CAJ | 학술논문

目的：分析北京社区居民冠心病危险因素，为不同年龄、性别的人群的综合防治提供评估依据。方法集中2008～2013年在社区进行健康体检的2018名居民，选择健康查体资料完整者1530人，采用Dunnet检验统计学方法，对冠心病危险因素进行综合评估。结果随着年份的增加，体重指数、舒张压、低密度脂蛋白胆固醇、总胆固醇、空腹血糖，高密度脂蛋白胆固醇在60岁以下人群变化波动较大，有逐年上升趋势（P＜0.05），其中血糖及低密度脂蛋白胆固醇在60岁以上女性亦有上升趋势（P＜0.05）；高密度脂蛋白胆固醇在所有人群中均有下降趋势（P＜0.05）。结论对于60岁以上女性人群，血糖及低密度脂蛋白胆固醇是CHD危险因素防控的重点；对所有人群，高密度脂蛋白胆固醇都是CHD危险因素干预的重中之重。
목적：분석북경사구거민관심병위험인소，위불동년령、성별적인군적종합방치제공평고의거。방법집중2008～2013년재사구진행건강체검적2018명거민，선택건강사체자료완정자1530인，채용Dunnet검험통계학방법，대관심병위험인소진행종합평고。결과수착년빈적증가，체중지수、서장압、저밀도지단백담고순、총담고순、공복혈당，고밀도지단백담고순재60세이하인군변화파동교대，유축년상승추세（P＜0.05），기중혈당급저밀도지단백담고순재60세이상녀성역유상승추세（P＜0.05）；고밀도지단백담고순재소유인군중균유하강추세（P＜0.05）。결론대우60세이상녀성인군，혈당급저밀도지단백담고순시CHD위험인소방공적중점；대소유인군，고밀도지단백담고순도시CHD위험인소간예적중중지중。
Objective To analyze the risk factors of coronary heart disease in the Beijing community residents and evaluate the basis and control therapy through the age and the gender. Method 1530 healthy residents were enrolled in the study,which physical examination data collected complete in 2008~2013.This study used Dunnet test statistics method.Results With the progress of the year,the changes of BMI、DBP、LDL-C、TCHO、FBG、HDL-C are bigger in the people less than 60 years of age,which has a rising trend (P<0.05);The changes of FBG and LDL-C in all women have rising trend (P<0.05); The HDL-C in all population are declined with the progress of the year(P<0.05).Conclusion For the female people whose aged over 60,more attention should be paid to control glucose and LDL-C;For all the people,HDL-C is the key risk factors of the coronary heart disease.