河南省郑州市中年人缺血性心血管病发病危险评估

摘要

Objective To evaluate the risk of ischemic cardiovascular diseases (ICVD) among middle-aged resident in Zhengzhou for better health status in the future. Methods A cross-sectional sampling survey was applied among 3561 residents aged 35 to 59 years, using a simplified "methods and tools of the 10 - year risk estimation of ICVD among Chinese" for risk evaluation. Results Among the group with less than 10％ absolute risk (low risk) developing ICVD next 10 years of: male 96. 2％ and female 98. 2％, among the group with above or equal to 10％ absolute risk ( middle risk): male 3. 8％ and female 1.8％, among group with above or equal to 20％ absolute risk ( high risk): male 0. 8％and female 0.3％. There is significant difference among prevalence of risk factors for ICVD in different groups with different absolute risk ( ≥ 10％ vs ＜ 10％ ) of ICVD. Conclusion The risk of ICVD in middle-aged resident in Zhengzhou is high. The absolute risk evaluation method of ICVD is simple and convenient and profits to screening the high-risk group, it is suggested to use this method in improving and preventing risk factors of ICVD.%目的 评估郑州市中年人缺血性心血管病(ICVD)十年发病危险,为进一步改善该人群健康状况提供参考依据.方法 采用多阶段整群随机抽样方法,对郑州市3561名35～59岁居民进行横断面调查收集资料,以"国人ICVD十年发病危险评估方法"简易模型进行ICVD十年发病危险评估.结果 ICVD十年发病绝对危险度<10%(低危)者,男性为96.2%,女性为98.2%;发病危险度≥10%(中危)者,男性为3.8%,女性为1.8%;发病危险度≥20%(高危)者,男性为0.8%,女性为0.3%.ICVD各主要危险因素发生情况在不同绝对危险度(≥10%和<10%)的两组问比较,差异均有统计学意义.结论 郑州市中年人ICVD发病危险处于较高水平.ICVD绝对危险度评估方法简单易行,有利于高危人群的简单筛检,在以后ICVD及危险因素的改善和防治工作中应有效运用.