中西医结合心脑血管病杂志
中西醫結閤心腦血管病雜誌
중서의결합심뇌혈관병잡지
CHINESE JOURNAL OF INTEGRATIVE MEDICINE ON CARDIO-/CEREBROVASCULAR DISEASE
2014年
5期
519-521
,共3页
崔文欣%张小松%陈丽君%赵更力
崔文訢%張小鬆%陳麗君%趙更力
최문흔%장소송%진려군%조경력
心血管疾病%冠心病%高血压%女性%围绝经期
心血管疾病%冠心病%高血壓%女性%圍絕經期
심혈관질병%관심병%고혈압%녀성%위절경기
cardiovascular diseases%coronary heart disease%hypertension%woman%climacteric
目的：调查城市社区围绝经期女性中心血管疾病的患病率及其危险因素，并探讨绝经与心血管疾病危险因素之间的关系。方法采用现况调查的方法入选社区年龄40岁~59岁围绝经期妇女，填写调查问卷，内容包括：人口学特征、月经情况、身高体重、心血管疾病患病情况。根据月经状况将入选人群分为月经规律组、月经不规律组和绝经后期组。结果入选女性中，高血压和冠心病患病率分别为23.5%和7.7%，超重、肥胖、高脂血症及糖尿病的患病率分别为25.3%、2.4%、10.4%和6.2%，三组中绝经后期组超重、肥胖、高脂血症及其糖尿病比例最高。绝经后期组、月经不规律组及月经规律组中高血压的患病率分别为13.6%、5.8%和4.1%，具有统计学意义(P<0.01)。月经不规律组中冠心病患病率高于月经规律组(P<0.01)，月经不规律组中高脂血症患病率高于月经规律组(P<0.01)。结论高血压、高血脂、冠心病、肥胖和超重是城市社区围绝经期女性中最常见的心血管疾病。心血管疾病患病率及其危险因素从绝经过渡期即开始增加。
目的：調查城市社區圍絕經期女性中心血管疾病的患病率及其危險因素，併探討絕經與心血管疾病危險因素之間的關繫。方法採用現況調查的方法入選社區年齡40歲~59歲圍絕經期婦女，填寫調查問捲，內容包括：人口學特徵、月經情況、身高體重、心血管疾病患病情況。根據月經狀況將入選人群分為月經規律組、月經不規律組和絕經後期組。結果入選女性中，高血壓和冠心病患病率分彆為23.5%和7.7%，超重、肥胖、高脂血癥及糖尿病的患病率分彆為25.3%、2.4%、10.4%和6.2%，三組中絕經後期組超重、肥胖、高脂血癥及其糖尿病比例最高。絕經後期組、月經不規律組及月經規律組中高血壓的患病率分彆為13.6%、5.8%和4.1%，具有統計學意義(P<0.01)。月經不規律組中冠心病患病率高于月經規律組(P<0.01)，月經不規律組中高脂血癥患病率高于月經規律組(P<0.01)。結論高血壓、高血脂、冠心病、肥胖和超重是城市社區圍絕經期女性中最常見的心血管疾病。心血管疾病患病率及其危險因素從絕經過渡期即開始增加。
목적：조사성시사구위절경기녀성중심혈관질병적환병솔급기위험인소，병탐토절경여심혈관질병위험인소지간적관계。방법채용현황조사적방법입선사구년령40세~59세위절경기부녀，전사조사문권，내용포괄：인구학특정、월경정황、신고체중、심혈관질병환병정황。근거월경상황장입선인군분위월경규률조、월경불규률조화절경후기조。결과입선녀성중，고혈압화관심병환병솔분별위23.5%화7.7%，초중、비반、고지혈증급당뇨병적환병솔분별위25.3%、2.4%、10.4%화6.2%，삼조중절경후기조초중、비반、고지혈증급기당뇨병비례최고。절경후기조、월경불규률조급월경규률조중고혈압적환병솔분별위13.6%、5.8%화4.1%，구유통계학의의(P<0.01)。월경불규률조중관심병환병솔고우월경규률조(P<0.01)，월경불규률조중고지혈증환병솔고우월경규률조(P<0.01)。결론고혈압、고혈지、관심병、비반화초중시성시사구위절경기녀성중최상견적심혈관질병。심혈관질병환병솔급기위험인소종절경과도기즉개시증가。
Objectives To investigate the prevalence of cardiovascular diseases (CVDs)and their risk factors in urban climacteric women and explore the relationship between menopause and risk factors of CVDs.Methods In this cross sectional study,788 women were selected by multistage cluster sampling.All subjects lived in Beijing and were investigated with structured interview questionnaire.The response rate was 93.5%.The sample consisted of 242 premenopausal women,187 menopausal transition women (menses change),and 358 postmenopausal women.Results the prevalence of hypertension and coronary heart disease was 23.5%and 7.7%.The prevalence of overweight,obesity,hyperlipidemia,and diabetes was 25.3%,2.4%,10.4%,and 6.2%,respectively.Among three groups,the proportion of overweight,obesity,hyperlipidemia,and diabetes were highest in postmenopausal women group.The prevalence of hypertension in postmenopausal women group,menopausal transition women group,and premenopausal women group was 13.6%,5.8% and 4.1%,respectively (P <0.01).The prevalence of coronary heart disease in menopausal transition group was higher than that in premenopausal and postmenopausal women group (P<0.01).The prevalence of hyperlipidemia in menopausal transition women group was higher than that in premenopausal group (P<0.01).Conclusion Hypertension,hyperlipidemia,Coro-narg heart disease,obesity and overveight were the most common CVDs in urban climacteric women.The prevalence of cardiovascular diseases and their risk factors might be increased from menopausal transition.
