昆明市官渡区心血管疾病患病与危险因素聚集性的关系调查分析
The Correlation between Prevalence of Cardiovascular Diseases and Clustering of Risk Factors in Guandu District of Kunming
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摘要: ［摘要］目的 分析昆明市官渡区农村居民心血管疾病的患病与危险因素聚集性的关系. 方法 采用按比例概率抽样方法（probability proportional sampling，PPS）在昆明市官渡区对4 595名18岁及以上村民通过问卷调查和体格检查获取心血管疾病的患病资料及危险因素的聚集情况．结果 （1）该地居民的吸烟率为32.9%，饮酒率为32.2%，超重率为33.6%，肥胖率为11.2%，高血脂的患病率为8.3%，高血压的患病率为32.9%，糖尿病的患病率为6.2%；（2）92.5%的村民具有至少一个危险因素，男性具有3个以上危险因素者比例大于女性，差异有统计学意义（P＜0.01）；（3）具有3个及以上危险因素高血压、冠心病、脑卒中的患病率（49.4%、3.6%、1.5%）高于具有无危险因素的患病率（0%、0.9%、0.3%），差异具有统计学意义（P＜0.01）．结论 该地区农村居民存在较高的心血管疾病的危险因素聚集性，且危险因素聚集个数越多，心血管疾病的患病率越高，应加强该地区心血管疾病的综合防治，减少危险因素的聚集.Abstract: ［Abstract］Objective To analyze the correlation between prevalence of cardiovascular diseases and clustering of risk factors in Guandu district of Kunming．Methods We analyzed the data of 4595 participants aged ≥18-years in the Guandu district of Kunming with probability proportional sampling methods and obtained information about the prevalence of cardiovascular disease and clustering of risk factors through questionnaires and physical examination．Results（1）The prevalence of smoking，drinking，overweight，obesity，high cholesterol， diabetes was 32.9%，32.2%，33.6%，11.2%，8.3% and 6.2% respectively.（2）92.5% of the participants had at least one risk factor of cardiovascular diseases．The proportion of men with three or more risk factors was higher than that of women with three or more risk factors（P＜0.01）.（3）The prevalence of hypertension，coronary heart disease，stroke in people with three risk factors were higher than those without risk factors．Conclusion There is higher clustering of risk factors in Guandu district of Kunming．The more the number of clustering of risk factors was，the higher prevalence of cardiovascular diseases was．We should enhance comprehensive prevention and treatment of cardiovascular disease，and reduce the aggregation of risk factors.
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