CAJ | 학술논문

目的：评估河北省任丘市60～70岁居民10年心血管病的发病危险度，并分析相关危险因素，为该地区心血管病的防控提供客观依据。方法以整群抽样法选择任丘市年龄60～70岁常住居民为研究对象，共5010例，男性2163例，女性2847例，调查内容包括健康调查问卷、人体测量、实验室检测。根据Framingham Risk Score（FRS）风险评分量表计算所得心血管病10年发病风险概率，分为低危组（＜10％）、中危组（≥10％且＜20％）、高危组（≥20％），并用 Logistic 回归方法分析发病危险度的相关危险因素。结果60～70岁常住居民的10年发病风险的中位数为8．0（4．0～16．0），其中男性为16．0（12．0～20．0），女性为4.0（2．0～6．0）；低危组2784例，占55．7％，中危组1452例，占29．0％，高危组774例，占15．3％。吸烟和胆固醇升高是任丘60～70岁常住居民心血管10年发病风险的最重要风险因素，脑卒中史、过量饮酒、腰围、舒张压、尿酸升高和 HOMA-IR 是中高危的独立危险因素。结论任丘市60～70岁常住居民心血管10年发病风险较高，戒烟、限酒、控制血压、血脂、尿酸、腰围和 HOMA-IR 对改善心血管10年发病风险有重要影响，其中戒烟和限酒是最有效的措施。
목적：평고하북성임구시60～70세거민10년심혈관병적발병위험도，병분석상관위험인소，위해지구심혈관병적방공제공객관의거。방법이정군추양법선택임구시년령60～70세상주거민위연구대상，공5010례，남성2163례，녀성2847례，조사내용포괄건강조사문권、인체측량、실험실검측。근거Framingham Risk Score（FRS）풍험평분량표계산소득심혈관병10년발병풍험개솔，분위저위조（＜10％）、중위조（≥10％차＜20％）、고위조（≥20％），병용 Logistic 회귀방법분석발병위험도적상관위험인소。결과60～70세상주거민적10년발병풍험적중위수위8．0（4．0～16．0），기중남성위16．0（12．0～20．0），녀성위4.0（2．0～6．0）；저위조2784례，점55．7％，중위조1452례，점29．0％，고위조774례，점15．3％。흡연화담고순승고시임구60～70세상주거민심혈관10년발병풍험적최중요풍험인소，뇌졸중사、과량음주、요위、서장압、뇨산승고화 HOMA-IR 시중고위적독립위험인소。결론임구시60～70세상주거민심혈관10년발병풍험교고，계연、한주、공제혈압、혈지、뇨산、요위화 HOMA-IR 대개선심혈관10년발병풍험유중요영향，기중계연화한주시최유효적조시。
Objective The population -based study was conducted in Hebei Renqiu 60 -70 years old resi-dents to evaluate cardiovascular disease morbidity risk in next 10 years,to analyze the related risk factors and provide an objective basis for the prevention and control of cardiovascular diseases in the local areas.Methods Cluster sam-pling method was used to select elderly residents (aged from 60 to 70 years)in Renqiu city as the research subjects. A total of 5 010 cases,2 163 males,2 847 females were included in this study.Investigation contents included health questionnaire,anthropometric and laboratory detection.According to the Framingham Risk Score (FRS),10 -year risk probability of cardiovascular disease was calculated.Research subjects were divided into low risk group (<10%),medium risk group (≥10% and <20%),high -risk group (≥20%),and logistic regression was used to analyze the risk degree of the related risk factors.Results The 10 -year cardiovascular risk median value of 60 -70 years elderly residents was 8.0 (4.0 -16.0),among them male was 16.0 (12.0 -20.0),female was 4.0 (2.0 -6.0).Low risk group had 2 784 cases,accounted for 55.7%;medium risk group had 1 452 cases,accounted for 29.0%,high-risk group had 774 cases,accounted for 15.3%.The most important risk factors were smoking and cholesterol increasing,who contributes elderly residents aged 60 to 70 years in Renqiu cardiovascular 10 -year risk.The history of stroke,excessive drinking,waist circumference,diastolic blood pressure,elevated uric acid level and HOMA -IR were the independent risk factors in moderately high risk 10 -year probability of cardiovascular.Conclusion The elderly residents aged 60 to 70 years in Renqiu has higher cardiovascular risk of 10 years.Quitting smoking,limitting alcohol,controlling of blood pressure,blood lipids,uric acid,waist circumference and HOMA -IR are important to improve cardiovascular 10 -year risk.Among them,quit smoking and alcohol limit are the most effective measures.