| 张 茜,冯兆璋,刘玉兰,许祥贵,刘维娟,徐 俊,施德伟,林露娟.深圳地区50~70岁中老年人群10年缺血性心血管病发病风险预测[J].,2017,17(16):3155-3159 |
| 深圳地区50~70岁中老年人群10年缺血性心血管病发病风险预测 |
| Risk Assessment of 10-year Ischemic Cardiovascular Diseases in the Population aged 50~70 in Shenzhen |
| 投稿时间：2016-12-28 修订日期：2017-01-25 |
| DOI：10.13241/j.cnki.pmb.2017.16.040 |
| 中文关键词: 缺血性心血管病 危险因素 风险评估 |
| 英文关键词: Ischemic cardiovascular diseases Risk factors Risk assessment |
| 基金项目:深圳市卫生计生系统科研项目（201607033） |
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| 中文摘要: |
| 摘要 目的：了解深圳地区50~70岁中老年人群ICVD危险因素的暴露情况及对未来10年的ICVD患病风险进行评估，为深圳地区ICVD的防治提供依据。方法：选取2013年10月至2014年1月在香港大学深圳医院体检中心进行健康体检的1092名50~70岁中老年人群作为研究对象，对其体检资料和检查结果进行分析，应用"国人ICVD10年发病危险度评估方法"模型，对研究对象ICVD10年发病危险度进行评估。结果：在1092名研究对象中，高血压、超重（或）肥胖、高脂血症、吸烟、糖尿病的暴露率分别为37.64 %、51.19 %、56.87 %、29.58 %、23.46 %；男性的超重/肥胖、吸烟和糖尿病的暴露率高于女性，而女性高脂血症的暴露率高于男性，差异有统计学意义（P<0.05）；ICVD10年发病绝对危险度极低危、低危、中危、高危及极高危的检出率分别为65.02 %、20.14 %、10.26 %、4.12 %、0.46 %；所有年龄组平均危险度水平均高于中国人群评估方法参考标准。结论：深圳地区50~70岁中老年人群ICVD发病危险因素暴露水平较高，ICVD10年发病风险较大，应积极进行健康教育及加强对ICVD危险因素的有效干预。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the risk factors exposure of ischemic cardiovascular diseases and to predict the 10-year risk of having ischemic cardiovascular diseases among 50~70 years old population in Shenzhen. Methods: Clinical data of 1092 subjects whom underwent physical examination in the university of Hong Kong-Shenzhen hospital from October 2013 to January 2014, were analyzed using" the Risk Assessment Tool for Estimating 10-year Risk of Having an ischemic cardiovascular diseases" to assess their 10-year risk of ICVD. Results: The prevalence of hypertension, overweight and obesity, hypercholesterolemia, smoking, diabetes mellitus were 37.64 %, 51.19 %, 56.87 %, 29.58 %, 13.37 % respectively; The prevalence of overweight and obesity, smoking and diabetes were higher in male than in female, and the prevalence of hypercholesterolemia was higher in female than in male, the difference was statistically significant (P<0.05). The 10-year absolute risk of ICVD≤5 % (extremely low-risk), 5~10 % (low risk), 10~20 % (moderate risk), 20~40 % (high risk), >40 % (extremely high risk) were 65.02 %, 20.14 %, 10.26 %, 4.12 %, 0.46 % respectively. The average risk levels of ICVD were higher than the reference indicator of ICVD risk in all age groups. Conclusion: The risk factors exposure levels of ischemic cardiovascular diseases were high, and the 10-year ICVD risk of population in Shenzhen was serious. More health education and effective intervention are needed. |
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