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目的分析鞍钢职工大样本人群心脑血管疾病的发病率及易患因素分布情况。方法通过对鞍钢集团95 912例职工的心脑血管疾病既往史、吸烟、血压、糖尿病、血清总胆固醇、高密度脂蛋白、体重指数、总胆固醇与高密度脂蛋白胆固醇的比值等数据的分析,前瞻性分析受检人群心脑血管疾病发病的危险分层。结果冠心病1 910例(2.00%),脑血管病607例(0.63%),吸烟19 453例(20.28%),糖尿病788例(0.82%),高血压31 698例(33.05%),高脂血症8 347例(8.70%),体重超重55 462例(57.83%),总胆固醇(TC)/高密度脂蛋白胆固醇(HDL-C)≥3.5的10 487例(10.93%);缺血性心血管病发病概率多分布于极低危(68.14%)和低危(5.75%),中危(0.865%)占很小的比例,颈动脉粥样硬化斑块发生概率多分布于高危(44.23%)、中危(23.21%)和极高危(10.51%),无低危和极低危。结论目前鞍钢职工的健康状况不容乐观,应进一步加大健康知识宣教力度。
Objective To analyze the incidence and risk factors of cardiovascular and cerebrovascular diseases in a large sample of Anshan Iron and Steel Workers. Methods Based on the data of past 9 years, smoking, blood pressure, diabetes, serum total cholesterol, high density lipoprotein, body mass index, ratio of total cholesterol to high density lipoprotein cholesterol of 95 912 employees in Ansteel Group, Prospective analysis of subjects in the risk of cardiovascular and cerebrovascular disease risk stratification. Results There were 1 910 cases (2.00%) of coronary heart disease, 607 cases of cerebrovascular disease (0.63%), 19 453 cases of smoking (20.28%), 788 cases of diabetes (0.82%), 31 698 cases of hypertension (33.05%), There were 8,347 (8.70%) cases of hyperlipidemia, 55,462 (57.83%) cases of overweight and 10,487 (10.93%) cases with total cholesterol (TC) / HDL-C≥3.5; The incidences of cardiovascular disease were mostly distributed in very low risk (68.14%) and low risk (5.75%), while moderate risk (0.865%) accounted for a very small proportion. The incidence of carotid atherosclerotic plaques was mostly at high risk (44.23 %), Medium risk (23.21%) and very high risk (10.51%), no low risk and very low risk. Conclusion At present, the health conditions of employees in Anshan Iron and Steel Group are not optimistic, we should further increase the awareness of health knowledge.