本文選題：心血管疾病 + 危險因素��； 參考：《中國全科醫(yī)學(xué)》2017年11期

【摘要】：目的采用《國人缺血性心血管病(ICVD)十年發(fā)病危險度評估表》評估社區(qū)45~59歲居民10年ICVD的發(fā)病風(fēng)險,并評價社區(qū)干預(yù)的效果。方法 2013年10月—2014年3月,按照隨機(jī)整群抽樣原則,隨機(jī)選取上海市滬東社區(qū)33個居委會中的5個居委會,其中年齡為45~59歲的常住人口均納入本研究。調(diào)查受試者基本情況,測量身高、體質(zhì)量,檢測總膽固醇水平,采用《國人缺血性心血管病(ICVD)十年發(fā)病危險度評估表》評估10年ICVD發(fā)病危險度。將發(fā)病危險度在中危及以上人群歸為需進(jìn)行社區(qū)干預(yù)者,進(jìn)行為期1年的干預(yù)。干預(yù)方案采用臨床干預(yù)和社區(qū)宣教相結(jié)合,并依據(jù)其自身情況進(jìn)行個體化指導(dǎo)。結(jié)果本研究共調(diào)查690例,獲得完整資料者636例,其中10年ICVD發(fā)病危險度為極低危439例,低危158例,中危30例,高危7例,極高危2例。需進(jìn)行社區(qū)干預(yù)39例,實際完成干預(yù)34例。中危及以上人群干預(yù)前后體質(zhì)指數(shù)比較,差異無統(tǒng)計學(xué)意義(P0.05)。中危及以上人群干預(yù)后收縮壓、總膽固醇水平低于干預(yù)前(P0.05)。中危及以上人群干預(yù)前吸煙率為38.2%(13/34),經(jīng)干預(yù)后有3例戒煙,干預(yù)后吸煙率為29.4%(10/34)。干預(yù)后,男性10年ICVD發(fā)病危險度為極低危3例,低危10例;女性10年ICVD發(fā)病危險度為極低危4例,低危10例,中危6例,高危1例。結(jié)論 ICVD的危險因素在中年人群中已經(jīng)存在,部分已達(dá)到了亟待干預(yù)的狀況,早期對無癥狀危險人群的社區(qū)干預(yù)具有較好的效果。
[Abstract]:Objective to evaluate the 10-year risk of ischemic cardiovascular disease (ICVD) and evaluate the effect of community intervention. Methods from October 2013 to March 2014, according to the principle of random cluster sampling, 5 of the 33 neighborhood committees in Shanghai's Hudong community were randomly selected, among which the resident population aged 45 to 59 years were included in the study. To investigate the basic condition of the subjects, to measure their height, body mass and total cholesterol level, and to evaluate the risk of iCVD for 10 years by using the Ten year risk Assessment Table (ICVD) of Chinese patients with Ischemic Cardiovascular Disease (ICVD). The above groups were classified as those who needed community intervention for 1 year. The intervention program combines clinical intervention with community education and individualized instruction according to its own conditions. Results A total of 690 cases were investigated and 636 cases were obtained complete data. The risk of iCVD in 10 years was very low risk in 439 cases, low risk in 158 cases, moderate risk in 30 cases, high risk in 7 cases and extremely high risk in 2 cases. The community intervention was needed in 39 cases and the actual intervention was completed in 34 cases. There was no significant difference in body mass index before and after intervention. The systolic blood pressure (SBP) and total cholesterol level were lower than that before intervention (P 0.05). Before intervention, the smoking rate was 38.2%. After intervention, 3 cases quit smoking, and the smoking rate after intervention was 29.410 / 34%. After intervention, the risk of iCVD in male was very low in 3 cases and in low risk in 10 cases, and in female in 10 years, the risk was very low in 4 cases, low risk in 10 cases, middle risk in 6 cases and high risk in 1 case. Conclusion the risk factors of iCVD have already existed in the middle aged population, and some of them have reached the state of urgent need of intervention. The early community intervention of asymptomatic risk group has a better effect.
【作者單位】： 上海交通大學(xué)醫(yī)學(xué)院附屬仁濟(jì)醫(yī)院心內(nèi)科;上海市浦東新區(qū)滬東社區(qū)衛(wèi)生服務(wù)中心;上海中醫(yī)藥大學(xué)公共健康學(xué)院;
【基金】：上海市浦東新區(qū)衛(wèi)生和計劃生育委員會科技發(fā)展專項基金資助(PW2013C-5)
【分類號】：R54

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相關(guān)期刊論文 前10條

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本文編號：2043246