四川省774名35～74岁城市居民心血管健康状况及其危险因素分析

ANALYSIS OF THE RISK FACTOR OF CARDIOVASCULAR DISEASES AMONG 744 RESIDENTS AGED 35-74 IN SICHUAN PROVINCE

[目的]了解四川省调查地区居民心血管健康状况及其影响因素,为心血管疾病的人群防治提供依据。[方法]以中国心血管健康多中心合作研究成都市龙泉驿区35～74岁居民为对象,通过问卷调查、体格检查及实验室检查以了解人群心血管健康状况,拟合logistic回归模型进行危险因素筛选。[结果]774名居民中肥胖者68人,占8.8%,收缩压(122.3±19.75)mmHg,舒张压(77.1±10.66)mmHg,高血压172人,占22.2%,血浆总胆固醇(5.2±0.96)mmol/L,血浆甘油三酯(1.7±1.11)mmol/L,高脂血症者369人,占47.7%。有心绞痛发作史者中男性占83.9%,吸烟、高血压、高血脂者分别占87.1%,77.4%,和90.3%。心绞痛发作危险因素为吸烟、高血压和高脂血症。[结论]对于35岁及以上城市人群,应加强冠心病危险因素的宣传教育,提倡健康生活方式,尽可能早期针对危险因素实施干预,以减少或延缓心血管事件的发生。

[Objective]To understand the risk factors of cardiovascular diseases among people in investigation areas of Sichuan province.[Methods]The subjects was 35-74 years old resident in Longquanyi district of Chengdu.Logistic regression model was applied to explore the levels of relative risk factors.[Results]Among the 774 residents,there were 68 obesity cases（the prevalence was 8.8%）,the SBP was（122.3 ± 19.75）mmHg,and DBP was（77.1 ± 10.66）.There were 172 cases with high blood pressure（HBP）.The total cholesterol（TC）was（5.2 ± 0.96）mmol/L,with triglyeride（TG）：（1.7 ± 1.11）mmol/L.There were 369 cases with hyperlipoidemia.Among those who had history of angina pectoris,there were 83.9% of males.Smokers,patients with high blood pressure and patients with hyperlipoidemia accounted for 87.1%,77.4% and 90.3% respectively.The risk factors of angina pectoris onset were smoking,HBP and hyperlipoidemia.[Conclusion]It is necessary to strengthen health education of coronary heart disease among population aged 35 and above in urban areas,to promote healthy life style,and to implement intervention on risk factors as early as possible so as to reduce or delay the onset of cardiovascular events.