中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2015年
3期
243-247
,共5页
罗静%崔伟%丁昱%王滨燕%蒋善群%唐根富%臧桐华%秦献辉%王玉
囉靜%崔偉%丁昱%王濱燕%蔣善群%唐根富%臧桐華%秦獻輝%王玉
라정%최위%정욱%왕빈연%장선군%당근부%장동화%진헌휘%왕옥
吸烟%因素分析,统计学%颈动脉斑块%横断面研究
吸煙%因素分析,統計學%頸動脈斑塊%橫斷麵研究
흡연%인소분석,통계학%경동맥반괴%횡단면연구
Smoking%Factor analysis,statistical%Carotid arteries%Cross-sectional studies
目的 探讨在我国华东地区农村居民吸烟状态和颈动脉斑块的关系.方法 于2013年7-9月,在安徽省安庆市和江苏连云港4个县(区)的农村地区开展流行病学调查,以乡为单位按整群筛查方法抽取40岁以上的健康的中老年男性,进行体格检查、问卷调查以及应用多普勒超声测量颈动脉斑块形成,比较从不吸烟者、曾经吸烟者、现在吸烟者3组间颈动脉斑块形成的发生率.采用logistic回归分析吸烟对颈动脉斑块影响.结果 本试验纳入625名男性进行分析.现在吸烟者占51.4%(321名),曾经吸烟者占21.3%(133名),不吸烟者占27.4%(171名).32.0%(200/625)的受检者有颈动脉斑块.现在吸烟者中斑块形成发生率(35.2%,113/321)高于从不吸烟者(23.4%,40/171)(x2=7.26,P=0.007),曾经吸烟者中斑块发生率(35.3%,47/133)也高于从不吸烟者(23.4%,40/171)(x2=5.23,P=0.022).多因素logistic回归分析显示,在校正年龄、收缩压、舒张压、BMI、血糖、TC、TG、HDL-C、饮酒、地区差异后,现在吸烟者颈动脉斑块形成的危险较从不吸烟者高(0R=1.84,95%CI:1.13~2.98);与≤60岁且不吸烟组(8%,3/40)比较,>70岁且吸烟组的斑块发生率(55%,31/56)较高,高龄且吸烟组斑块形成的风险有明显的联合作用(OR=8.06,95% CI:2.07 ~31.45).结论 华东地区农村中老年男性人群中吸烟者颈动脉斑块发生率较高.
目的 探討在我國華東地區農村居民吸煙狀態和頸動脈斑塊的關繫.方法 于2013年7-9月,在安徽省安慶市和江囌連雲港4箇縣(區)的農村地區開展流行病學調查,以鄉為單位按整群篩查方法抽取40歲以上的健康的中老年男性,進行體格檢查、問捲調查以及應用多普勒超聲測量頸動脈斑塊形成,比較從不吸煙者、曾經吸煙者、現在吸煙者3組間頸動脈斑塊形成的髮生率.採用logistic迴歸分析吸煙對頸動脈斑塊影響.結果 本試驗納入625名男性進行分析.現在吸煙者佔51.4%(321名),曾經吸煙者佔21.3%(133名),不吸煙者佔27.4%(171名).32.0%(200/625)的受檢者有頸動脈斑塊.現在吸煙者中斑塊形成髮生率(35.2%,113/321)高于從不吸煙者(23.4%,40/171)(x2=7.26,P=0.007),曾經吸煙者中斑塊髮生率(35.3%,47/133)也高于從不吸煙者(23.4%,40/171)(x2=5.23,P=0.022).多因素logistic迴歸分析顯示,在校正年齡、收縮壓、舒張壓、BMI、血糖、TC、TG、HDL-C、飲酒、地區差異後,現在吸煙者頸動脈斑塊形成的危險較從不吸煙者高(0R=1.84,95%CI:1.13~2.98);與≤60歲且不吸煙組(8%,3/40)比較,>70歲且吸煙組的斑塊髮生率(55%,31/56)較高,高齡且吸煙組斑塊形成的風險有明顯的聯閤作用(OR=8.06,95% CI:2.07 ~31.45).結論 華東地區農村中老年男性人群中吸煙者頸動脈斑塊髮生率較高.
목적 탐토재아국화동지구농촌거민흡연상태화경동맥반괴적관계.방법 우2013년7-9월,재안휘성안경시화강소련운항4개현(구)적농촌지구개전류행병학조사,이향위단위안정군사사방법추취40세이상적건강적중노년남성,진행체격검사、문권조사이급응용다보륵초성측량경동맥반괴형성,비교종불흡연자、증경흡연자、현재흡연자3조간경동맥반괴형성적발생솔.채용logistic회귀분석흡연대경동맥반괴영향.결과 본시험납입625명남성진행분석.현재흡연자점51.4%(321명),증경흡연자점21.3%(133명),불흡연자점27.4%(171명).32.0%(200/625)적수검자유경동맥반괴.현재흡연자중반괴형성발생솔(35.2%,113/321)고우종불흡연자(23.4%,40/171)(x2=7.26,P=0.007),증경흡연자중반괴발생솔(35.3%,47/133)야고우종불흡연자(23.4%,40/171)(x2=5.23,P=0.022).다인소logistic회귀분석현시,재교정년령、수축압、서장압、BMI、혈당、TC、TG、HDL-C、음주、지구차이후,현재흡연자경동맥반괴형성적위험교종불흡연자고(0R=1.84,95%CI:1.13~2.98);여≤60세차불흡연조(8%,3/40)비교,>70세차흡연조적반괴발생솔(55%,31/56)교고,고령차흡연조반괴형성적풍험유명현적연합작용(OR=8.06,95% CI:2.07 ~31.45).결론 화동지구농촌중노년남성인군중흡연자경동맥반괴발생솔교고.
Objective To investigate the correlation between smoking status and carotid plaque in rural population residing in Eastern part of China.Methods Between July and September of 2013,an epidemiological survey was carried out in residents aged 40 or above men who were enrolled randomly in rural areas of Anqing,Anhui province and Lianyungang,Jiangsu province.The data on epidemiological characteristics including smoking status,physical examination were collected using standardized protocol,and carotid ultrasonography was applied to examine the incidence of carotid plaque among never smokers,former smokers and current smokers.Logistic regress analysis was performed to determine the effect of smoking on carotid plaque.Results In the study,a total of 625 male participants were included in the study.51.4% (321 cases) were current smokers,21.3% (133 cases) were former smokers,and 27.4% (171 cases) were never smokers.32.0% (200/625) had carotid plaque.The incidence of carotid plaques was significantly higher in current smokers (35.2%,113/321) than that in never smokers (23.4%,40/ 171)(x2 =7.26,P =0.007) and the incidence in former smokers(35.3%,47/133) was also higher than that in never smokers (23.4%,40/171) (x2 =5.23,P =0.022).Multiple logistic regression analysis showed that current cigarette smoking is significantly associated with the increased risk of carotid plaque (OR =1.84,95% CI:1.13-2.98,P =0.014) in comparison with never smokers,and there was an interaction between current smoking and age in association with carotid plaque.Compared with the young(≤ 60 years old) and never smoking group(8%,3/40),prevalence of carotid plaque among the elderly (> 70 years old) and smoking group(55%,31/56) was significantly higher(OR =8.06,95% CI:2.07-31.45) after adjusting for age,systolic blood pressure,diastolic blood pressure,blood glucose,total cholesterol,triglyceride high-density lipoprotein,body mass index,drinking and regional differences.Conclusion It found that cigarette smoking was associated with increased risk of carotid plaque in rural elderly population residing in Eastern part of China.