农村地区心血管病高危人群危险因素调查  

Investigation on Risk Factors of Different Types of High-risk Groups of Cardiovascular Diseases in Rural Areas

作　　者：郑紫莹 杨春艳[1] 陈美惠 任文娇[2] ZHENG Zi-ying;YANG Chun-yan;CHEN Mei-hui(Department of Health Medicine,Xianning Medical College,Hubei University of Science and Technology,Xianning Hubei 437100,China)

机构地区：[1]湖北科技学院医学部公共卫生与健康学院,湖北咸宁437100 [2]赤壁市疾病预防控制中心

出　　处：《湖北科技学院学报（医学版）》2023年第2期151-155,共5页Journal of Hubei University of Science and Technology(Medical Sciences)

基　　金：湖北省2021年度教育改革发展专项课题(202122)。

摘　　要：目的分析农村地区不同类型心血管病高危人群危险因素,为心血管病防治提供依据。方法采用多阶段分层整群随机抽样方法,收集湖北省某县级市17931例35~75岁中老年人心血管病早期筛查数据,使用二分类logistic回归对数据进行分析。结果心血管病史型、血压异常型、血脂异常型、WHO风险评估的患病风险≥20%型心血管病高危检出率分别为2.33%、16.67%、4.37%和4.91%。Logistic回归分析结果显示,男性、打鼾是心血管病史型高危人群的危险因素;年龄、男性、农民、饮酒、超重或肥胖、打鼾是血压异常型高危人群的危险因素;年龄60~69岁、超重或肥胖、打鼾是血脂异常型高危人群的危险因素,而农民、饮酒是保护因素;吸烟、饮酒、超重或肥胖、打鼾是WHO风险评估的患病风险≥20%型高危人群的危险因素。结论为了预防心血管病,该地区应重点干预男性、高龄者、吸烟者、饮酒者、超重及肥胖者、打鼾者,倡导合理膳食、戒烟戒酒、适量运动、保持正常体重等健康生活方式。Objective To analyze the risk factors of different types of high-risk groups of cardiovascular diseases in rural areas to provide evidence for the prevention and treatment of cardiovascular diseases.Methods A multi-stage stratified cluster random sampling method was used to collect the early screening data of cardiovascular vascular diseases from 17931 middle-aged and elderly people aged 35~75 years in a county-level city of Hubei Province,and the data were analyzed using binary logistic regression.Results The high-risk detection rates of cardiovascular diseases with history of cardiovascular disease,abnormal blood pressure,dyslipidemia and WHO risk assessment≥20% were 2.33%,16.67%,4.37% and 4.91%,respectively.Logistic regression analysis showed that male and snoring were the risk factors for high-risk population with a history of cardiovascular disease.Age,male,farmer,alcohol consumption,overweight or obesity,and snoring were the risk factors for high-risk group with abnormal blood pressure.Age(60~69 years old),overweight or obesity,snoring were the risk factors of dyslipidemia,and farmer is protect factor.Smoking,alcohol consumption,overweight or obesity,and snoring were risk factors in the high-risk population with a risk of≥20% as assessed by WHO.Conclusion Intervention should be focused on male,elderly,smokers,drinkers,overweight and obese people,and snorers,and advocate healthy lifestyles such as reasonable diet,smoking and alcohol cessation,moderate exercise and maintaining a normal weight.

关 键 词：心血管病 高危人群 危险因素 农村 

分 类 号：R195[医药卫生—卫生统计学]