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目的:了解广东顺德区容桂社区老年人群吸烟情况及吸烟与下肢动脉疾病的关系。方法:对该社区随机抽取2个村。对村中所有60岁以上的常住人口进行调查,共计1235例。调查的项目有:一般临床资料、血脂、血糖、吸烟情况、身高、体重、腰围、臀围、四肢血压。结果:①1235例中吸烟者273例,总吸烟率22.1%,其中男性221例,吸烟率44.1%,女性52例,吸烟率7.1%,男性显著多于女性(P<0.01)。②与非吸烟者比较,吸烟者踝臂指数更低、下肢动脉疾病患病率更高。③吸烟单因素可增加下肢动脉疾病风险(OR:1.65,95%CI:1.12～2.43),如伴其他危险因素如年龄、腰围、收缩压、糖尿病史吸烟致下肢动脉疾病风险更大(OR:2.76,95%CI:1.64～4.65)。结论:①该社区老年人群吸烟率较高,尤其是男性;②吸烟明显增加下肢动脉疾病的风险,尤其在合并其他心血管病风险时。
Objective: To understand the prevalence of smoking in elderly population and the relationship between smoking and lower extremity arterial disease in Ronggui Community, Shunde District, Guangdong Province. Methods: Two villages were randomly selected from the community. A survey of all permanent residents over the age of 60 in the village, totaling 1235 cases. The survey items are: general clinical data, blood lipids, blood sugar, smoking, height, weight, waist circumference, hip circumference, limbs and blood pressure. Results: (1) There were 273 smokers in 1235 cases, with a total smoking rate of 22.1%. Among them, 221 were males, smoking was 44.1%, females were 52 and smoking was 7.1%. There were significantly more males than females (P <0.01). ② Compared with non-smokers, smokers lower ankle-brachial index, lower extremity arterial disease prevalence higher. (3) smoking single factor can increase the risk of lower extremity arterial disease (OR: 1.65,95% CI: 1.12 ~ 2.43), such as risk of lower extremity arterial disease with other risk factors such as age, waist circumference, systolic blood pressure, 2.76, 95% CI: 1.64 ~ 4.65). Conclusion: ①The elderly population in this community has a high smoking rate, especially for men; ② Smoking significantly increases the risk of lower extremity arterial disease, especially when combined with other cardiovascular risk.