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目的:对5 a间老年人冠心病、脑卒中的发病情况进行回顾性分析,探讨冠心病危险评估方法在脑卒中的评估价值。方法:用美国ATP改良的弗莱明翰10 a间发生冠心病危险的评估积分方法进行危险评估。结果:本评估人群5 a间冠心病事件发生率为8.32%,其中高危者事件发生率为10.90%,高于中危、低危者(P<0.05);脑卒中发病率为8.23%,高危者脑卒中发生率最高,为11.09%,明显高于中危、低危者(P<0.05或P<0.01);66.66%的冠心病、71.91%的脑卒中发生于高危、极高危者。结论:本评估人群5 a间冠心病事件发生率低于评估标准值,弗莱明翰冠心病危险评估方法对评估脑卒中事件的发生具有同样的价值。
Objective: To retrospectively analyze the incidence of coronary heart disease and stroke in the elderly aged 5 years, so as to explore the evaluation value of coronary heart disease risk assessment in stroke. METHODS: Risk assessment was performed using an integrated assessment of coronary heart disease risk in Framingham, USA, modified ATP of the United States. Results: The prevalence of coronary heart disease was 8.32% within 5 years in this assessment group, of which the incidence of high risk events was 10.90%, higher than those in moderate and low risk groups (P <0.05). The incidence of stroke was 8.23% The incidence of stroke was the highest (11.09%), which was significantly higher than that of moderate-risk and low-risk patients (P <0.05 or P <0.01). 66.66% of coronary heart disease and 71.91% of stroke occurred in high-risk and very high-risk patients. Conclusion: The incidence of coronary heart disease within 5 years in this assessment population is lower than the assessment standard value. The Framingham method of coronary heart disease risk assessment has the same value in assessing the incidence of stroke.