军队男性干部冠心病危险因素分析

Analysis of risk factors for coronary heart disease among army male cadres

目的探讨部队男性干部冠心病危险因素分布,比较老年干部与非老年干部冠心病危险因素的差异。方法选择2006-2009年在我院疗养的男性干部2670人,将60～92岁的1869人列为老年组,将35～59岁的801人列为非老年组。结果非老年组饮酒、吸烟、舒张期高血压、低高密度脂蛋白的检出率分别为48.4%、28.2%、32.5%、9.2%明显高于老年组的46.3%、19.9%、12.1%、3.4%(P<0.05),而老年组超重、收缩期高血压、高餐后血糖的检出率分别为50.2%、34.2%、62.1%,高于非老年组的24.1%、9.6%、27.4%(P<0.05)。两组高三酰甘油、高胆固醇的检出率相比无统计学意义(P>0.05)。结论军队非老年干部冠心病危险因素主要为吸烟、饮酒、舒张期高血压、低高密度脂蛋白胆固醇。老年干部冠心病危险因素主要为超重、收缩期高血压、高餐后血糖。

Objective To investigate the risk factors for coronary heart disease among army male cadres,and to compare the differences in the risk factors between senile cadres and non-senile ones.Methods A total of 2,670 army male cadres who underwent rehabilitation in our sanitorium were classified as elderly group (n=1,869) with an age of 60-92 years and non-elderly group (n=801) with an age of 35-59 years.Results The positive rates of drinking,smoking,diastolic hypertension and low high-density lipoprotein were 48.4%,28.2%,32.5% and 9.2% in the non-elderly group,significantly higher than that (46.3%,19.9%, 12.1% and 3.4%) of the elderly group (P<0.05) .The positive rates of overweight,systolic hypertension and high postprandial blood glucose were 50.2% ,34.2% and 62.1% ,significantly higher than that (24.1% ,9.6% and 27.4% ) of the non-elderly group (P<0.05) .There were no statistical differences in the positive rates of high triglyceride and cholesterol (P>0.05) .Conclusion The main risk factors of coronary heart disease consist of drinking (alcohol) ,smoking,diastolic hypertension and low high-density lipoprotein for non-elderly army male cadres,and consist of overweight,systolic hypertension and high postprandial blood glucose for elderly ones.