北京市丰台区社区居民2011年冠心病流行病学调查分析

Epidemiological survey and analysis of coronary heart disease in community residents from Fengtai dis trict of Beijing city in 2011

调查北京市丰台区冠心病流行病学特征和相关危险因素,为冠心病的一级和二级预防提供指导和依据。方法：随机抽取丰台3个社区的居民,调查冠心病、高血压、糖尿病、高脂血症等的发生率,探讨冠心病的危险因素。结果：本次应调查6882例,实查6842例,有效应答率为99.42%,发现277例冠心病患者,患病率为4.05%。Logistic多因素分析显示冠心病与年龄、糖尿病、高脂血症、饮酒和BMI相关（β=2.198~4.765,P〈0.05~〈0.001）。结论：老年人、糖尿病、高脂血症、饮酒和肥胖是冠心病的危险因素,应加强对这些危险因素的预防和矫正,降低冠心病的患病率和改善其预后。

Objective：To investigate epidemiological features and relative risk factors of coronary heart disease（CHD）in Fengtai district of Beijing city,and provide guidance and evidence for primary and secondary prevention of CHD.Methods：Residents from three communities of Fengtai district were randomly enrolled.Incidence rates of CHD,hypertension,diabetes mellitus and hyperlipidemia were investigated;and correlation among relative factors and CHD were explored.Results：A total of 6 882cases should be investigated and 6 842cases were practically investigated,its effective response rate was 99.42%.A total of 277CHD patients were found（4.05%）.Logistic multi-factor analysis indicated that CHD were correlated with age,diabetes mellitus,hyperlipidemia,alcohol drinking and BMI（β=2.198~4.765,P＆lt;0.05~＆lt;0.001）.Conclusion：The aged,diabetes mellitus,hyperlipidemia,alcohol drinking and obesity are risk factors for coronary heart disease;prevention and modification of these risk factors should be enhanced to decrease prevalence of coronary heart disease,and improve its prognosis.