| 尹秋生,冬兰,赵倩,李桐烨.陆军干部缺血性心血管疾病发病危险评估分析[J].中国临床保健杂志,2017,20(2):125-127. |
| 陆军干部缺血性心血管疾病发病危险评估分析 |
| Assessment of the risk for ischemic cardiovascular disease in army officers |
| 投稿时间：2016-11-10 |
| DOI：10.3969/J.issn.1672-6790.2017.02.004 |
| 中文关键词: 心血管疾病 危险因素 年龄因素 |
| 英文关键词: Cardiovascular diseases Risk factors Age factors〖FL |
| 基金项目:解放军总后勤部卫生部保健专项科研课题(14BJZ23) |
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| 中文摘要: |
| 目的 评估陆军干部心血管疾病发病危险,为下一步实施有效个体化干预提供依据。方法 采用心血管疾病流行病学调查表,整群调查年龄在24～59岁的陆军干部695例,分析军队干部心血管疾病危险因素流行现状,评估缺血性心血管疾病(ICVD)10年发病危险度。结果 695例陆军干部吸烟率、肥胖率分别为30.79%、9.50%,高血压、高脂血症、冠心病、糖尿病患病率分别为8.49%、5.61%、0.86%和0.58%。吸烟率、肥胖率和高血压患病率位居前三位。自30岁开始,肥胖率、高血压患病率随着年龄的增长而升高,不同年龄组间差异有统计学意义(P＜0.05),其他危险因素患病率不同年龄组间差异无统计学意义(P＞0.05)。颈动脉硬化斑块和内膜中层厚度(IMT)增厚总患病率分别为8.78%、4.46%,在30～59岁之间,随着年龄的增长,颈动脉斑块和IMT增厚患病率显著增多,各组间差异有统计学意义(P＜0.05)。陆军干部ICVD 10年发病危险度:35～39岁年龄组低于参考标准的最低危险值,其他年龄组均低于参考标准的平均值,55～59年龄组的发病危险度最高为3.02%,也仅为平均危险值的0.84倍,属于极低危。结论 军队干部ICVD 10年发病危险度明显低于参考标准值,属于极低危。但自30岁开始,心血管疾病发病危险有逐年增加的趋势。 |
| 英文摘要: |
| Objective To valuate of the risk for cardiovascular disease in army officers and provide data for effectively intervening these risk factors of cardiovascular disease.Methods The survey for cardiovascular disease risk factors was carried out with an epidemiology questionnaire of cardiovascular disease in 695 Army officers aged of 24-59 years old.The prevalence status of cardiovascular disease risk factors was analyzed,and the assessment score of 10-year risk for ICVD was conducted in military officers.Results The total prevalence rates of smoking,obesity,hypertension,hyperlipoidemia,coronary heart disease,and diabetes mellitus were 30.79%,9.50%,8.49%,5.61%,0.86%,and 0.58%,respectively.The prevalence rates of obesity and hypertension increased gradually along with grow older of age from thirty years old.Differences in prevalence rates of obesity and hypertension between different age groups were significant (P＜0.01,or P＜0.05).The prevalence rates of carotid plaque and intima-media thickness increase were 8.78% and 4.46%,and increased gradually along with grow older of age from 30 years old to 59 years old.Differences in prevalence rate of carotid plaque and intima-media thickness increase between different age groups were significant (P＜0.01,or P＜0.05).The 10-year risk score for ICVD of aged 35-39 was lower than the lowest value of reference standard,scores of other age groups were lower than average values of reference standard,score of aged 55-59 was 3.02%,which was the highest,but also was only 0.84 times of reference standard.Conclusion The 10-year risk score for ICVD of army officers is significantly lower than average value of reference standard and belongs to very low risk for cardiovascular disease.But the incidence risk of cardiovascular disease increases markedly since 30 years old. |
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