关键词: 心血管疾病, 危险因素, 风险评估

Abstract: Objective To explore the exposure of risk factors and assess the risk of ischemic cardiovascular disease（ICVD） in the next 10 years among power grid workers, so as to provide a scientific basis for different risk types of groups to implement health management strategies. Methods The power grid workers aged 35-59 who came to Shandong Electric Power Central Hospital for physical examination were collected the age, gender, body mass index （BMI）, systolic blood pressure （SBP）, total cholesterol （TC）, smoking, diabetes and other risk factors from May to September 2018. The Chinese ICVD 10-year risk assessment form was used to predicte the 10-year risk of ICVD and perform statistical analysis. Results There were 3 049 power grid workers. The differences in the major risk factors of different genders and age groups （except BMI） were statistically significant （all P<0.01）. The total median absolute 10-year risk of ICVD in male [1.50% （P₂₅, P₇₅： 0.80%, 2.90%）] was significantly higher than that of female [0.50% （P₂₅, P₇₅： 0.30%, 0.80%）] （P<0.01）. The absolute risk of disease increased with age, and the difference in absolute risk between different age groups was statistically significant （P<0.01）. The absolute risk for male aged 55-59 and female aged 50-59 was higher than the average risk of the same age group of the same gender. The ratio of low-risk group （absolute risk： 5%~10%） and medium-high-risk group （absolute risk： ≥10%） in male was higher than that of female（both P<0.01）, respectively. Conclusion The male aged 55-59 and the female aged 50-59 are at high risk of ICVD. The main risk factors should be targeted at early detection of high-risk groups, and personalized health interventions should be carried out to prevent the occurrence of cardiovascular diseases.

Key words: Cardiovascular disease, Risk factor, Risk assessment