辽宁农村地区主要心脑血管疾病危险因素的流行病学调查

An epidemiologic survey about primary risk factors of cardiovascular diseases in rural community of Liaoning Province

目的掌握辽宁农村地区主要心脑血管疾病(CVD)危险因素的现状,为实施CVD干预措施提供依据。方法采用分层整群随机抽样方法,共抽取辽宁阜新县农村地区≥35岁29 970人进行流行病学调查,使用SAS 8.2统计软件进行统计分析。结果高血压患病率为36.22%,超重率为27.65%,肥胖率为4.62%,吸烟率为42.11%,高血脂、糖尿病自述患病率分别为4.05%、0.49%;64.38%的村民至少存在一种CVD因素,同时具有4个主要危险因素的占0.15%;老年人(年龄≥60岁)中,高血压患病率、吸烟率高于对应年龄段的全国平均水平,而肥胖率、高血脂及糖尿病自述患病率低于全国水平,差异具有统计学意义(P<0.01)。结论应积极加强对农村地区主要CVD危险因素的整合管理。

Objective To grasp the status of the primary risk factors of cardiovascular diseases in rural area of Liaoning Province. Methods All 29 970 aged≥35-years were sampled with stratified and cluster multistage sampling, blood pressure and risk factors were collected with uniform questionnaire. SAS 8.2 version of software was used for data analysis. Results The prevalence of hypertension, overweight, obesity, and smoking was 36.22% ,27.65% ,4.62%, and 42.11%, respectively. Prevalene of self-telling lipid disorder and diabetes mellitus was 4.05 %, and 0.49%, respectively; 64, 38% of subjects had at least one risk factor and 0.15% of all had four risk factors simultaneously. In subjects aged≥60 years the rates of hypertension and smoking were higher, whereas the rates of obesity, self-telling lipid disorder and diabetes mellitus were lower, compared with the average level in China （P 〈 0.01 ）. Conclusion Full-scale management to main risk factors for cardiovascular diseases is advised to be actively strengthened in rural area.