CAJ | 학술논문

目的　前瞻性研究老年人群冠心病死亡与常见危险因素的关系. 方法　驻西安市部队干休所男性离休干部1268名为研究队列，自1987年起对常见冠心病危险因素（烟酒嗜好、血压、血脂水平、家族史等）及死亡情况进行10 a随访. 结果　单因素分析示吸烟、负性生活事件、高血压病史是老年男性冠心病死亡的危险因素，相对危险度（RR）分别为：2.27 (1.63 ～3.02)，2.31 (1.12～2.57)，5.50 (3.18～7.04). Cox风险比例模型分析示吸烟、负性生活事件、年龄入选，高血压病史、心血管病史、心血管病家族史、冠心病史、胆固醇和三酰甘油水平未能进入模型. 结论　在老年人群中，吸烟、高血压等常见冠心病危险因素亦是冠心病死亡的主要危险因素.
목적　전첨성연구노년인군관심병사망여상견위험인소적관계. 방법　주서안시부대 간휴소남성리휴간부1268명위연구대렬，자1987년기대상견관심병위험인소（연주기호、혈 압、혈지수평、가족사등）급사망정황진행10 a수방. 결과　단인소 분석시흡연、부성생활사건 、고혈압병사시노년남성관심병사망적위험인소，상대위험도（RR）분별위：2.27 (1.63 ～3.02)，2.31 (1.12～2.57)，5.50 (3.18～7.04). Cox풍험비례모형분석시흡연、부성생활 사건、년령입선，고혈압병사、심혈관병사、심혈관병가족사、관심병사、담고순화삼 선감유수평미능진입모형. 결론　재노년인군중，흡연、고혈압등상견관 심병위험인소역시관심병사망적주요위험인소.
AIM　To study the relationship between coronary heart d isease (CHD) normal risk factors and CHD death in old men. METHODS　A cohort study was performed in the last ten years. 1268 men older than 55 were selected as the coh ort. Baseline investigation included demographic characters, smoking, drinking, negative life event, history and family history of hypertension, blood pressure and serum lipid level. Every other year, changes of risk factors and death were recorded. RESULTS　By univariate analysis, it was suggested that smoking, negativ e life event and hypertension had positive associations with CHD death. Relative risks (RR) are 2.27 (1.63～3.02), 2.31 (1.12～2.57) and 5.50 (3.18～7.04) respecti vel y. When other risk factors were adjusted in Cox risk ratio model, there were sig nificant relationships between smoking, negative life event and age and CHD. [ WTHZ CON CLUSION　Some normal CHD risk factors also have significant effects on C HD death on this cohort.