中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2008年
9期
657-660
,共4页
吴青%孔曲%任素琴%牟小芬%冯长顺
吳青%孔麯%任素琴%牟小芬%馮長順
오청%공곡%임소금%모소분%풍장순
冠状动脉疾病%因素分析,统计学
冠狀動脈疾病%因素分析,統計學
관상동맥질병%인소분석,통계학
Coronary disease%Factor analysis,statistical
目的 探讨冠状动脉粥样硬化性心脏病(CHD)危险因素在中老年男性人群中的分布及其演变,为不同年龄男性人群CHD的防治提供依据. 方法 集中对我院部分在职干部和所属134个军队社区及离退休干部2176人进行体检,选择资料完整,年龄45以上的男性受检者1639人,将其分为非老年组(45～59岁)及老年组(60～93岁)进行CHD危险因素分析;再将60岁以上受检者分为3组(60～69岁、70～79岁、80～93岁),对老年人随增龄CHD危险因素的演变进行逐项分析.结果 非老年组饮酒、吸烟、舒张期高血压、低高密度脂蛋白胆固醇(HDL-C)的检出率分别为48.0%、24.6%、22.7%、8.3%,高于老年组31.6%、14.1%、13.2%、3.2%(x2分别为28.80、18.35、15.72和17.84,均为P<0.01);老年组超体质量、收缩期高血压、高空腹血糖、高餐后2 h血糖(2 hPBG)的检出率分别为45.5%、33.2%、15.2%、40.5%,高于非老年组25.4%、11.1%、8.1%2、6.2%(x2分别为36.40、50.97、9.09和18.98,均为P<0.01);两组高三酰甘油(TG)、高胆固醇的检出率分别为36.9%、31.5%及18.0%、16.2%,组间比较差异无统计学意义(均为P>0.05).70～79岁组超体质量及高2 h PBG的检出率降低(P<0.05);饮酒、吸烟、舒张期高血压、高TG的检出率减少,差异均有统计学意义(均为P<0.01);80～93岁组超体质量、高2 h PBG及高TG的检出率与70岁以上老年组比较降低(x2分别为10.05、4.16、5.97,均为P<0.01);收缩期高血压的检出率70岁及以上老年组明显高于60～69岁组,差异均有统计学意义(X2=21.25,P<0.01);其他CHD危险因素老年各年龄组间比较,差异无统计学意义(P>0.05). 结论 非老年人CHD危险因素干预的重点为戒烟、限酒、低脂饮食、改变不良牛活习惯,控制舒张期高血压及有效的调脂治疗;老年人CHD危险因素干预重点则为限制总热量摄入、适量运动、减轻体质量、控制收缩期高血压、高血糖及进行有效调脂.
目的 探討冠狀動脈粥樣硬化性心髒病(CHD)危險因素在中老年男性人群中的分佈及其縯變,為不同年齡男性人群CHD的防治提供依據. 方法 集中對我院部分在職榦部和所屬134箇軍隊社區及離退休榦部2176人進行體檢,選擇資料完整,年齡45以上的男性受檢者1639人,將其分為非老年組(45～59歲)及老年組(60～93歲)進行CHD危險因素分析;再將60歲以上受檢者分為3組(60～69歲、70～79歲、80～93歲),對老年人隨增齡CHD危險因素的縯變進行逐項分析.結果 非老年組飲酒、吸煙、舒張期高血壓、低高密度脂蛋白膽固醇(HDL-C)的檢齣率分彆為48.0%、24.6%、22.7%、8.3%,高于老年組31.6%、14.1%、13.2%、3.2%(x2分彆為28.80、18.35、15.72和17.84,均為P<0.01);老年組超體質量、收縮期高血壓、高空腹血糖、高餐後2 h血糖(2 hPBG)的檢齣率分彆為45.5%、33.2%、15.2%、40.5%,高于非老年組25.4%、11.1%、8.1%2、6.2%(x2分彆為36.40、50.97、9.09和18.98,均為P<0.01);兩組高三酰甘油(TG)、高膽固醇的檢齣率分彆為36.9%、31.5%及18.0%、16.2%,組間比較差異無統計學意義(均為P>0.05).70～79歲組超體質量及高2 h PBG的檢齣率降低(P<0.05);飲酒、吸煙、舒張期高血壓、高TG的檢齣率減少,差異均有統計學意義(均為P<0.01);80～93歲組超體質量、高2 h PBG及高TG的檢齣率與70歲以上老年組比較降低(x2分彆為10.05、4.16、5.97,均為P<0.01);收縮期高血壓的檢齣率70歲及以上老年組明顯高于60～69歲組,差異均有統計學意義(X2=21.25,P<0.01);其他CHD危險因素老年各年齡組間比較,差異無統計學意義(P>0.05). 結論 非老年人CHD危險因素榦預的重點為戒煙、限酒、低脂飲食、改變不良牛活習慣,控製舒張期高血壓及有效的調脂治療;老年人CHD危險因素榦預重點則為限製總熱量攝入、適量運動、減輕體質量、控製收縮期高血壓、高血糖及進行有效調脂.
목적 탐토관상동맥죽양경화성심장병(CHD)위험인소재중노년남성인군중적분포급기연변,위불동년령남성인군CHD적방치제공의거. 방법 집중대아원부분재직간부화소속134개군대사구급리퇴휴간부2176인진행체검,선택자료완정,년령45이상적남성수검자1639인,장기분위비노년조(45～59세)급노년조(60～93세)진행CHD위험인소분석;재장60세이상수검자분위3조(60～69세、70～79세、80～93세),대노년인수증령CHD위험인소적연변진행축항분석.결과 비노년조음주、흡연、서장기고혈압、저고밀도지단백담고순(HDL-C)적검출솔분별위48.0%、24.6%、22.7%、8.3%,고우노년조31.6%、14.1%、13.2%、3.2%(x2분별위28.80、18.35、15.72화17.84,균위P<0.01);노년조초체질량、수축기고혈압、고공복혈당、고찬후2 h혈당(2 hPBG)적검출솔분별위45.5%、33.2%、15.2%、40.5%,고우비노년조25.4%、11.1%、8.1%2、6.2%(x2분별위36.40、50.97、9.09화18.98,균위P<0.01);량조고삼선감유(TG)、고담고순적검출솔분별위36.9%、31.5%급18.0%、16.2%,조간비교차이무통계학의의(균위P>0.05).70～79세조초체질량급고2 h PBG적검출솔강저(P<0.05);음주、흡연、서장기고혈압、고TG적검출솔감소,차이균유통계학의의(균위P<0.01);80～93세조초체질량、고2 h PBG급고TG적검출솔여70세이상노년조비교강저(x2분별위10.05、4.16、5.97,균위P<0.01);수축기고혈압적검출솔70세급이상노년조명현고우60～69세조,차이균유통계학의의(X2=21.25,P<0.01);기타CHD위험인소노년각년령조간비교,차이무통계학의의(P>0.05). 결론 비노년인CHD위험인소간예적중점위계연、한주、저지음식、개변불량우활습관,공제서장기고혈압급유효적조지치료;노년인CHD위험인소간예중점칙위한제총열량섭입、괄량운동、감경체질량、공제수축기고혈압、고혈당급진행유효조지.
Objective To analyze the distribution and evolution of the risk factors for coronary heart disease (CHD) in middle-aging males, and provide the evidence for the prevention and treatment of male patients with CHD. Methods 1639 male people over 45 years old were enrolled in the study. They were divided into non- senile group (45-59 years old) and senile group (60-93 years old).The subjects over 60 years old were further divided into three groups:60-69 years old group, 70-79 years old group, 80-93 years old group. The interrelation between the risk factors of CHD and aging was analyzed. Results The prevalence rates of drinking, smoking, diastolic hypertension and low HDL-C in non-senile group were much higher than those in senile group (x2=28.80,18.35,15.72,17.84,P<0.01). In contrast, the prevalence rates of overweight, systolic hypertension, fasting hyperglycemia,postprandial hyperglycemia in senile group were significantly higher than those in non senile group. The prevalence rates of high triglyceride in non- senile group and senile group were 18.0% and 16.2% respectively(P>0.05). The prevalence rates of high cholesterol in non- senile group and senile group were 36.9% and 31.5% respectively(P>0.05). There was a significant decrease in the prevalence rates of overweight, postprandial hyperglycemia (P<0.05) and drinking,smoking, diastolic hypertension, high triglyeeride (P<0.01) in over 70-year+old males. And the prevalence rates of overweight, postprandial hyperglycemia, high triglyceride of over 80-year-old males were higher than those of over 70-year-old males (x2=10.05,4.16,5.97,P＜0.01). However,the prevalence rates of systolic hypertension of over 80-year-old males were lower than those of over 70-year-old males (X2=21.25,P＜0.01). There was no significant change in other risk factors of CHD at different ages of senile group. Conclusions For non-senile males, the important measures to treat the risk factors of CHD should include stopping smoking, restricting alcohol, eating low fat diet, changing bad life habits, controlling diastolic hypertension and modifying lipid. In contrast, for senile males, more attention should he paid to limiting total energy intake, increasing sports, losing weight, controlling systolic hypertension, hyperglycemia and modifying lipid.
