CAJ | 학술논문

目的：采用“国人缺血性心血管病10年发病危险评估方法”对暨南大学35～59岁女教职工进行心血管风险评估，找出高危人群，并提出相应健康管理策略。方法：选择2012年在暨南大学附属第一医院校门诊部进行年度体检的35～59岁女教职工，收集其年龄、血压、体重、吸烟史、糖尿病史和空腹血糖、血脂水平等资料，按每五年一个年龄组进行分组，根据国人缺血性心血管病（ischemic-cardiovascular diseases，ICVD）10年发病危险评估表对各个年龄组进行评估。结果：（1）我高校女教工ICVD 10年发病绝对危险度随着年龄的增加而上升；（2）35～39岁和40～44岁两个组别的10年ICVD绝对危险度平均值均低于其对应年龄组的平均危险度参考值，45～49岁、50～54岁和55～59岁三个年龄组的10年ICVD绝对危险度平均值高于其年龄组的平均危险度参考值。（3）女教工心血管危险的主要危险因素为收缩压水平、总胆固醇水平和体重指数。结论：（1）我高校45～59岁女教工是心血管疾病发病的高危人群。（2）加强控制人群的收缩压水平、总胆固醇水平和体重指数是降低女性人群10年ICVD的关键。
목적：채용“국인결혈성심혈관병10년발병위험평고방법”대기남대학35～59세녀교직공진행심혈관풍험평고，조출고위인군，병제출상응건강관리책략。방법：선택2012년재기남대학부속제일의원교문진부진행년도체검적35～59세녀교직공，수집기년령、혈압、체중、흡연사、당뇨병사화공복혈당、혈지수평등자료，안매오년일개년령조진행분조，근거국인결혈성심혈관병（ischemic-cardiovascular diseases，ICVD）10년발병위험평고표대각개년령조진행평고。결과：（1）아고교녀교공ICVD 10년발병절대위험도수착년령적증가이상승；（2）35～39세화40～44세량개조별적10년ICVD절대위험도평균치균저우기대응년령조적평균위험도삼고치，45～49세、50～54세화55～59세삼개년령조적10년ICVD절대위험도평균치고우기년령조적평균위험도삼고치。（3）녀교공심혈관위험적주요위험인소위수축압수평、총담고순수평화체중지수。결론：（1）아고교45～59세녀교공시심혈관질병발병적고위인군。（2）가강공제인군적수축압수평、총담고순수평화체중지수시강저녀성인군10년ICVD적관건。
Aim:Assess the cardiovascular risk of the 35 ~59 years old female staff of Jinan University according to the “The 10 Year Of Ischemic Cardiovascular Disease Incidence Risk Assessment Method.”Identify the high-risk groups and put forward the corresponding health management strategy.Methods:Collect clinical data from the 35 ~59 years old female staff of Jinan University who underwent the annual physical examination in 2012 in the school clinic belongs to the first affiliated hospital of Jinan University. Age,blood pressure,weight,smoking history,history of diabetes,fasting blood glucose and blood lipid substances of the female population are gathered and analyzed.All subjects were divided according to ev-ery five years for an age group.Assess cardiovascular risk of each group according to“The 10 Year Of Is-chemic Cardiovascular Disease Incidence Risk Assessment Method”.Results:(1 )The absolute 10-year risk of ICVD increases with of aging;(2)The risk level of ICVD was lower than the reference indicator of ICVD risk in 35 ~39 and 40~44 years old female and was higher than the reference indicator of ICVD risk in 45 ~49、50~54 and 55 ~59 years old females.(3)The main risk factors of cardiovascular risk in the female are systolic blood pressure levels,total cholesterol levels and the body mass index.Conclu-sion:1、The age of 45 ~59 years old female are the high-risk groups in our school.2、strengthen the con-trol of systolic blood pressure levels,total cholesterol levels and body mass index are the keys to reduce the 10 years of ICVD in female population.