成都地区汉族男性腹主动脉瘤的筛查及高危因素分析  

Screening and risk factors analysis of abdominal aortic aneurysm in Han nationality male in Chengdu area

作　　者：刘一人[1] 赵纪春[2] 谷涌泉[1] 郭连瑞[1] LIU Yiren;ZHAO Jichun;GU Yongquan;GUO Lianrui(Department of Vascular Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Vascular Surgery,West China Hospital,Sichuan University,Sichuan Province,Chengdu 610041,China)

机构地区：[1]首都医科大学宣武医院血管外科,北京100053 [2]四川大学华西医院血管外科,四川成都610041

出　　处：《中国医药导报》2024年第11期85-88,共4页China Medical Herald

基　　金：国家重点研发计划项目(2021YFC2500504、2022YFC3602404)。

摘　　要：目的探讨成都地区汉族男性腹主动脉瘤(AAA)患病率并分析危险因素。方法2014—2022年对成都市双流区24个敬老院和四川大学华西医院体检中心≥65岁的男性居民进行普查。筛查项目包括一般情况、合并症、生活习惯和超声指标。计算患病率。通过单因素及logistic逐步回归分析探索AAA发病的危险因素。结果共7132人纳入筛查,体检中心应答率为2518/3638(69.2%);敬老院应答率为3092/3494(88.5%)。参加筛查的人群均为男性,汉族,患病率为5.17%(290/5610)。290人患AAA为患病组,未患病者为未患病组。患病组腹痛、高血压、心血管疾病、脑血管疾病、吸烟,及饮酒高于未患病组(P<0.05)。高血压、脑血管疾病、心血管疾病、吸烟是AAA的影响因素(P<0.05)。结论超声在AAA筛查中可行;高血压、心脑血管疾病、吸烟是成都地区65岁以上男性人群AAA患病的危险因素。Objective To explore the prevalence of abdominal aortic aneurysm(AAA)in the Han nationality male in Chengdu area and to analyse risk factors.Methods From 2014 to 2022,a census was conducted on male residents aged 65 and above at 24 nursing homes in Shuangliu County,Chengdu,and the Physical Examination Center of West China Hospital,Sichuan University.The screening items included general situation,physical measurement of comorbidities,lifestyle habits,and ultrasound indicators.The incidence rate was calculated.The risk factors for AAA incidence were explored by univariate and logistic stepwise regression analysis.Results A total of 7132 individuals were included in the screening,and the response rate of the physical examination center was 2518/3638(69.2%);the response rate of nursing homes was 3092/3494(88.5%).The population participating in the screening was all male,Han ethnicity,with a prevalence rate of 5.17%(290/5610).A total of 290 people with AAA were in the disease group,and those without AAA were in the non disease group.The incidence of abdominal pain,hypertension,cardiovascular and cerebrovascular diseases,smoking,and alcohol consumption in the disease group were higher than those in the non disease group(P<0.05).Hypertension,cerebrovascular disease,cardiovascular disease,and smoking were the influencing factors of AAA(P<0.05).Conclusion Ultrasound is feasible in AAA screening;hypertension,cardiovascular and cerebrovascular diseases,and smoking are risk factors for AAA in male aged 65 and above in Chengdu.

关 键 词：腹主动脉瘤 筛查 患病率 高危因素 

分 类 号：R654.3[医药卫生—外科学]