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目的 探讨我国自行开发的“国人缺血性心血管病 10年发病危险度评估方法”的临床应用价值。方法 采用中国医学科学院心血管病研究所开发的“国人缺血性心血管病 10年发病危险评估方法”对青岛市 2287名中年干部心血管病发病危险度进行评估,并进行相关分析。结果 (1)10年缺血性心血管病发病危险度 <10%者 (低危 ),男性为 98 16%,女性为 99 39%。发病危险度≥20%者(高危),男性为 0 19%,女性为 0 15%,这一结果符合我国 35 ~64岁人群缺血性心血管病发病绝对危险的分布情况。(2)在高危人群 (绝对危险度≥10% )收缩压、空腹血糖、总胆固醇、体重指数异常检出率分别为 100%、20 8%、75%、87 5%。在低危人群(绝对危险度 <10% )收缩压、空腹血糖、总胆固醇、体重指数异常检出率分别为 7 31%、3 4%、37 74%、59 26%,两组人群各项指标差异均有统计学意义(P<0 01)。结论 国人 10年缺血性心血管病发病危险评估方法能较准确地检测人群的发病分布情况,有利于对高危人群的简单筛选,在低危人群中,计算个体绝对危险度应根据不同年龄段的平均危险度和最低危险度来评估其发病相对危险度。
Objective To explore the clinical value of “10-year risk assessment of ischemic cardiovascular disease in China” developed by our country. Methods The risk of cardiovascular disease in 2287 middle-aged cadres in Qingdao City was assessed using the “10-year risk assessment of ischemic cardiovascular disease in China” developed by the Institute of Cardiovascular Research, Chinese Academy of Medical Sciences. The correlation analysis was conducted. Results (1) 10-year risk of ischemic cardiovascular disease less than 10% (low risk), 98.16% for men and 99% for women. Incidence of risk ≥ 20% (high risk), male 19 0%, female 0 15%, this result in line with China’s 35-64-year-old population ischemic cardiovascular disease absolute risk distribution. (2) The prevalences of systolic blood pressure, fasting blood glucose, total cholesterol and body mass index were 100%, 20 8%, 75% and 87 5% respectively in high-risk groups (absolute risk≥10%). The prevalences of systolic blood pressure, fasting blood glucose, total cholesterol, and body mass index in low-risk population (absolute risk less than 10%) were 7 31%, 34%, 37 74% and 59 26% There were significant differences in indicators (P <0.01). Conclusion 10 years Chinese people risk assessment of ischemic cardiovascular disease risk can be more accurately detect the distribution of the incidence of the crowd is conducive to the simple screening of high-risk groups in low-risk populations, the calculation of individual absolute risk should be based on different age groups The average risk and the lowest risk to assess the relative risk of onset.