广州市南沙区海庭社区老年人群冠心病患病现状及危险因素分析  

Analysis on the prevalence and risk factors of Coronary Heart Disease among the elderly in Haiting Community,Nansha District,Guangzhou City

作　　者：唐玲芳 陆冬梅 饶志波[1] Tang Lingfang;Lu Dongmei;Rao Zhibo(The Guangzhou First People’s Hospital,Guangzhou,Guangdong 511457;The Guangzhou Nansha District Nansha Street Community Health Service Center,Guangzhou,Guangdong 511457)

机构地区：[1]广州市第一人民医院,广东广州511457 [2]广州市南沙区南沙街道社区卫生服务中心,广东广州511457

出　　处：《基层医学论坛》2023年第27期26-28,共3页The Medical Forum

摘　　要：目的 探讨广州市南沙区海庭社区老年人群冠心病患病现状及危险因素。方法 回顾性分析2019年3月—2021年3月广州市南沙区海庭社区1 896名年龄> 65岁有慢性病的居民体检资料,所有入选者均完成检查,统计冠心病患病率。根据检查结果将患者分为冠心病与非冠心病组,对比2组基础资料,分析发生冠心病的危险因素。结果1 896名广州市南沙区海庭社区老年人群常规体检发现100例冠心病,患病率为0.53%(100/1 896);单因素分析中,冠心病组男性、年龄≥80岁、高血压、吸烟史、家族史、糖尿病占比均高于非冠心病组,差异有统计学意义(P<0.05);2组文化程度、饮酒史、合并高脂血症、合并脑血管疾病与冠心病相比,差异无统计学意义(P> 0.05);Logistic回归分析,男性、年龄≥80岁、高血压、吸烟史、家族史、糖尿病是老年人群发生冠心病的独立危险因素(P<0.05且OR≥1)。结论广州市南沙区海庭社区老年人群冠心病发病率较高,男性、年龄≥80岁、高血压、吸烟史、家族史、糖尿病是冠心病发病的独立危险因素,临床需予以高度重视。Objective To investigate the prevalence and risk factors of coronary heart disease in the elderly population in Haiting community,Nansha District,Guangzhou City.Methods A retrospective analysis of the physical examination data of 1896 residents aged over 65 or with chronic diseases in Haiting Community,Nansha District,Guangzhou City,from March 2019 to March 2021,completed the examination,and the prevalence of coronary heart disease was counted.According to the examination results,the patients were divided into coronary heart disease and non-coronary heart disease groups,and the basic data of the two groups were investigated using questionnaires to analyze the risk factors of coronary heart disease.Results The routine physical examination of 1896 elderly patients in Haiting Community,Nansha District,Guangzhou City found 100 cases of coronary heart disease,the prevalence rate was 0.53%(100/1896).In the univariate analysis,the coronary heart disease group was male,aged≥80 years,hypertension,The percentages of smoking history,family history,and diabetes were all higher than those of the non-coronary heart disease group,and the difference was statistically significant(P<0.05).Compared with coronary heart disease in education level,combined cerebrovascular disease,the two groups were not statistically significant(P>0.05).Logistic regression analysis,male,age≥80 years,hypertension,smoking history,family history,diabetes are independent risk factors for coronary heart disease in the elderly(P<0.05 and OR≥1).Conclusion The incidence of coronary heart disease is relatively high among the elderly in Haiting Community,Nansha District,Guangzhou City.Mainly males,age≥80 years,hypertension,smoking history,family history,and diabetes are independent risk factors,and clinical attention needs to be paid close attention to.

关 键 词：冠心病 患病现状 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病]