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目的:调查分析某营区中青年人群心血管疾病(CVD)危险因素变化情况。方法:选择某营区35～44岁人群中,1998年与2008年两次CVD危险因素调查资料完整者1116例,按照WHO-MONICA方案CVD危险因素调查方法进行调查。以1998年调查结果作为基线数据,连续监测10年,与2008年该人群血压、血糖、血脂、血尿酸、体重指数(BMI)等指标,以及高血压病、糖尿病、高尿酸血症、脂肪肝等的发生率进行比较。结果:(1)2008年CVD主要危险因素水平均显著高于1998年(P<0.05)。其中升高幅度最大的为血尿酸(UA)水平,10年间升高了51.9%;其次为三酰甘油(TG)水平,升高了43.2%。(2)男性和女性CVD主要危险因素水平10年间均有所升高,但男性多种危险因素水平显著高于女性(P<0.05)。(3)2008年CVD主要危险因素发生率均显著高于1998年(P<0.05),其中高尿酸血症发生率升高的幅度最大,升高了1.4倍;其次为糖尿病,升高了1.2倍。具有1种或以上危险因素者所占比例由1998年的21.4%上升到2008年的32.1%。结论:某营区35～44岁人群10年间CVD主要危险因素水平及发生率均呈上升趋势,CVD主要危险因素个体聚集倾向显著增高。
Objective: To investigate the changes of risk factors of cardiovascular disease (CVD) in middle-aged and young people in a camp area. Methods: A total of 1116 patients with CVD risk factors surveyed in 1998 and 2008 among 35-44-year-olds in a camp area were selected and investigated according to the survey method of CVD risk factors in the WHO-MONICA program. Based on the 1998 survey data as the baseline data, the data were continuously monitored for 10 years and compared with other indexes such as blood pressure, blood glucose, blood lipid, blood uric acid and body mass index (BMI) in 2008 and hypertension, diabetes, hyperuricemia, fatty liver Such as the incidence of comparison. Results: (1) The main risk factors of CVD in 2008 were significantly higher than those in 1998 (P <0.05). Among them, the highest level of increase was serum uric acid (UA), an increase of 51.9% in 10 years, followed by triglyceride (TG), an increase of 43.2%. (2) The major risk factors for CVD in both men and women increased in 10 years, but the risk factors for men were significantly higher than those in women (P <0.05). (3) The incidence of major risk factors for CVD in 2008 was significantly higher than that in 1998 (P <0.05), of which the incidence of hyperuricemia increased by 1.4 times, followed by diabetes by 1.2 Times The proportion of those with one or more risk factors increased from 21.4% in 1998 to 32.1% in 2008. Conclusion: The CVD risk factors and the prevalence of CVD in 35-44 year-old population in a camp area all tended to increase during the 10-year period. The main risk factors of CVD were significantly higher in individuals.