CAJ | 학술논문

目的：分析北京市大兴区西红门社区居民冠心病（ CHD）的危险因素变化情况，为制定不同年龄段社区居民CHD的防治措施提供一定依据。方法选取2009年和2014年均在北京市大兴区西红门社区进行健康体检的居民824名。分别记录纳入居民2009年和2014年的CHD危险因素，包括体质指数、收缩压、舒张压、三酰甘油、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、血糖。按年龄将研究对象分层：＜40岁，175名；40～60岁，557名；＞60岁，92名。分析按年龄分层后2009年和2014年居民的CHD危险因素变化。结果2014年研究对象体质指数、收缩压、低密度脂蛋白胆固醇、血糖高于2009年，三酰甘油、总胆固醇、高密度脂蛋白胆固醇低于2009年（ P＜0.05）；2009年与2014年舒张压比较，差异无统计学意义（P＞0.05）。＜40岁年龄段居民的2014年收缩压、低密度脂蛋白胆固醇、血糖高于2009年，高密度脂蛋白胆固醇低于2009年（ P＜0.05）；2009年和2014年体质指数、舒张压、三酰甘油、总胆固醇比较，差异无统计学意义（ P＞0.05）。40～60岁年龄段居民的2014年收缩压、低密度脂蛋白胆固醇、血糖高于2009年，三酰甘油、总胆固醇、高密度脂蛋白胆固醇低于2009年（ P＜0.05）；2009年和2014年体质指数、舒张压比较，差异无统计学意义（ P＞0.05）。＞60岁年龄段居民的2014年血糖高于2009年，总胆固醇、高密度脂蛋白胆固醇低于2009年（ P＜0.05）；2009年和2014年体质指数、收缩压、舒张压、三酰甘油、低密度脂蛋白胆固醇比较，差异无统计学意义（ P＞0.05）。结论血糖升高、高密度脂蛋白胆固醇降低是不同年龄段社区居民共同的CHD危险因素。在3个不同年龄段中，体质指数并非40～60岁社区居民的CHD危险因素。
목적：분석북경시대흥구서홍문사구거민관심병（ CHD）적위험인소변화정황，위제정불동년령단사구거민CHD적방치조시제공일정의거。방법선취2009년화2014년균재북경시대흥구서홍문사구진행건강체검적거민824명。분별기록납입거민2009년화2014년적CHD위험인소，포괄체질지수、수축압、서장압、삼선감유、총담고순、고밀도지단백담고순、저밀도지단백담고순、혈당。안년령장연구대상분층：＜40세，175명；40～60세，557명；＞60세，92명。분석안년령분층후2009년화2014년거민적CHD위험인소변화。결과2014년연구대상체질지수、수축압、저밀도지단백담고순、혈당고우2009년，삼선감유、총담고순、고밀도지단백담고순저우2009년（ P＜0.05）；2009년여2014년서장압비교，차이무통계학의의（P＞0.05）。＜40세년령단거민적2014년수축압、저밀도지단백담고순、혈당고우2009년，고밀도지단백담고순저우2009년（ P＜0.05）；2009년화2014년체질지수、서장압、삼선감유、총담고순비교，차이무통계학의의（ P＞0.05）。40～60세년령단거민적2014년수축압、저밀도지단백담고순、혈당고우2009년，삼선감유、총담고순、고밀도지단백담고순저우2009년（ P＜0.05）；2009년화2014년체질지수、서장압비교，차이무통계학의의（ P＞0.05）。＞60세년령단거민적2014년혈당고우2009년，총담고순、고밀도지단백담고순저우2009년（ P＜0.05）；2009년화2014년체질지수、수축압、서장압、삼선감유、저밀도지단백담고순비교，차이무통계학의의（ P＞0.05）。결론혈당승고、고밀도지단백담고순강저시불동년령단사구거민공동적CHD위험인소。재3개불동년령단중，체질지수병비40～60세사구거민적CHD위험인소。
Objective To study the changes in risk factors for coronary heart disease among residents in Xihongmen Community in Daxing District of Beijing , in order to provide references for the prevention and treatment of coronary heart disease ( CHD ) among community residents of different age groups.Methods We enrolled 824 residents who received physical examination in Xihongmen Commmuntiy in Daxing District of Beijing in 2009 and 2014.Risk factors for CHD were recorded in 2009 and 2014, including BMI, SBP, DBP, triacylglycerol, total cholesterol, HDL-C, LDL-C and blood sugar.The subjects were divided into three age groups: <40 group (n=175), 40~60 group (n=557) and >60 group (n=92) .Based on different age groups , the changes in risk factors in 2009 compared with 2014 were analyzed.Results In 2014, the subjects had higher (P<0.05) BMI, SBP, LDL-C and blood sugar and had lower (P<0.05) triacylglycerol, total cholesterol and HDL-C than 2009; there was no significant difference between 2009 and 2014 (P>0.05) .In <40 group, the subjects had higher ( P<0.05 ) SBP, LDL-C and blood sugar and lower ( P <0.05 ) HDL-C in 2014 than in 2009; there were no significant differences ( P>0.05) in BMI, SBP, triacylglycerol and total cholesterol between 2009 and 2014.In 40-60 group, the subjects had higher (P<0.05) SBP, LDL-C and blood sugar and lower (P<0.05) triacylglycerol, total cholesterol and HDL-C in 2014 than in 2009; there were no significant differences ( P>0.05 ) in BMI and DBP ( P>0.05 ) between 2009 and 2014.In >60 group, the subjects had higher (P<0.05) blood sugar and lower (P<0.05) total cholesterol and HDL-C in 2014 than in 2009; there were no significant differences between the two groups in BMI , SBP, DBP, triacylglycerol and LDL-C ( P>0.05) .Conclusion The rise of blood sugar and the drop of HDL-C are the common risk factors for residents of all age groups.BMI is not a risk factor for CHD in residents aged 40 to 60.