上海虹梅社区老年人颈动脉粥样硬化现状及危险因素分析  

Analysis of the status and risk factors of carotid atherosclerosis in the elderly population in Hongmei Community in Shanghai

作　　者：张慧珍 王宁 王芳 徐丽晶 虞梅 ZHANG Huizhen;WANG Ning;WANG Fang;XU Lijing;YU Mei(Department of General Practice of Hongmei Community Health Service Center of Xuhui District,Shanghai 200233,China;Department of Ultrasound of Shanghai Dahua Hospital,Shanghai 200237,China)

机构地区：[1]上海市徐汇区虹梅社区卫生服务中心全科,上海200233 [2]上海市大华医院超声科,上海200237

出　　处：《上海医药》2024年第18期49-53,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：2021年徐汇区医学科研项目(SHXH202122)。

摘　　要：目的:分析社区老年人群颈动脉粥样硬化现状及危险因素。方法:回顾性分析2021年5月至2023年10月在上海虹梅社区体检的4533名60岁及以上老年人群颈动脉粥样硬化状况及危险因素,其中男性2044人,女性2489人,平均年龄(69.25±5.25)岁。结果:单纯颈动脉内膜增厚和斑块的检出率分别18.01%和51.2%,其中男性的颈动脉斑块检出率56.90%,女性的检出率为46.48%;颈动脉异常检出率随年龄增长而升高,差异均有统计学意义(均P<0.01)。颈动脉狭窄<50%,狭窄50%~70%狭窄70%~100%和闭塞的检出率分别为36.48%,11.30%,3.10%,0.31%。多因素logistic回归分析显示,男性、高龄、吸烟、血脂紊乱、高尿酸血症、高血压、糖尿病是颈动脉斑块的危险因素。结论:社区老年人群颈动脉粥样硬化的检出较高,应针对相关危险因素开展干预和疾病管理。Objective:To analyze the status and risk factors of carotid atherosclerosis in the elderly population in the community.Methods:The status and risk factors of carotid atherosclerosis in the 4533 elderly population over 60 years who received the community health examination in Hongmei Community Health Service Center,Shanghai from May 2021 to October 2023 were retrospectively analyzed,among them,2044 were males and 2489 females and the average age was(69.25±5.25)years.Results:The detection rates of simple thickening of carotid artery intima and plaque were 18.01%and 51.2%,respectively,among them,the detection rate of male carotid artery plaque was 56.90%and that of female was 46.48%;the detection rate of carotid artery abnormality increased with age,and the difference was statistically significant(P<0.01).The detection rates of carotid artery stenosis<50%,50%to 70%,70%to 100%and block were 36.48%,11.30%,3.10%,0.31%,respectively.Multivariate logistic regression analysis showed that man,advanced age,smoking,lipid disorders,hyperuricemia,hypertension and diabetes were risk factors for carotid plaque.Conclusion:The detection rate of carotid artery plaque is high in the community elderly population,and the intervention and diseases management should be carried out targeting relevant risk factors.

关 键 词：粥样硬化 颈动脉 斑块 老年人群 危险因素 

分 类 号：R543.4[医药卫生—心血管疾病]