健康体检后发生心脏事件者的心血管发病因素研究

The Clinical Study of the Risk Factors of Cardiovascular Disease in the Population with Abnormal Index After Physical Examination

目的观察健康体检后发生心脏事件者的心血管发病因素特点,为预防和减少心脏事件的发生提供帮助。方法将2007年8月至2009年8月在新疆自治区人民医院体检中心完成健康体检的人员中剔除未完成问卷调查表和发病因素资料不全者,共56 717例纳入体检组。对上述人员实施以筛查心脏事件为目标的随访,所有完成体检后发生心脏事件者为心脏事件组。对体检与心脏事件两组的心血管发病因素进行比较。结果 145例发生心脏事件,心脏事件组具有年龄大、男性多的特点,体质指数、总胆固醇、三酰甘油异常和吸烟者发生率显著高于体检组(P<0.01);合并高血压、糖尿病和ST-T异常的发生率显著高于体检组(P<0.01)。结论体检者中年龄>60岁且伴有高血压、糖尿病和ST-T异常改变者应视为发生心脏事件的高危人群,男性的危险性更高。

Objective To observe the cardiovascular risk factors in the population after physical exami- nation, in order to provide help for preventing and reducing the incidence of cardiac events. Methods From Aug. 2007 to Aug. 2009, people who received health examination in the Physical Examination Center of Xin- j iang Autonomous Region People＇s Hospital excluding those who did not complete the questionnaire and those with incomplete risk factors ,56 717 cases were enrolled as the physical examination group. Follow-up on the above mentioned people with the target of screening cardiac events was done, and those with cardiac events were as the cardiac event group. The cardiac risk factors for cardiovascular events of the two groups were compared. Results There were 145 eases of cardiac events, and they were featured with elder age and more＂ males,the body mass index,total cholesterol, abnormal triglycerides and smokers of the cardiac event group were significantly higher than the physical examination group（ P 〈 0.01 ）. Combination of hypertension, dia- betes,and ST-T abnormalities were significantly higher than the physical examination group （ P 〈 0.01 ）. Conclusion The population with age 〉 60 year associated with hypertension, diabetes, and ST-T abnormali- ties, should be considered at high risk of cardiac events, and men often have higher risk.