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目的了解调查北京市南苑地区居民冠心病危险因素,为本地区心血管疾病的人群防治提供依据。方法以北京市南苑地区35岁以上常住居民为研究对象,随机抽样调查了2000例,通过问卷调查、体格检查及相关实验室检查,以了解人群心血管健康状况,然后用Logistic回归模型进行危险因素筛选。结果调查人群中冠心病患者138例,占全部调查人数的6.9%。冠心病组与非冠心病组间比较,年龄、体重指数、腰臀比、高血压病史、糖尿病史、胆固醇、甘油三酯、低密度脂蛋白、吸烟史、冠心病家族史存在统计学差异(P<0.05);经Logistic逐步回归分析,筛选出年龄、糖尿病、高血压病、胆固醇、吸烟史、冠心病家族史6个冠心病危险因素。结论对于35岁及以上的城市及农村人群,应加强冠心病危险因素的宣传教育,提倡健康生活方式,尽可能早期针对危险因素实施干预,以减少或延缓心血管事件的发生。
Objective To investigate the risk factors of coronary heart disease among residents in Nanyuan district of Beijing and provide evidence for the prevention and treatment of cardiovascular disease in this area. Methods A total of 2000 residents aged 35 years or older in Nanyuan district of Beijing were investigated by random sampling and questionnaire survey, physical examination and related laboratory tests to understand the cardiovascular health status of the population. Logistic regression model was then used to analyze the risk Factor screening. Results The survey population of 138 patients with coronary heart disease, accounting for 6.9% of all surveyed. Coronary heart disease group and non-coronary heart disease group, age, body mass index, waist-hip ratio, history of hypertension, history of diabetes, cholesterol, triglyceride, low density lipoprotein, smoking history, family history of coronary heart disease there is a statistically significant difference P <0.05). Six risk factors for coronary heart disease (CHD) were screened by Logistic stepwise regression analysis, including age, diabetes mellitus, hypertension, cholesterol, smoking history and family history of coronary heart disease. Conclusions For urban and rural population aged 35 and above, the publicity and education on risk factors of coronary heart disease should be strengthened to promote a healthy lifestyle and intervene risk factors as early as possible so as to reduce or delay the occurrence of cardiovascular events.