摘要
目的探讨出租车司机冠心病危险因素分布情况。方法在杭州市随机抽取302名驾龄5年及以上的出租车司机进行问卷调查,调查内容包括:年龄、性别、文化程度、每日运动量、高危因素、值班规律、家族史和既往史。一般健康体检内容包括:舒张压、收缩压、体重指数、总胆固醇、甘油三酯、低密度脂蛋白、高密度脂蛋白、空腹血糖、葡萄糖耐量餐后2h血糖、血尿酸、超敏C反应蛋白等。各种危险因素的患病率、检出率用百分率表示。结果肥胖、缺乏运动、高胆固醇血症、高甘油三酯血症、高低密度脂蛋白血症、吸烟、高血压、糖尿病、高尿酸、超敏C反应蛋白升高和心理压力等冠心病危险因素在出租车司机人群中高发。12个月随访中发现出租车司机有急性心肌梗死和心绞痛等发生。结论出租车司机中冠心病危险因素高发,需要进行防治。
Objective To probe into the distribution of risk factors for coronary heart disease among taxi drivers in Hangzhou. Methods 302 taxi driver with more than 5 years driving experience were randomly selected and investigated with general questionnaire survey which comprised age, gender, educational level, the daily physical activity, high risk factors, regularity on duty , family history and past medical history. General health questionnaire （GQH12） include diastolic blood pressure, systolic blood pressure, body mass index, total cholesterol, triglyeeride, low - density lipoprotein cholesterol, high - density lipoprotein cholesterol, fasting blood glucose, blood glucose at 2 hours on OGTT, blood uric acid, highsensitivity creactive protein（ hs - CRP）. Prevalence and detection rate of various risk factors were expressed as a percentage. Results The risk factors of coronary heart disease including obesity, lack of exercise, hyper - cholesterolmia, hypertriglyceridemia, high hypolipoproteinemia, smoking, high blood pressure, diabetes, high uric acid levels, high hs- CRP levels, psychological stress were prevalent among the taxi drivers. And some acute coronary syndrome existed in them after one year follow - up, such as acute myocardial infarction and unstable angina. Conclusion The distribution of risk factors for coronary heart disease is widespread among taxi drivers in Haagzhou. Some measures are needed to be taken for prevention and cure.
出处
《浙江预防医学》
2013年第6期6-8,12,共4页
Zhejiang Journal of Preventive Medicine
基金
杭州市卫生局课题(2009B010)
关键词
冠心病
危险因素
出租车司机
Coronary heart disease
Risk factors
Taxi driver
