深圳市福田区22家社区健康服务中心年龄35～<60岁高血压患者缺血性心血管病风险评估  

Risk assessment for ischemic cardiovascular disease among patients with hypertension aged 35 to 60 years from 22 community health service centers in Shenzhen Futian District

作　　者：李小玲[1] 贾楠[1] 杨长贵[1] 田华伟[1] 林汉利 伍贵富[1] LI Xiao-ling, JIA Nan, YANG Chang-gui, TIAN Hua-wei, LIN Han-li, WU Gui-fu(Cadiovascular Department, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen Guangdong 518033, Chin)

机构地区：[1]中山大学附属第八医院心血管内科,广东深圳518033

出　　处：《中华高血压杂志》2018年第2期169-173,共5页Chinese Journal of Hypertension

基　　金：广东省自然科学基金(2015A030313760);深圳市知识创新计划基础研究项目(JCYJ20140416094256899)

摘　　要：目的了解深圳市福田区高血压患者缺血性心血管病(ICVD)相关危险因素的现况,并评估高血压患者未来10年ICVD发病危险度。方法采用多阶段分层整群抽样方法,抽取2013年7月至2014年2月深圳市福田区10个街道22家社区健康服务中心,调查登记在册的年龄35~<60岁高血压患者共5195例,分析高血压患病现况及心血管病相关危险因素,并利用"中国人ICVD 10年发病危险度评估表"预测患者未来10年ICVD的发病风险。结果高血压患者5195例中,血压控制达标者2172例(占41.8%);心血管病危险因素个数≥2个2115例(占40.7%)。未来ICVD 10年发病危险度的情况为:很低危者(<5.0%)占81.2%、低危者(5.0%~9.9%)占16.7%、中危者(10.0%~19.9%)占1.6%、高危者(20.0%~39.9%)占0.5%,且ICVD 10年发病危险度随着年龄、高血压分级的升高而升高(均P<0.01)。与"中国人ICVD 10年发病危险度评估表"参考标准比较,本研究不同性别各年龄组的ICVD 10年发病绝对危险度大于人群各年龄段平均危险度参考标准(均P<0.01)。结论深圳市福田区高血压患者血压控制率低,心血管病危险因素水平较高,35~<60岁高血压患者未来10年ICVD发病风险较大。Objective To understand risk factors for ischemic cardiovascular disease （ICVD） among hypertensive patients in Shenzhen Futian District, and to evaluate the risk of ICVD in the next decade among these patients. Methods A total of 5195 hypertensive patients aged 35 to 60 years were enrolled between July 2013 and February 2014 by multi-stage stratified cluster sampling method, who were from 22 community health service centers of 10 streets in Shenzhen Futian District. The prevalence of hypertension and risk factors for cardiovascular diseases were analyzed. And the risk of ICVD in the next decade was predicted among these patients by the use of ＂National 10-year Risk Assessment for ICVD＂. Results Among 5195 hypertensive patients, there were 2172 patients had their blood pressure controlled （41.80%）, and 2115 cases had more than two risk factors for CVD （ 40.7 % ）. The risk of ICVD in the next decade among these patients was as follows： extremely low risk （〈5.0 % ） accounted for 81.2%, low risk （5.0%-9.9%） accounted for 16.7%, middle risk（10.0%-19.9%） accounted for 1.6%, and high risk （20.0%- 39.9 % ） accounted for 0.5 %. The risk of ICVD in the next decade was increased with increa- ses in age and hypertension grade （all P〈0.01 ）. The absolute risk of ICVD in the next decade of different genders at various ages in these patients was higher than the average risk of reference standard at various ages in the general population （all P〈0. 01 ）. Conclusion The blood pressure control rate was low, the level of cardiovascular disease risk factors was high, and the risk of ICVD in the next decade was high among the hypertensive patients aged 35 to 60 years in Shenzhen Futian District.

关 键 词：高血压 心血管病 危险因素 风险评估 

分 类 号：R544.1[医药卫生—心血管疾病]