摘要
目的对新疆伊犁地区昭苏县和新源县哈萨克族居民心血管疾病危险因素进行研究,以期能指导心血管疾病干预措施的实施。方法参照中国指定的＂国人缺血性心血管病10年发病危险评估方法＂对新疆伊犁地区1,026名35-59岁哈萨克族居民心血管病发病危险度进行评估,并进行相关分析。结果哈族男性高血压、糖尿病的发病率显著高于哈族女性,（24.8%vs 19.6%,P=0.038;4.5%%vs 1.6%,P=0.004）。哈萨克族男女间在体重指数、收缩压、高密度脂蛋白、低密度脂蛋白等差异有统计学意义（P〈0.01）。两组间吸烟状况有差异,（10.43%vs 7.98%,P=0.001）。不同性别缺血性心血管病10年发病危险度平均水平,在小于50岁的各个年龄组绝对危险度（%）性别间差异有统计学意义（P〈0.05）。10年缺血性心血管病发病危险度〈10%者（低危）,男性为94.8%,女性为95.6%,两组间差异无统计学意义（P=0.536）。发病危险度≥10%者,男性为5.19%,女性为4.39%,性别间差异无统计学意义,P=0.536。结论新疆伊犁州哈萨克族35-59岁人群心血管病中危以上人群明显高于低危人群,并有明显的性别差异。也符合我国35-64岁人群缺血性心血管病发病绝对危险的分布情况。
Objective The current study aims to investigate the status of primary risk factors of cardiovascular disease （CVD） in Kazakh People of Yili Xinjiang. Methods According to ＂ The pathogenesis risk assessment methods of Chinese ischemic cardiovascular disease＂, 1026 Kazakh People between 35 and 59 years old were chosen for assessment and did some analysis. Results The prevalence rate of hypertension and diabetes mellitus in males is significantly higher than females （24.8% vs. 19.6%, P=0.038 ;4.5%% vs. 1.6%, P= 0.004）. There are significantly difference of total body mass index, BP, HDL and LDL between males and females （P〈0.01）. There are difference between two groups, （10.43% vs 7.98%, P=0.001）. The difference is statistically significant of ischemie cardiovascular disease patients between males and females in different ages who below 50 years old （P 〈 0.05）. When the rate of pathogenesis risk of ICVD patients is less than 10%, males account for 94.8%, females account for 95.6%, there is no significant difference between two groups （P= 0.536）. When the rate of pathogenesis risk of ICVD patients is more than 10%, males account for 5.19%, females account for d.39%, there is no significant difference between two groups （P=0.536）. Conclusion Kazakh People in Yili Xinjiang who have above middle-risk ICVD are more than that of low-risk, and there is significant difference between males and females. This contribution is suitable for ICVD patients from 35 to 59 years old in China.
出处
《新疆医学》
2016年第5期544-547,共4页
Xinjiang Medical Journal
基金
新疆杰出青年自然科学基金
编号2014711003
关键词
心血管疾病
危险因素
流行病学
危险性评估
Cardiovascular Disease
Risk Factors
Epidemiology
Risk Assessment
作者简介
热娜·热合木丁，女，博士在读，住院医师，研究方向：冠心病介入基础与临床研究。
通信作者：马翔，男，博士，主任医师，副教授，博士生导师，研究方向：心血管疾病的基础研究及临床治疗，Email：myt-xj@sina．com。
