摘要
目的初步确定2016年四川省人群心血管病高危率,了解不同类型心血管病高危检出及高危类型聚集情况,为心血管病的早诊早治和预防控制提供科学依据。方法采用多阶段分层整群抽样的方法,选择四川省6个县区常住居民共73 388人作为研究对象,进行问卷调查,体格测量和实验室检查。计数资料用率或构成比表示,组间比较采用χ~2检验和趋势χ~2检验。结果 2016年四川省常住居民心血管病初筛高危率为21. 25%,男女性分别为23. 30%和20. 04%,随着年龄的增加,心血管病高危率呈上升的趋势。心血管病史型、血压高型、血脂异常型和患病风险≥20%型的高危率分别为2. 36%、14. 87%、5. 07%和5. 18%,男性分别为2. 76%、16. 06%、5. 32%和7. 65%,女性分别为2. 13%、14. 17%、4. 92%和3. 71%,男性高于女性(P <0. 05),且各种类型的心血管病高危率均随年龄增加而升高。心血管病高危人群高危类型聚集情况为1,2和≥3的构成比依次为15. 56%,5. 15%和0. 54%。结论 2016年四川省心血管病高危初筛人群中,总的高危率及不同类型的高危率男性均高于女性,且随年龄增加呈上升趋势(P<0. 05),血压高型为心血管病高危的主要类型。在不同性别和年龄组人群中,不同心血管病高危类型聚集情况为以单独1种为主,其次为2种,3种和4种较少。
Objective To analyze the rate and different types of high - risk groups of cardiovascular disease in Sichuan in 2016, in order to provide a scientific basis for early detection, prevention and control of cardiovascular disease. Methods Using the multistage stratified cluster sampling method, a total of 73, 388 residents were chosen from six districts in Sichuan province. A questionnaire -based survey, physical examinations and laboratory tests were conducted. Enumeration data were expressed as rates or constituent ratios, and x：test and trend x2test were used for inter -group comparison. Results In 2016, the rate of high - risk groups of cardiovascular disease in Siehuan was 21.25% overall, 23.30% in males and 20.04% in females. With the increase of age, the risk of cardiovascular disease showed a rising trend. The high - risk rates of four types, ie. cardiovascular disease history, high blood pressure, dyslipidemia and risk ≥ 20% , were 2. 36% , 14. 87% , 5.07% and 5.18% , respectively. In males, the high - risk rates of the four typesfor cardiovascular disease were 2.76%, 16.06% 5.32% and 2.76%, respectively; in females, the high risk rates were 2. 13% , 14. 17% , 4. 92% and 2. 13% , respectively than in females （P 〈 The rates was higher in 0. 05）. The rates of various of cardiovascular disease risks increased with males types age.Conclusion the composition in high - risk groups of cardiovascular disease, the constituent ratios of types 1,2 and≥ 3 were 15.56%, 5.15% and 0. 54%, respectively. Conclusions In the population of early screening for cardiovascular disease in Sichuan in 2016, the rates of high - risk groups were higher in males than in females and showed a rising trend with the increase of age. The high blood pressure type was the main type of high risk for cardiovascular disease. In different gender and age groups, type 1 was the predominant type, followed by type 2; type 3 and type 4 accounted for the least.
作者
常晓宇
何君
邓颖
王卓
何予晋
袁建国
CHANG Xiaoyu;HE Jun;DENG Ying;WANG Zhuo;HE Yujin;YUAN Jianguo(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China.)
出处
《职业卫生与病伤》
2018年第5期297-301,306,共6页
Occupational Health and Damage
关键词
心血管病
35~75岁常住居民
高危人群
筛查
cardiovascular disease
residents aged 35 to 75
high - risk population
screening
