潍坊市35～59岁市民缺血性心血管疾病发病危险因素调查及评估

Assessment of Ischemic Cardiovascular Disease Risk and Evaluation among 35 to 59 Aged Residents in Weifang City

目的 对山东省潍坊市民缺血性心血管疾病发病危险因素的暴露情况进行调查,分析并评估未来10年缺血性心血管病发病危险度.方法 采用中国医学科学院心血管病研究所开发的“国人缺血性心血管疾病10年发病危险的评估方法”对在我院门诊行健康查体的潍坊35～59岁市民2330例进行心血管病危险因素调查,评估发病危险度.结果 ①潍坊市35～59岁市民10年缺血性心血管病发病危险度＜10％者（低危）,男性为95.76％,女性为99.39％.发病危险度≥20％者（高危）,男性为1.52％,女性为0.09％.②中、高危人群（绝对危险度≥10％）收缩压、体重指数、总胆固醇、空腹血糖异常检出率与低危人群（绝对危险度＜10％）相比升高,指标差异均有统计学意义（P＜0.05）.结论 潍坊市民心血管危险因素暴露水平较高,缺血性心血管病发病危险度较大,应采取积极有效的措施对危险因素进行干预.

Objective To investigate risk factors of the ischemic cardiovascular disease（ ICVD ） and evalu- ate risk of in the ICVD in the next 10 years in Weifang, Shangdong. Methods The risk of ICVD in 2330 people of 35 - 59 years old in Weifang was evaluated by the Chinese evaluation method of 10-year risk of ICVD, which was developed by cardiovascular institute, Chinese Academy of Medical Sciences. Results （1）95.76% of male and 99.39% of female had a 10-year absolute risk of ICVD less than 10%. 1.52% of the male and 0.09% of the female had a 10-year absolute risk of ICVD higher than 20%. （2）In the low risk group（absolute risk 〈 10% ） detection rate of abnormal SBP, BMI, FBG,TC was lower than that in the medium and high risk group（absolute risk ≥ 10% ）. Conclusion The level of risk factors of ICVD in Weifang is high, and the absolute ICVD risk level is high too. The positive and effective measures should to be intervened on risk factors.