河南省35~75岁人群缺血性心血管病10年发病风险评估  

Ten-year risk assessment of ischemic cardiovascular disease among people aged 35 to 75 years in Henan Province

作　　者：戚敏杰 张寒雪 陈海瑞 李卉 安伟锋[1] 高焱 范雷[1] 康锴[1] QI Min-jie;ZHANG Han-xue;CHEN Hai-rui;LI Hui;AN Wei-feng;GAO Yan;FAN Lei;KANG Kai(Institute of Chronic Diseases,Henan Center for Disease Control and Prevention,Zhengzhou,Henan 450016,China)

机构地区：[1]河南省疾病预防控制中心慢病所,河南郑州450016 [2]中牟县疾病预防控制中心慢病科,河南郑州451450

出　　处：《现代预防医学》2023年第17期3078-3084,共7页Modern Preventive Medicine

基　　金：国家卫生和计划生育委员会重大公共卫生服务项目;河南省医学科技攻关计划(LHGJ20210152);河南省医学科技攻关联合共建项目(LHGJ20220176)。

摘　　要：目的 评估河南省35~75岁人群缺血性心血管病(ICVD)10年发病风险。方法 本研究采用方便抽样方法,选取2015-2020年河南省12个项目点,调查35~75岁常住居民共计159 319人,通过调查问卷、身体测量和实验室检测方法收集调查对象的吸烟和饮酒情况,糖尿病、高血压、血脂异常及心血管病患病情况等。采用CVD10年发病风险评估表评估缺血性心血管病10年发病风险。结果 河南省35~75岁人群缺血性心血管病10年发病风险平均得分(6.32±3.63)分,绝对危险度中位数2.90(1.50,7.30)。其中ICVD10年发病风险高危的比例为11.99%,男性为15.19%,高于女性的9.93%(χ2=1 792.398,P<0.05),农村为12.89%,高于城市的10.51%(χ2=413.132,P<0.05),中危和低危的比例分别为27.43%和60.58%。随着年龄的增加或教育水平的降低,中高危的比例均有所上升,低危的比例下降(P<0.05)。结论河南省35~75岁人群中有11.99%的人在未来10年发生缺血性心血管病的风险超过10%,其中应重点关注男性、农村地区、高龄、低教育程度人群,及时采取有效的干预措施。Objective To evaluate the 10-year risk of ischemic cardiovascular disease(ICVD)in people aged 35 to 75 years in Henan Province.Methods This study adopted the convenient sampling method,selected 12 project sites in Henan Province from 2015 to 2020,and surveyed 159319 permanent residents aged 35 to 75.Through questionnaires,body measurements and laboratory tests,we collected the smoking and drinking status,diabetes,hypertension,dyslipidemia and cardiovascular diseases of the respondents.The 10-year risk assessment form of ICVD was used to evaluate the 10-year risk of ischemic cardiovascular disease.Results The average 10-year risk score of ICVD in people aged 35 to 75 years in Henan Province was(6.32±3.63),and the median absolute risk was 2.90(1.50,7.30).The proportion of high risk of ICVD in 10 years was 11.99%,higher in males(15.19%)than in females(9.93%)(χ^(2)=1792.398,P<0.05)and higher in rural(12.89%)than in urban areas(10.51%)(χ^(2)=413.132,P<0.05).The proportion of medium and low risk was 27.43%and 60.58%,respectively.With the increase of age or the decrease of education level,the proportion of middle and high risk increased,while the proportion of low risk decreased(P<0.05).Conclusion 11.99%of the people aged 35 to 75 years in Henan Province have ICVD risk of more than 10%in the next 10 years.Attention should be paid to men,rural areas,the elderly and people with low education,and effective intervention measures should be taken timely.

关 键 词：缺血性心血管病 风险评估 高危人群 

分 类 号：R54[医药卫生—心血管疾病]