健康行为和因素评分对心脑血管事件及全因死亡的影响及研究

Influence of health behavior and factor scoring on cardiovascular and cerebrovascular events and all-cause mortality

目的探讨健康行为和因素评分对临床心脑血管事件发生率和全因死亡率的影响。方法选择2015年1月~2016年12月于唐山市人民医院的健康查体者300人,平均随访24个月,进行心血管健康行为和因素评分评估,计算并分析其心脑血管事件率及全因死亡率。结果选取健康体检者300人,随访发现心脑血管事件18例(6%);全因死亡22例(7.3%)。将发生心脑血管事件者和全因死亡者归为异常者,与其它正常者在年龄、性别、体质指数、血压、空腹血糖、总胆固醇、高经济收入水平、高文化水平、合并恶性肿瘤史、脑卒中、心肌梗死等比较,均具有统计学差异(P<0.05)。异常者与正常者之间理想总胆固醇率、理想吸烟状况、理想空腹血糖率、理想体育锻炼率、理想血压水平率、低盐饮食率均具有统计学差异(P<0.05)。吸烟状态、体育锻炼、血压水平、空腹血糖风险比具有统计学差异(P<0.05),为独立诱导心脑血管事件及全因死亡的因素。结论理想心血管健康行为和因素分级同心脑血管事件及全因死亡率具有密切相关性,理想心血管健康行为和因素情况理想时,可防范心血管事件,降低全因死亡率。

Objective To investigate the influence of health behavior and factor scoring on incidence of cardiovascular and cerebrovascular events and all-cause mortality.Methods The healthy subjects(n=300)were chosen from People’s Hospital of Tangshan City from Jan.2015 to Dec.2016,and all of them were followed up for average 24 months.The cardiovascular health behavior and factor scores were reviewed,and incidence of cardiovascular and cerebrovascular events and all-cause mortality were calculated.Results Among 300 subjects,the follow-up found that there were 18(6%)cases of cardiovascular and cerebrovascular events and 22(7.3%)cases of all-cause death.The cases of cardiovascular and cerebrovascular events and all-cause death were chosen into abnormal group,and others were chosen into normal group.The comparison in age,sex,body mass index(BMI),blood pressure,fasting plasma glucose(FPG),total cholesterol(TC),high economy-income level,higher cultural level,and history of complicated by malignant tumor,stroke and myocardial infarction showed statistical difference between 2 groups(P<0.05).There was statistical difference in ideal control rates of TC,smoking,FPG,physical exercise,blood pressure level and low-salt diet between 2 groups(P<0.05).There was statistical difference in smoking status,physical exercise,blood pressure level and FPG risk between 2 groups(P<0.05),and they were independent factors reducing cardiovascular and cerebrovascular events and all-cause death.Conclusion The idea cardiovascular health behavior and factor scoring are closely correlated to incidence of cardiovascular and cerebrovascular events and all-cause mortality.When health behavior and factor scoring are ideal,cardiovascular and cerebrovascular events can be prevented and all-cause mortality can be reduced.