浙江省社区中老年人群冠心病患病率调查及危险因素分析

The prevalence and risk factors of coronary heart disease among the elderly in Zhejiang community

目的:为构建浙江省丽水市冠心病的规范化防治管理体系提供科学依据。方法:在丽水市10个城镇社区中,抽取年龄在45岁~75岁的常住人口为调查对象。收集基本人口学资料、就诊病历、既往史信息、完善体格检查。将研究对象分为非冠心病组和冠心病组,比较两组间基线资料、危险因素和生活方式等,采用多因素Logistic回归分析探讨本地区冠心病的危险因素。结果:冠心病组在收缩压、BMI、独居、抗高血压药、抗血脂药和抗血糖药比例上都大于非冠心病组(P<0.05),而且在家庭人均月收入、职业、学历等方面也存在差异(P<0.05)。在冠心病组中,高血压、糖尿病、血脂异常、肾功能不全和脂肪肝的比例较高(P<0.05),中等强度活动比例在两组中相同。多因素Logistic回归分析显示年龄(OR=1.80,P<0.05)、血脂异常(OR=2.86,P<0.05)、高血压(OR=2.21,P<0.05)、糖尿病(OR=2.02,P<0.05)、独居(OR=2.05,P<0.05)是冠心病发病的危险因素。结论:丽水市属于冠心病低发地区,建立精准的冠心病危险因素防控体系有利于降低冠心病的发病率。

Objective:To establish a standardized management system for the prevention and treatment of coronary heart disease in the region.Method:In 10 urban communities in Lishui City,Zhejiang Province,the permanent residents aged 45 to 75 were selected as the survey subjects.We collect basic demographic data,medical records,past history,and physical examination.The study subjects were divided into non-coronary heart disease group and coronary heart disease group.Baseline data,risk factors and lifestyle were compared between the two groups,and multivariate logistic regression analysis was used to explore the risk factors of coronary heart disease in the region.Result:The ratio of systolic blood pressure,BMI,living alone,antihypertensive drugs,anti-lipid drugs and anti-glycemic drugs in the coronary heart disease group was higher than those in the non-coronary heart disease group(P<0.05).There were significant difference in family monthly income,occupation,education between two groups(P<0.05).In the coronary heart disease group,the proportion of hypertension,diabetes,dyslipidemia,renal insufficiency,and fatty liver was higher than non-coronary heart disease group(P<0.05).The proportion of moderate-intensity activities was the same in two groups.Multivariate logistic regression analysis showed age(OR=1.80,P<0.05),hyperlipidemia(OR=2.86,P<0.05),hypertension(OR=2.21,P<0.05),diabetes(OR=2.02,P<0.05),living alone(OR=2.05,P<0.05)were risk factors in coronary heart disease.Conclusion:This city belongs to a low-incidence area of coronary heart disease.