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河南省郑州市中年人缺血性心血管病发病危险评估
作者: 安伟锋  张雷  王培玉  
单位:河南省疾病预防控制中心健康教育与慢病防治研究所  北京大学肿瘤医院  北京大学公共卫生学院  
关键词:缺血性心血管病  危险评估  评估模型  
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出版年,卷(期):页码:2012,28(1):22-24
摘要:

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%)的两组间比较,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。 
 

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. 

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