草市御河社区卫生服务中心1997例患者十年心血管事件风险预测及结果分析

The 1997 Cases of Patients with Ten Years of Cardiovascular Event Risk Prediction and Result Analysis in Caoshi Yu River Community Health Service Center

目的分析草市御河社区卫生服务中心门诊患者心血管风险分布规律,从而指导社区心血管疾病的综合预防工作。方法随机抽取2016年1月至2017年1月在草市御河社区卫生服务中心就诊的1997例门诊患者作为研究对象,使用心血管疾病风险预测卡片(ISH)估测出患者个体未来10年发生致死性或非致死性心血管事件的危险度评估结果。结果草市御河社区卫生服务中心门诊患者心血管事件高风险患者发生率为81.47%,中风险患者发生率为10.67%,低风险患者发生率为7.86%。结论草市御河社区卫生服务中心门诊患者心血管事件高风险患者发生率为81.47%,需重点预防心血管事件。心血管疾病危险因素中,男性年龄≥50岁、吸烟、高血压,女性绝经、高血压、家族史排在危险因素的前三位,因此在社区日常工作中应加强这方面的宣传。

Objective The cardiovascular risk distribution rule of outpatient in Caoshi Yu river community health service center was analyzed to guide the community comprehensive prevention of cardiovascular disease. Methods 1997 cases of outpa- tients from January 2016 to January 2017 in Caoshi Yu river community health service center were randomly selected as research objects and the fatal or nonfatal cardiovascular events risk degree assesment of patients in the next 10 years was estimated by cardi- ovascular disease risk prediction card（ISH）. Results The incidence of cardiovascular events of high-risk patients was 81.47%, while the incidence of medium-risk patients was 10. 67% and the incidence of low-risk patients was 7. 86% among the outpatient in Caoshi Yu river community health service center. Conclusion The incidence of cardiovascular events of high-risk patients is 81.47% ,so we need prevent cardiovascular events especially. The top three of cardiovascular disease risk factors in men are aged more than 50-year old, smoking and high blood pressure, which in women are menopause, high blood pressure and family history, so the community should strengthen the propaganda in daily work.