摘要
目的 调查广西老年人群心血管病高危对象的心血管病危险因素及流行特点.方法 60岁以上的项目点常住心血管疾病高危居民,采取整群分层抽样,符合下列标准之一:(1)心肌梗死病史、接受经皮冠状动脉介入治疗、接受冠状动脉搭桥手术、脑卒中病史;(2)高血压、血脂异常;(3)筛查对象十年心血管病患病风险≥20%的高危对象.结果 (1)纳入调查68 324人,男29 542人(43.2%)、女 38 782(56.8%);高危对象 20 999 人,男 9 486 人(32.1%)、女性 11 513 人(29.7%);(2)高血压患病率为50.2%(男51.20%、女49.4%,P<0.05)、糖尿病患病率为24.1%(男24.1%、女 24.1%,P>0.05,);(3)吸烟率为 14.0%(男 32.1%、女 0.1%,P<0.05);(4)超重率为 42.2%(男44.6%、女40.4%,P<0.05),肥胖率9.0%(男 8.6%、女 9.3%,P<0.05);(5)总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)平均值分别:4.70 mmol/L(男性4.49 mmol/L、女性4.90 mmol/L,P<0.05)、2.73 mmol/L(男性 2.63 mmol/L、女性 2.82 mmol/L,P<0.05).结论 广西老年人心血管病高危对象的检出率较高;高血压患病率、知晓率与控制率及吸烟率均低于全国水平,糖尿病控制率普遍偏低;老年男性的超重率高于女性,女性肥胖率、TC、LDL-C水平高于男性.
Objective To investigate the risk factors of cardiovascular diseases and related epidemic characteristics in the elderly in Guangxi,so as to provide basis for the prevention and treatment of cardiovascular diseases.Methods Adopting cluster-based stratified sampling,permanent residents over 60 years old meeting one of the following criteria were enrolled in this study:Disease history of myocardial infarction,percutaneous coronary intervention,coronary artery bypass surgery,stroke.Hypertension,dyslipidemia;Ten-year cardiovascular disease risk≥20%.Results(1)Among 68,324 respondents,29,542(43.2%)were males and 38,782(56.8%)were females;20999 high-risk subjects were detected,including 9486 males(32.1%)and 11513 females(29.7%);(2)The prevalence of hypertension was 50.2%(male 51.20%,female 49.4%,P<0.05);The prevalence of diabetes mellitus was 24.1%(male 24.1%,female 24.1%,P>0.05,);(3)The smoking rate was 14.0%(male 32.1%,female 0.1%,P<0.05);(4)The overweight rate was 42.2%(male 44.6%,female 40.4%,P<0.05);obesity rate was 9.0%(male 8.6%,female 9.3%,P<0.05)(5)The mean total cholesterol level was 4.70 mmol/L(4.49 mmol/L for men,4.90 mmol/L for women,P<0.05),the mean low density lipoprotein cholesterol was 2.73 mmol/L(2.63 mmol/L for males,2.82 mmol/L for females P<0.05).Conclusions The detection rate of cardiovascular high risk subjects in Guangxi is 30.7%.The prevalence rate of hypertension and smoking in Guangxi are lower than that in the whole country;The control rate of diabetes in the elderly in Guangxi is generally low.The overweight rates of the elderly in Guangxi are higher in males than in females,but the obesity rate of females is higher than that of males;The levels of TC and LDL-C in elderly females in Guangxi were significantly higher than those in males.
作者
文宏
罗祖纯
麦兰仙
曾志羽
Wen Hong;Luo Zuchun;Mai Lanxian;Zeng Zhiyu(Department of Geriatrics,First Affiliated Hospital of Guangxi Medical University,Guangxi Key Laboratory of Precision Medicine in Cardio-Cerebrovascular Diseases Control and Prevention,Nanning 530021,China)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2022年第8期981-985,共5页
Chinese Journal of Geriatrics
基金
国家卫生健康委员会、财政部重大公共卫生服务项目:心血管病高危人群早期筛查与综合干预项目 (Z135080000022)。
关键词
心血管病
危险因素
特点
Cardiovascular Disease
Risk Factors
Characteristics
