摘要
目的评估桐乡市社区管理的高血压患者心血管病未来10年发病风险,为制定心血管病防制策略提供依据。方法通过桐乡市居民电子健康档案管理系统收集桐乡市社区管理的高血压患者资料,采用《国人缺血性心血管病(ICVD)10年发病风险评估表》评估ICVD 10年发病风险。结果纳入资料完整的社区管理高血压患者27 173例,其中男性11 868例,占43.68%;女性15 305例,占56.32%。ICVD10年发病风险总分的M (QR)为8.00(3.00)分,男性高血压患者为9.00(2.00)分,高于女性的8.00(2.00)分(P<0.05)。评估ICVD10年发病风险高危8 764例,占32.25%;女性高危比例高于男性(P<0.05)。男性ICVD 10年高危风险因素权重依次为年龄(54.58%)、收缩压(17.42%)、吸烟(14.27%)、体质指数(7.77%)、总胆固醇(4.51%)和糖尿病(1.45%);女性ICVD高危风险因素权重依次为年龄(63.57%)、收缩压(14.63%)、体质指数(9.81%)、总胆固醇(6.00%)、糖尿病(5.88%)和吸烟(0.11%)。结论桐乡市社区管理的高血压患者ICVD10年的风险较高;男性应重点控制血压和吸烟的影响,女性应重点控制血压和体质量的影响。
Objective To evaluate the risk of cardiovascular disease in hypertensive patients managed by communities in Tongxiang in the next 10 years,and to provide evidence for the development of cardiovascular disease prevention strategies.Methods The information about hypertensive patients managed by communities was collected from Tongxiang resident health records management system. The risk of ischemic cardiovascular disease(ICVD)in the next 10 years was assessed by the Assessment Scale of 10-Year ICVD Risk in Chinese. Results A total of 27 173 hypertensive patients managed by communities with complete data were recruited, including 11 868 males, accounting for 43.68%, and 15 305 females,accounting for 56.32%. The median(inter-quartile range)of the total scores of 10-year ICVD risk in hypertensive patients was8.00(3.00),with 9.00(2.00)in males and 8.00(2.00)in females. The total scores of 10-year ICVD risk in males was significantly higher than those in females(P<0.05). A total of 8 764 patients had high 10-year ICVD risk, accounting for 32.25%. The proportion of high10-year ICVD risk in females with hypertension was higher than that in males(P<0.05). The weights of ICVD risk factors in males were 54.58% in age, 17.42% in systolic blood pressure, 14.27% in smoking, 7.77% in body mass index,4.51% in total cholesterol and 1.45% in diabetes;the ones in females were 63.57% in age,14.63% in systolic blood pressure,9.81% in body mass index,6.00% in total cholesterol,5.88% in diabetes and 0.11% in smoking. Conclusion The ICVD risk of hypertensive patients managed by communities in Tongxiang is higher in the next 10 years. Male patients should focus on the control of blood pressure and smoking,while female patients should focus on the control of blood pressure and body weight.
作者
郭丽花
俞敏
钟节鸣
方乐
陈向宇
王春梅
谢开婿
GUOLi-hua;YU Min;ZHONG Jie-ming;FANG Le;CHEN Xiang-yu;WANG Chun-mei;XIE Kai-xu(Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)
出处
《预防医学》
2019年第2期124-127,共4页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
2015年度浙江省公益性技术应用研究计划(2015C33099)
浙江省科技厅2011年度省重大科技专项(2011C13032-1)
关键词
高血压
心血管病
发病风险
国人缺血性心血管病10年发病风险评估表
Hypertension
Cardiovascular disease
Risk of disease onset
Assessment Scale of 10-Year Ischemic Cardiovascular Disease Risk in Chinese
