辽宁省农村地区40岁及以上人群颈动脉粥样硬化流行病学特征现状分析  

Prevalence and risk factors of carotid atherosclerosis among rural resident aged 40 years and older in Liaoning Province

作　　者：潘雯[1] 张立敏[2] 李茹 孙靖伦 庞艳敏 田园梦 井丽 邢立莹[1] 刘爽[2] PAN Wen;ZHANG Li-min;LI Ru(Liaoning Provincial Center for Disease Control and Prevention,Shenyang,Liaoning Province 110005,China;不详)

机构地区：[1]辽宁省疾病预防控制中心,沈阳110005 [2]中国医科大学附属第一医院

出　　处：《中国公共卫生》2021年第1期92-96,共5页Chinese Journal of Public Health

基　　金：辽宁省重点研发计划项目(2019JH2/10300001)。

摘　　要：目的探讨辽宁省农村地区动脉粥样硬化患病率及影响因素,为进一步干预及降低心血管疾病负担提供理论依据。方法本横断面研究于2017年9月—2018年5月在朝阳县和凌源市进行,采用问卷调查、体格检查及实验室检查的方式对5838名≥40岁的常住居民进行研究,分析动脉粥样硬化的患病率和影响因素。结果辽宁省农村地区动脉粥样硬化粗患病率为42.1%,标化患病率为33.1%,男性显著高于女性,男性参与者标化患病率为40.0%,女性为29.2%,随年龄增加呈明显增长。根据多因素logistic回归分析结果,年龄增高、男性(OR=1.72,95%CI:1.42~2.06)、现吸烟(OR=1.63,95%CI:1.35~1.96)、既往吸烟(OR=1.34,95%CI:1.05~1.71)、缺乏运动(OR=1.22,95%CI:1.01~1.46)为动脉粥样硬化的危险因素。结论辽宁省农村地区动脉粥样硬化患病率较高,合并危险因素较多,尤其男性患者,心血管负担较为沉重,有效控制动脉粥样硬化及危险因素是目前亟待解决的关键问题。Objective To explore the prevalence and related risk factors of carotid atherosclerosis among middle aged and elder rural residents in Liaoning province,and to provide evidences for developing strategies on reducing cardiovascular disease burden.Methods A cross-sectional study was undertaken between September 2017 and May 2018;a face-to-face questionnaire survey,physical and laboratory examination were employed among 6830 permanent residents aged ≥40 years in rural areas of Chaoyang county and Lingyuan prefecture,Liaoning province.Results Among 5838 residents completing the survey,,the prevalence rate of carotid atherosclerosis was 42.1%,and the rate increased with age;the standardized prevalence rate was 33.1%.The standardized prevalence rate of carotid atherosclerosis in men and women was 40.0% and 29.2%,respectively,which was significantly higher in the men than in the women.Multivariate logistic regression analysis revealed that male gender(odds ratio[OR]=1.72,95% confidence interval[95%CI]:1.42-2.06),current smoking(OR=1.63,95%CI:1.35-1.96),ever smoking(OR=1.34,95%CI:1.05-1.71),lack of physical exercise(OR=1.22,95%CI:1.01-1.46)were major risk factors of carotid atherosclerosis.Conclusions The prevalence of carotid atherosclerosis is high among rural resident aged 40 years and above,especially in the males,and influenced by multiple factors.The results suggest that risk factors of atherosclerosis should be controlled effectively in the population to decrease cardiovascular disease burden.

关 键 词：动脉粥样硬化 患病率 危险因素 

分 类 号：R181.37[医药卫生—流行病学]