中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2013年
4期
239-241
,共3页
刘琳%武留信%强东昌%高向阳%师绿江%王致洁%姜媛媛
劉琳%武留信%彊東昌%高嚮暘%師綠江%王緻潔%薑媛媛
류림%무류신%강동창%고향양%사록강%왕치길%강원원
体格检查%心血管疾病%随访研究%健康体检
體格檢查%心血管疾病%隨訪研究%健康體檢
체격검사%심혈관질병%수방연구%건강체검
Physical examination%Cardiovascular diseases%Follow-up studies%Health check-up
目的 探讨体检人群心血管及代谢指标的异常检出率变化,为心血管及代谢性疾病的早期筛查及健康干预提供依据.方法 采用回顾性队列研究,收集北京某体检机构2008年度与2010年度5578名人群的体检数据(男性3404名,占61.0％,女性2174名,占39.0％),从中选取2008年、2010年均在该机构体检的人群作为本研究的研究对象,分析该人群随访两年后的血压、血脂、空腹血糖指标异常检出率变化情况.描述采用配对t检验和配对秩和检验等统计学方法.结果 随访两年后血压异常检出率的比例下降,而血糖、总胆固醇、低密度脂蛋白胆固醇升高,差异均有统计学意义(t=5.378、13.885、3.210、10.401、4.355,P＜0.05)；高密度脂蛋白胆固醇和三酰甘油的异常检出率差异无统计学意义(t=1.204、-0.012,P＞0.05).结论 心血管及代谢指标异常检出率随时间呈动态变化特点,掌握动态变化的规律,并采取有效干预措施,能够降低心血管等疾病的发生风险.
目的 探討體檢人群心血管及代謝指標的異常檢齣率變化,為心血管及代謝性疾病的早期篩查及健康榦預提供依據.方法 採用迴顧性隊列研究,收集北京某體檢機構2008年度與2010年度5578名人群的體檢數據(男性3404名,佔61.0％,女性2174名,佔39.0％),從中選取2008年、2010年均在該機構體檢的人群作為本研究的研究對象,分析該人群隨訪兩年後的血壓、血脂、空腹血糖指標異常檢齣率變化情況.描述採用配對t檢驗和配對秩和檢驗等統計學方法.結果 隨訪兩年後血壓異常檢齣率的比例下降,而血糖、總膽固醇、低密度脂蛋白膽固醇升高,差異均有統計學意義(t=5.378、13.885、3.210、10.401、4.355,P＜0.05)；高密度脂蛋白膽固醇和三酰甘油的異常檢齣率差異無統計學意義(t=1.204、-0.012,P＞0.05).結論 心血管及代謝指標異常檢齣率隨時間呈動態變化特點,掌握動態變化的規律,併採取有效榦預措施,能夠降低心血管等疾病的髮生風險.
목적 탐토체검인군심혈관급대사지표적이상검출솔변화,위심혈관급대사성질병적조기사사급건강간예제공의거.방법 채용회고성대렬연구,수집북경모체검궤구2008년도여2010년도5578명인군적체검수거(남성3404명,점61.0％,녀성2174명,점39.0％),종중선취2008년、2010년균재해궤구체검적인군작위본연구적연구대상,분석해인군수방량년후적혈압、혈지、공복혈당지표이상검출솔변화정황.묘술채용배대t검험화배대질화검험등통계학방법.결과 수방량년후혈압이상검출솔적비례하강,이혈당、총담고순、저밀도지단백담고순승고,차이균유통계학의의(t=5.378、13.885、3.210、10.401、4.355,P＜0.05)；고밀도지단백담고순화삼선감유적이상검출솔차이무통계학의의(t=1.204、-0.012,P＞0.05).결론 심혈관급대사지표이상검출솔수시간정동태변화특점,장악동태변화적규률,병채취유효간예조시,능구강저심혈관등질병적발생풍험.
Objective To investigate the detection rate of abnormal cardiovascular and metabolic indicators in health check-up populations,and provide evidence for early screening and health interventions for cardiovascular and metabolic diseases.Methods A total of 5578 adults (male 3404 and female 2174) were recruited from a medical institution in Beijing in 2008 and 2010.Cardiovascular and metabolic indicators,including blood pressure,lipid profile and fasting plasma glucose,were tested at baseline and 2 years.Paired t test or paired rank sum test was used for data analysis.Results Detection rate of abnormal blood pressure in 2010 was lower than that in 2008; however,rates of abnormal total cholesterol,low-density lipoprotein cholesterol and fasting plasma glucose were higher in 2010 than in 2008 (t values were 5.378,13.885,3.210,10.401 and 4.355,respectively; all P ＜ 0.05).High-density lipoprotein cholesterol and triglyceride showed no statistically significant difference between 2008 and 2010 (t values were 1.204 and -0.012,respectively; both P ＞ 0.05).Conclusion We have been observing a dynamic change in abnormal cardiovascular and metabolic indicators,based on which effective interventions could be taken to reduce the risk of cardiovascular diseases.
