南宁市中老年人心血管健康状况危险因素分析

Analysis on cardiovascular health status of middle-old age and its risk factors in Nanning city

目的 对南宁市中老年人心血管健康状况及其危险因素进行分析。方法 采用随机抽样方法 ,对南宁市 35～ 74岁之间居民进行心血管健康状况调查 ,分析发病水平及有关影响因素。结果 (1)样本人群高血压患病率为 2 2 0 6 % ,随年龄增长而升高 ,超重率为 2 7 4 5 % ,其中男性的为 31 2 8% ,女性为 2 3 6 6 % ,男性超重率高于女性 (P<0 0 5 )。 (2 )心肌梗塞、脑卒中 ,心力衰竭患病率分别为 0 98% ,2 2 0 % ,1 71%。 (3)高血糖、高总胆固醇、高甘油三脂患病率分别为 17 35 % ,5 6 6 7% ,30 94 % ,男、女性别均有显著性差异 (P <0 0 5 )。 (4)多因素回归分析显示 :BMI、喝酒、吸烟、高血压、年龄、文化程度、家族中有慢性病史等是心血管病的主要影响因素。结论 南宁市中老年人心血管健康状况不容乐观 ,其危险因素处于较高水平 ,心血管健康预防控制策略和措施有待进一步加强。

Objective To analyse cardiovascular health status and risk factors of middle-old aged population in Nanning city.Methods Residents aged 35-74 in Nanning city were randomized to be the subject of a survey of cardiovascular health and to study the epidemiological tendency and risk factors of cardiovascular health.Results (1)The hypertention prevalence rate arrived at 22.06% and went up with age.Overweight prevalence rate was 27.45%,of which the male was 31.28% and female was 23.66%.The prevalence for male was higher than that of female( P <0 05).(2)The myocardia infarction,apoplexy,heart failure prevalence rates were 0.98%,2.20%,1.71% respectively.(3)The hyperglycemia,hypercholesterolemia,hypertriglyceride prevalence rates were 17.35%,56.67%,30.94%.(4) Using multile regression,overweight,alcohol usage,cigarette smoking,hypertension,age,education,chronic disease families were significantly associated with cardivascular disease.Conclusion The level of cardiovascular disease incidence and risk factors were high in residents of Nanning.Countermeasure should be strengened further.