文章摘要
陆凤,赵鸣,胡如英,方乐,张洁,王浩,何青芳,王立新,俞敏.浙江省高血压患者心血管病危险分层评估现状分析[J].中华流行病学杂志,2014,35(11):1231-1234
浙江省高血压患者心血管病危险分层评估现状分析
Current status regarding the levels of risks on cardiovascular diseases among the hypertensives in Zhejiang
投稿时间:2014-05-11  
DOI:10.3760/cma.j.issn.0254-6450.2014.11.012
中文关键词: 高血压;心血管病;危险分层
英文关键词: Hypertension;Cardiovascular disease;Risk levels
基金项目:浙江省科技厅2011年度省重大科技专项(2011C13032-1)
作者单位E-mail
陆凤 310051 杭州, 浙江省疾病预防控制中心  
赵鸣 310051 杭州, 浙江省疾病预防控制中心  
胡如英 310051 杭州, 浙江省疾病预防控制中心  
方乐 310051 杭州, 浙江省疾病预防控制中心  
张洁 310051 杭州, 浙江省疾病预防控制中心  
王浩 310051 杭州, 浙江省疾病预防控制中心  
何青芳 310051 杭州, 浙江省疾病预防控制中心  
王立新 310051 杭州, 浙江省疾病预防控制中心  
俞敏 310051 杭州, 浙江省疾病预防控制中心 myu@cdc.zj.cn 
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中文摘要:
      目的 了解浙江省高血压患者心血管危险因素聚集情况及危险分层评估现状。方法 采用多阶段分层整群随机抽样方法,2010年对浙江省≥18周岁居民进行问卷调查和身高、体重、WC、血压、FPG、2 h餐后血糖及血脂等指标检测。结果 最终完成全部调查项目17 437人,其中高血压患者共5 227人。高血压患者中血压水平以1级高血压为主(76.76%),年龄大(男性>55岁,女性>65岁)、吸烟、FPG异常、糖耐量受损、TC异常、HDL-C异常、腹型肥胖、肥胖等危险因素在高血压患者中分别占42.78%、20.89%、5.31%、8.35%、9.87%、35.66%、40.55%、13.93%。高血压患者心血管危险因素呈一定聚集性,具有2个(30.44%)、3个(29.96%)危险因素的比例最高。高血压患者中心血管危险水平分层低危、中危、高危和很高危的比例分别为9.70%、47.71%、18.81%、23.78%,心血管危险分层在年龄(χ2=233.19,P<0.001)、性别(χ2=169.49,P<0.001)、地区(χ2=30.94,P<0.001)分布的差异均存在统计学意义,在知晓与不知晓(χ2=204.45,P<0.001)、控制与未控制(χ2=18.06,P<0.001)的患者中分布差异具有统计学意义。结论 浙江省高血压患者心血管危险分层高危和很高危的比例高,尤其在≥60岁、男性、城市地区人群。
英文摘要:
      Objective To assess the cardiovascular disease-related risk levels among hypertensive people in Zhejiang. Methods Subjects were selected from local residents aged ≥18 years old, using the multi stage stratified-random sampling method. All participants accepted physical examinations including blood tests for lipids,fasting blood glucose,2 hours blood glucose and physical measurements for obesity and blood pressure in the year 2010. Results Totally,17 437 subjects were finally included in the study, in which 5 227 were diagnosed as having hypertension,with ‘grade one hypertension' the majority. Cardiovascular disease-related risk factors would include older age (male > 55 years,female >65 years),smoking,abnormal fasting glucose,impaired glucose tolerance,abnormal TC,abnormal HDL-C,abdominal obesity and obesity,with rates as 42.78%, 20.89%,5.31%,8.35%,9.87%,35.66%,40.55% and 13.93%. Most of the hypertensive people had two (30.44%) or three risk factors (29.96%). Proportions of low,medium,high or very high risks were 9.70%,47.71%,18.81% and 23.78%,respectively in those people with hypertension. Significant differences on cardiovascular risk stratification were found between age groups,sex and regions. There were also statistically significant differences noticed,regarding the levels of cardiovascular disease related risks between in patients aware or unaware of the diseases,under control or uncontrolled of the situation. Conclusion People under high risk or very high risk on cardiovascular disease did exist in Zhejiang,especially in those 60-year-olds,males and urban residents.
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