徐州市心血管疾病流行病学调查-李虎

[](221006)[]2006-05-30[]1001-7062(2007)02-0142-03[]R195.4[]A[]李虎,林敬德,刘军,安晓红[]了解徐州市心血管病流行现状及主要影响因素,为制订预防控制措施提供依据采用整群分层随机抽样方法,对徐州市35岁以上居民心血管疾病进行流行病学调查分析徐州市35岁以上居民高血压脑卒中冠心病患病率分别为26.60%1.07%0.99%,随年龄增大而上升,城市居民患病率显著高于农村;家族史高盐膳食肥胖高血压糖尿病等是心血管疾病的主要危险因素,体育活动蔬菜水果是其保护因素控制高血压和糖尿病开展体育活动等,可能是预防控制徐州市心血管疾病的有效措施[]心血管病;流行病学AnalysisofepidemiologicalcharacteristicsofcardiovasculardiseasesinXuzhouLIHu,LINJing-de,LIUJun,etal.XuzhouCenterforDiseaseControlandPrevention,Xuzhou221006,Jiangsu,China[Abstract]ObjectiveTounderstandtheprevalentstatusandinfluentialfactorsofcardiovasculardiseasesinXuzhouinordertoprovidebasicinformationforcontrolandpreventionofcardiovasculardiseases.MethodsAbove35yearsoldresidentswereselectedinXuzhoubyusingastratifiedclusterrandomsampling,andtheepidemiologicalcharac-teristicsoftheircardiovasculardiseaseswereinvestigatedandanalyzed.ResultsTheprevalenceratesofhypertension,stroke,andcoronaryheartdiseasewere26.60%,1.07%and0.99%,respectively,andtheyrosewiththeincreaseoftheirages,andtheratesintownsmenwerehigherthanthoseinruralpeople.Theimportantriskfactorsofcardiovasculardiseaseswerefamilyhistory,highsaltdiet,obesity,hypertensionanddiabetesmellitus,etal;physicalactivities,vegeta-blesandfruitswereprotectivefactors.ConclusionsPhysicalactivitiesandhypertensioncontrol,etalareeffectivemeasuresforcontrolandpreventionofcardiovasculardiseases.[Keywords]CardiovascularDisease;Epidemiology,,,1,,,,200511.1对象3541786(20622,49.4%;21164,50.6%),4449(1949,2500),10.6%;37337(18673,18664),89.4%1.2方法,21,()(),()35:,,SPSS200022.1徐州市心血管疾病流行概况3526.60%1.07%0.99%,24.43%0.92%0.87%:21.2%11.2%43.8%8.3577.8%1.6%2.2徐州市心血管疾病城乡分布特征1,35,1.452.196.902.3徐州市心血管疾病年龄分布特征3570,,70,70(2)#142#20074212ChinJSchoolDoctorApr.2007Vol.21No.21(%)(%)(%)(%)V2P193043.3834.47918524.6023.70718.1230.0001292.901.773180.850.81157.5260.0002084.683.522040.550.51694.1650.0002()(%)(%)(%)35~587768411.6470.1280.1440~525077714.80100.19200.3845~7838144118.38190.24270.3450~5499134024.37290.53290.5355~4218122829.11360.85621.4760~3484121334.82611.75551.5865~3571142839.99842.35711.9970~2575123247.84943.65772.9975~196097949.95713.62391.9980~100951250.74242.38171.6885~50528155.64122.3871.392.4徐州市心血管疾病性别分布特征3,35,,3(%)(%)(%)(%)V2P558427.0824.71553126.1324.214.7660.0292401.160.962070.980.863.4050.0651680.810.702441.151.0412.2400.0002.5徐州市心血管疾病的影响因素分析,,logistic:,(4)4OR95%CLOR95%CLOR95%CLOR95%CL1.2841.2731.2951.4191.3701.4701.3001.2551.3471.1101.0781.1420.9290.8111.0640.9750.8501.1171.0120.9801.0450.8710.7461.0170.9420.8671.0241.3241.2541.3981.2200.9571.5562.7692.1953.4930.8870.8550.9200.6870.5850.8070.6690.5650.7912.7162.5342.9112.5051.9003.3034.4053.3385.8130.5000.4290.5820.5020.3350.7560.4080.2680.6221.7321.5801.8983.1492.3034.3069.3316.93112.5632.2921.6763.13413.0618.01321.28920.87813.55432.161---4.4983.7135.4492.5062.0633.04531,150,75[1];6,35,:3524.43%0.92%0.87%,,,RR31.9[2],20TheNorthKarelia:197244%199230%,49%22%;35~642050.1%,63.5%[3]56,9mmHg4mmHg,36%,3%,34%[2],[4],,[5],,,,[][1].[J].#143#20074212ChinJSchoolDoctorApr.2007Vol.21No.2,2002,10(1):1-2.[2].()[R].1999.[3],,.[J].,2002,10(5):238-239.[4],.[J].,2002,10(3):144-145.[5].[J].,1999,7(2):94-95.[][](100081)[](1970-),,,,,[]2006-06-30[]1001-7062(2007)02-0144-01[]R161[]B[]某大学新生体检结果分析李毓清,潘晓平[]健康状况;学生保健服务,,,2005,,11.1对象20053587,2602,985,17~22,181.2方法,,22.1新生患病情况3587,453,12.62%;4032,0.89%;26,0.72%;27,0.75%;X15,0.41%,4,2;4,0.11%;1,0.02%;1,0.02%2.2结核菌素强阳性患病情况453,12.62%,296,11.4%;157,15.93%,(V2=12.70,P0.01)1987,329,16.54%;1598,124,7.75%(V2=59.61,P0.01)2.3乙肝表面抗原阳性患病情况3587,159,4.43%,130,4.99%,29,2.94%,(V2=4.48,P0.05)3,,,,,,,,,,,,5%~10%,,,,,74.8%[1],,4.43%,,,,,,,,,,,,[2],76.07%[3],,,,,,,,,,,,,,,,,,[][1],,,.:()[J].,2005,27(3):139-142.[2],,,.HBsAg[J].,2003,24(2):182.[3],,,.[J].,1999,20(2):128-129.[]#144#20074212ChinJSchoolDoctorApr.2007Vol.21No.2