly residents （≥80 years old） were subjected from 44 communities.Field questionnaire survey, physical examination, electrocardiography and blood biochemical assays were carried out, with a response rate of 90.6%.All participants were divided into male group （n=1122） and female group （n=1132）.Results The prevalence of smoking and drinking was 11.2% and 8.4%, respectively in the subjects, with that of the male group significantly higher than in the female （P〈0.05）.Hypertension was quite common in the participants, and only 6.6% of them had normal blood pressure.There were more males having impaired fasting glucose, elevated serum creatinine and arrhythmia, but they had lower prevalence of hyperuricemia, obesity, and increased non-high-density lipoprotein cholesterol when compared with the females （P〈0.05）.The subjects had their systolic blood pressure （SBP） and pulse pressure （PP） higher than the normal values, and their heart rate （HR）, waist circumference, total cholesterol （TC） and serum creatinine （Scr） were closed to the critical values, and their body mass index （BMI）, triglycerides （TG）, serum uric acid and diastolic blood pressure （DBP） were in the normal ranges.The female group had significantly higher SBP, PP, heart rate, waist-to-height ratio, TG, TC, high density lipoprotein cholesterol （HDL-C）, low density lipoprotein cholesterol （LDL-C） and non-HDL-C, and obviously lower DBP, fasting blood glucose, serum uric acid, Scr and glomerular filtration rate when compared with the male group （all P〈0.05）.Conclusion Hypertension is quite common in the elderly aged 80 and older.Their many indicators are close to the critical values or even higher than normal values, indicatin

关 键 词：社区 ≥80岁 流行病学调查 危险因素概貌 

分 类 号：R543[医药卫生—心血管疾病] R592[医药卫生—内科学]