河北省邢台市干部职工冠心病检出情况与影响因素调查

Investigation and Research on Coronary Atherosclerotic Heart Disease and Its Influencing Factors Among Cadres and Workers of Xingtai City in Hebei Province

目的调查研究河北省邢台市干部职工冠心病(Coronary Atherosclerotic Heart Disease,CHD)患病情况与影响因素,为预防控制提供依据。方法自行设计流行病学调查表,对河北省邢台市20 232名在职和离退休干部职工进行问卷调查、体格检查和生化检测。对冠心病检出率的比较应用χ~2检验,有关影响因素应用Logistic回归分析。结果河北省邢台市干部职工冠心病的检出率为4.56%(924/20 232)。青年男性冠心病的患病率高于女性,差异有统计学意义(χ~2=40.273,P=0.000)。到中年和老年以后,男性冠心病的患病率与女性冠心病的患病率基本接近,差异均无统计学意义(χ~2=2.860、1.481,P=0.091、0.224)。总体冠心病的患病率男性高于女性,差异有统计学意义(χ~2=12.561,P=0.000)。冠心病患病的影响因素为年龄(OR=4.489)、性别(OR=4.452)、血脂异常(OR=41.961)、高血压(OR=68.196)、糖尿病(OR=13.851)、肥胖(OR=23.576)、吸烟(OR=17.193)、饮酒(OR=4.305)、运动量小(OR=3.342)、高脂饮食(OR=23.007)、高糖饮食(OR=20.395)、髙盐饮食(OR=6.867)、嗜好饱食(OR=12.016)和家族史(OR=13.471)。结论河北省邢台市干部职工冠心病的患病率较高,冠心病的患病与影响因素密切相关。控制影响因素的有效措施应从儿童做起,一级预防开始越早受益越大。

Objective To investigate the coronary atherosclerotic heart disease(CHD)and its influencing factors among cadres and workers in Xingtai City of Hebei province,and to provide basis for prevention and control.Methods Self designed epidemiological questionnaire survey was conducted among 20 232 in-service and retired cadres and workers in Xingtai City of Hebei province,and physical examination and biochemical detection were taken at the same time.χ~2 test was used to compare the prevalence of CHD,the related factors were analyzed by logistic regression analysis.Results The prevalence of CHD among cadres and workers in Xingtai City was 4.56%(924/20 232).The prevalence of CHD in young men was higher than that in females,the difference was statistically significant(χ~2=40.273,P=0.000).At middle age and old age,the prevalence of male CHD was almost the same as that of female CHD,the difference was no statistically significant(χ~2=2.860,1.481,P=0.091,0.224).The prevalence of overall CHD was higher in male than that in female,the difference was statistically significant(χ~2=12.561,P=0.000).The risk factors for CHD were age(OR=4.489),Gender(OR=4.452),dyslipidemia(OR=41.961),hypertension(OR=68.196),diabetes(OR=13.851),obesity(OR=23.576),smoking(OR=17.193),drinking(OR=4.305),exercise little(OR=3.342),high fat diet(OR=23.007),high sugar diet(OR=20.395),high salt diet(OR=6.867),addiction Good satiation(OR=12.016)and family history(OR=13.471).Conclusion The prevalence rate of CHD among cadres and workers in Xingtai City of Hebei Province is relatively high,the prevalence of CHD is closely related to the influencing factors.Effective measures to control influencing factors should start with children,the earlier the primary prevention starts,the greater the benefit it will get.