某地区机关工作人员动脉粥样硬化性心血管病风险评估  

Risk assessment of atheroselerotic cardiovascular disease in aspecial regional staff

作　　者：周琳[1] 朱元芳[1] ZHOU Lin;ZHU Yuanfang(Physical Examination Department of Sichuan Zigong Fourth People’s Hospital,Zigong 643000,China)

机构地区：[1]四川省自贡市第四人民医院健康管理中心

出　　处：《右江医学》2019年第11期833-837,共5页Chinese Youjiang Medical Journal

摘　　要：目的了解某地区35~59岁机关工作人员动脉粥样硬化性心血管病(ASCVD)危险因素的暴露情况,对其未来10年ASCVD发病风险进行评估,以期为该类人群心血管病健康管理提供依据。方法对该类人群进行心血管病危险因素流行病学调查,并采用国人10年ASCVD风险评估流程表对2018年度体检的896名35~59岁机关工作人员进行评估。结果 (1)男性收缩压、舒张压、LDL-C、空腹血糖、BMI的水平均高于女性,HDL-C水平低于女性,差异有统计学意义(P<0.001);高血压、糖尿病、低HDL-C及吸烟的暴露率男性高于女性(P<0.001),且随着年龄增长而升高(P<0.05)。(2)女性组低危等级所占比率高于男性(P<0.05),而男性组中危、高危等级所占比率高于女性(P<0.05),极高危等级组男女间比较差异无统计学意义(P>0.05);35~和40~年龄组低危等级所占比率高于其他年龄组(P<0.05);45~及以上年龄组中危等级所占比率高于其他年龄组(P<0.05);55~59年龄组高危等级所占比率高于其他年龄组(P<0.05);极高危组占比在各年龄组间比较差异无统计学意义(P>0.05)。(3)收缩压、舒张压、总胆固醇、LDL-C、空腹血糖及BMI的水平及高血压、糖尿病的检出率,在10年发病平均危险<5%组均低于10年发病平均危险≥5%组,差异有统计学意义(P<0.001),吸烟的检出率两组间差异无统计学意义(P=0.235)。结论该类人群心血管病发病风险男性高于女性,45~59岁人群动脉粥样硬化性心血管病发病风险较大,应加强对心血管病危险因素的干预。Objective To investigate the exposure of risk factors for atherosclerotic cardiovascular disease(ASCVD) among workers aged 35~59 years in a certain area,and to assess the risk of ASCVD in the next 10 years,in order to improve diagnose cardiovascular disease in this group.Methods An epidemiological survey of cardiovascular risk factors was conducted in this group,and 896 35~59-year-old staff members in total gone through the 2018 medical examination were evaluated using the 10-year ASCVD risk assessment procedures.Results(1) Male systolic blood pressure,diastolic blood pressure,LDL-C,fasting blood glucose,and BMI were higher than females,and HDL-C levels were lower than females.The difference was statistically significant(P<0.001).Hypertension,diabetes and the exposure rate of low HDL-C and smoking was higher in men than in women(P<0.001) and increased with age(P<0.05).(2) The proportion of low-risk grades in female was higher than in males(P<0.05),while the proportion of critical and high-risk grades in male was higher than that in female(P<0.05).There was no statistical difference between male and female in high-risk group.The significance of learning(P>0.05) and the proportion of low-risk grades in 35~ and 40~ age groups was higher than other groups(P<0.05);the proportion of risk grades in 45~ and above age groups was higher in men than in women(P<0.001) and increased with age(P<0.05).The proportion of low-risk grades in female group was higher than that in males(P<0.05),while the proportion of critical and high-risk grades in male group was higher than that in females(P<0.05).There was no statistical difference between male and female in high-risk group.The significance of learning(P>0.05) and the proportion of low-risk grades in 35~ and 40~ age groups was higher than other age groups(P<0.05);the proportion of risk grades in 45~ and above age groups was higher than other age groups(P<0.05);the proportion of high-risk grades in 55~59 age group was higher than that in other groups(P<0.05);the proportion of extre

关 键 词：心血管病 动脉粥样硬化 危险因素 风险评估 

分 类 号：R543[医药卫生—心血管疾病]