本文選題：心血管疾病 + 患病率��； 參考：《中國學(xué)校衛(wèi)生》2017年03期

【摘要】：目的了解粵西大學(xué)生心血管病流行特征,為防治青年學(xué)生心血管病提供參考依據(jù)。方法隨機(jī)抽取粵西3所高校,整群抽取2013—2015年級全體在校學(xué)生共45 160名,使用衛(wèi)生部統(tǒng)一制定的學(xué)生健康檢查用表,按照初篩、復(fù)查、確診3段式程序和心血管分類及診斷標(biāo)準(zhǔn)進(jìn)行心血管病調(diào)查。初篩由全科或內(nèi)科主治及以上醫(yī)師擔(dān)任,復(fù)查和確診由三甲醫(yī)院心內(nèi)科醫(yī)師擔(dān)任。結(jié)果 45 160名受檢學(xué)生中,檢出心血管病553例,患病率為1.22%。其中男生為1.55%,女生為1.02%,差異有統(tǒng)計學(xué)意義(χ~2=24.830,P0.05)。城鄉(xiāng)學(xué)生患病率分別為1.05%,1.31%,農(nóng)村高于城鎮(zhèn),差異有統(tǒng)計學(xué)意義(χ~2=5.373,P0.05)。在心血管病分類統(tǒng)計中,器質(zhì)性心臟病160例,患病率為0.35%,差異無統(tǒng)計學(xué)意義(χ2=1.469,P0.05)。心律失常192例,患病率為0.43%,男、女生分別為0.31%,0.50%,差異有統(tǒng)計學(xué)意義(χ~2=9.503,P0.05)。高血壓201例,患病率為0.45%,男、女生分別為0.93%,0.14%,差異有統(tǒng)計學(xué)意義(χ2=151.969,P0.05)。結(jié)論大學(xué)生心血管病常見且對健康危害較大,農(nóng)村是心血管病預(yù)防重點。學(xué)校醫(yī)療保健機(jī)構(gòu)應(yīng)加強(qiáng)青少年心血管病篩查、健康管理和干預(yù),引導(dǎo)學(xué)生養(yǎng)成健康飲食習(xí)慣和生活方式。
[Abstract]:Objective to investigate the epidemiological characteristics of cardiovascular diseases among college students in western Guangdong province and to provide reference for prevention and treatment of cardiovascular diseases among young students. Methods A total of 45,160 students in grades 2013-2015 were randomly selected from 3 colleges and universities in western Guangdong province. The health checklists of students made by the Ministry of Health were used and checked according to the initial screening. A 3-segment diagnostic procedure and cardiovascular classification and diagnostic criteria were used to investigate cardiovascular diseases. Screening by general or internal medicine and above, review and diagnosis by the third class hospital cardiologists. Results 553 cases of cardiovascular disease were detected in 45,160 students, the prevalence rate was 1.22. The difference was statistically significant between male and female (蠂 ~ 2 = 24.830, P 0.05). The prevalence rate of students in urban and rural areas was 1.05 / 1.31, which was significantly higher in rural areas than in urban areas (蠂 ~ 2 / 2 / 5.373 / P 0.05). There were 160 cases of organic heart disease in the classification of cardiovascular diseases, the prevalence rate was 0.35. The difference was not statistically significant (蠂 2 / 1.469 / P 0.05). 192 cases of arrhythmia, the prevalence rate was 0.43, male and female were 0.31 and 0.50, the difference was statistically significant (蠂 2 / 9.503 / P 0.05). 201 cases of hypertension, the prevalence rate was 0.45, male and female were 0.93 and 0.14, respectively, the difference was statistically significant (蠂 2, 151.969, P 0.05). Conclusion Cardiovascular diseases are common and harmful to health of college students, and rural areas are the focus of prevention of cardiovascular diseases. Health care institutions should strengthen the screening of cardiovascular diseases, health management and intervention, and guide students to develop healthy eating habits and lifestyle.
【作者單位】： 嶺南師范學(xué)院門診部;湛江中心人民醫(yī)院心內(nèi)科;
【基金】：湛江市科技攻關(guān)計劃項目〔湛科(2015)76號〕
【分類號】：R54

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