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目的分析北京市顺义区中年人缺血性心血管病(ICVD)10年发病危险,为进一步改善该人群健康状况提供参考依据,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。方法采用多阶段随机抽样方法,抽取35~59岁常住居民1 882人,进行心血管疾病相关危险因素流行病学调查,并对人群用“国人缺血性心血管病10年发病危险度评估表”评估其10年ICVD的发病危险性。结果 ICVD 10年发病绝对危险度<10%(低危)者,男性为714人(94.1%),女性为1 016人(94.3%);发病危险度≥10%(高危)者,男性为45人(5.9%),女性为61人(5.7%)。在高危人群(绝对危险度≥10%)中,收缩压升高、总胆固醇升高、超重/肥胖、糖尿病检出率分别为93.4%、50.9%、90.6%、55.7%,在低危人群(绝对危险度<10%)中分别为24.2%、19.0%、73.0%、11.3%,两组人群各项指标差异均有统计学意义(均P<0.01)。结论北京市顺义区心血管疾病危险因素水平较高,35~59岁人群10年ICVD发病风险较大。国人10年ICVD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。
Objective To analyze the 10-year risk of middle-aged ischemic cardiovascular disease (ICVD) in Shunyi District of Beijing, and to provide a reference for further improving the health condition of this population, and to explore the self-developed “ischemic cardiovascular disease 10 years Risk assessment of the risk of clinical application value. Methods A multi-stage random sampling method was used to collect 1,882 permanent residents aged 35-59 years. The epidemiological investigation of risk factors related to cardiovascular diseases was conducted. The 10-year national risk assessment of ischemic cardiovascular disease Table ”assess its 10-year risk of ICVD. Results The incidence of ICVD was 10% (low risk) in 10 years. There were 714 (94.1%) males and 1 016 (94.3%) females. The incidence of ICVD was 10% (high risk) and 45 (5.9%) and 61 women (5.7%). In high-risk groups (absolute risk≥10%), systolic blood pressure increased, total cholesterol increased, overweight / obesity and diabetes were 93.4%, 50.9%, 90.6% and 55.7% respectively. (Absolute risk <10%) were 24.2%, 19.0%, 73.0% and 11.3%, respectively. There was significant difference between the two groups in all indexes (all P <0.01). Conclusions The risk factors for cardiovascular diseases in Shunyi District of Beijing City are higher, and the risk of ICVD in patients aged 35-59 years is 10 years. People 10 years ICVD risk assessment method can accurately detect the incidence of population distribution, is conducive to the simple screening of high-risk groups.