唐山市心血管疾病高危人群冠心病检出现状及影响因素研究

doi:10.12183/j.scjpm.2022.0139

摘要/Abstract

摘要： 目的通过分析唐山地区心血管疾病高危人群冠心病患病情况,探讨该地区居民心血管疾病高危人群冠心病患病影响因素,为进一步开展心血管疾病防治工作提供参考资料。方法以2020年6月至2021年5月在唐山市某医院体检中心完成健康体检并根据心血管疾病高危人群标准筛查出来的心血管疾病高危人群作为研究对象,开展冠心病相关补充项目检查,采用描述性分析方法对结果进行分析,并通过单因素、多因素分析方法对心血管疾病高危人群冠心病患病影响因素进行分析。结果最终纳入3 870例心血管疾病高危人群,其中男性占55.45%,年龄40~78岁,平均（61.79±8.10）岁;BMI 16.9~28.4 kg/m²,平均（23.15±2.36）kg/m²;有冠心病家族史者274例。检出冠心病406例,患病率为10.49%。多因素Logistic回归分析结果显示,年龄（OR=2.079）、BMI（24.0~27.9 kg/m²：OR=1.754、≥28.0 kg/m²：OR=2.675）、冠心病家族史（OR=4.882）、高血压（OR=2.812）、糖尿病（OR=2.323）、饮酒（OR=1.990）、体力活动缺乏（OR=1.245）、睡眠时间<6 h/d（OR=2.462）是唐山地区心血管疾病高危人群患冠心病的影响因素。结论唐山地区心血管疾病高危人群冠心病患病率较高,根据该人群冠心病患病影响因素,将高龄、超重或肥胖、有冠心病家族史者以及高血压、糖尿病患者作为重点对象,加强生活方式干预,降低冠心病患病率。

关键词: 心血管疾病, 冠心病, 高危人群, 患病率, 影响因素

Abstract: Objective To analyze the prevalence of coronary heart disease （CHD） in high-risk population of cardiovascular disease in Tangshan area and its influencing factors, so as to provide reference for further prevention and treatment of cardiovascular disease. Methods From June 2020 to May 2021, the high-risk population of cardiovascular disease who completed the health examination in the physical examination center of a hospital in Tangshan City and screened according to the standard of high-risk population of cardiovascular disease were selected as the research objects to carry out the supplementary items related to CHD. The results were analyzed by descriptive analysis method, and the influencing factors of CHD in high-risk population of cardiovascular disease were analyzed by univariate and multivariate analysis methods. Results A total of 3 870 high-risk population of cardiovascular disease were included, of which 55.45% were males. Aged 40 - 78 years, with an average of （61.79 ± 8.10） years; body mass index （BMI） was 16.9 - 28.4 kg/m², with an average of （23.15 ± 2.36） kg/m²; 274 cases had a family history of CHD. Four hundred and six cases of CHD were detected, and the prevalence rate was 10.49%. Multivariate Logistic regression analysis showed that age （OR=2.079）, BMI （24.0-27.9 kg/m²： OR=1.754, ≥28.0 kg/m²： OR=2.675）, family history of CHD （OR=4.882）, hypertension （OR=2.812）, diabetes （OR=2.323）, drinking （OR=1.990）, shortage of physical activity （OR=1.245）, sleep time<6 h/d（OR=2.462）were the influencing factors of CHD in high-risk population of cardiovascular disease in Tangshan area. Conclusion The prevalence of CHD in high-risk population of cardiovascular disease in Tangshan is high. Based on the influential factors of CHD, the elderly, overweight or obese, family history of CHD, hypertension and diabetes should be emphasized, and the lifestyle intervention should be strengthened to reduce the prevalence of CHD.

Key words: Cardiovascular disease, Coronary heart disease, High-risk population, Prevalence rate, Influencing factor

中图分类号:

R195

张丽, 宋巧凤, 周文华, 闫玉敏, 张茹. 唐山市心血管疾病高危人群冠心病检出现状及影响因素研究[J]. 华南预防医学, 2022, 48(2): 139-142.

ZHANG Li, SONG Qiao-feng, ZHOU Wen-hua, YAN Yu-min, ZHANG Ru. Prevalence and influencing factors of coronary heart disease in high-risk population of cardiovascular disease in Tangshan[J]. South China Journal of Preventive Medicine, 2022, 48(2): 139-142.

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