医务人员缺血性心血管疾病发病风险及与代谢综合征各组分的关系  

Relationship between risk of ischemic cardiovascular disease and metabolic syndrome components in medical staff

作　　者：单旭征[1,2] 陈云 宋瑞宏 杨波 尹杰[4] 郎卡吉 陈侣林 李世云[1] SHAN Xu-zheng;CHEN Yun;SONG Rui-hong;YANG Bo;YIN Jie;LANG Ka-ji;CHEN Lyu-lin;LI Shi-yun(Department of Prevention and Health,Affiliated Hospital of Chengdu University,Chengdu 610018,China;West China School of Public Health,Sichuan University,Chengdu 610018,China;Xichang Satellite Launch Center,Xichang 615000,China;Department of Medical Education,Shiqu County People′s Hospital,Ganzi 627350,China)

机构地区：[1]成都大学附属医院预防保健科,四川省成都市610018 [2]四川大学华西公共卫生学院,成都市610018 [3]四川省西昌卫星发射中心,西昌市615000 [4]四川省甘孜藏族自治州石渠县人民医院医教科,甘孜州627350

出　　处：《广西医学》2020年第10期1271-1274,共4页Guangxi Medical Journal

基　　金：四川省卫生和计划生育委员会科研课题(18PJ576)。

摘　　要：目的探讨医务人员缺血性心血管疾病(ICVD)发病风险及与代谢综合征(MS)各组分的关系。方法抽取某医院427名无心血管病史的医务人员(35~59岁)作为研究对象,收集其最近一次体检报告,分析其MS及各组分发生情况。采用国人ICVD发病危险简易评估工具评估研究对象10年ICVD发病风险,分析MS各组分对医务人员ICVD发病风险的影响。结果共检出MS患者76名(17.8%)。除≥55岁女性外,其他年龄段的女性及各年龄段男性ICVD的发病风险均低于平均参考水平。腹型肥胖、高血糖、高血压和空腹三酰甘油升高者的ICVD发病风险较高(P<0.05)。多因素Logistic回归分析结果显示,年龄、腹型肥胖、高血糖、高血压是ICVD发病风险的影响因素(P<0.05)。结论大部分医务人员ICVD发病风险不高;但MS组分中,腹型肥胖、高血糖、高血压可增加35~59岁医务人员ICVD的发病风险。Objective To explore the relationship between the risk of ischemic cardiovascular disease(ICVD)and metabolic syndrome(MS)components in medical staff.Methods A total of 427 medical staff aged 35 to 59 years without history of cardiovascular disease were selected from a hospital as research subjects,their latest medical examination reports were collected to analyze the incidence of MS and its components.The simplified tools for assessing the risk of ICVD in Chinese was used to evaluate the 10-year risk of ICVD in the research subjects,and the effects of MS components on the risk of ICVD in medical staff were analyzed.Results A total of 76(17.8%)MS patients were identified.Except females aged 55 years or older,lower risk of ICVA was observed in females in the other age groups and males in each age group as compared with mean reference level.Individuals with abdominal obesity,hyperglycemia,hypertension,or elevated fasting triglyceride were at higher risk of ICVD(P<0.05).Multivariate Logistic regression analysis results showed that age,abdominal obesity,hyperglycemia,and hypertension were the influencing factors of the risk of ICVD(P<0.05).Conclusion The risk of ICVD is not high in the majority of medical staff.However,among MS components,abdominal obesity,hyperglycemia,and hypertension can increase the risk of ICVD in medical staff aged 35 to 59 years.

关 键 词：代谢综合征 缺血性心血管疾病 医务人员 发病风险 影响因素 

分 类 号：R192[医药卫生—卫生事业管理] R54[医药卫生—公共卫生与预防医学]