首页|上海市宝山区心血管病高危人群颈动脉健康状况调查

上海市宝山区心血管病高危人群颈动脉健康状况调查

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目的 了解宝山区心血管病高危人群颈动脉健康情况及其相关影响因素,为加强宝山区居民心血管病的预防干预提供科学依据.方法 于2018年7月—2019年3月采用分层抽样法,对宝山区常住居民进行问卷调查、体格检查及快速血糖血脂检测,选出高危人群1 738 人,并进行统计学分析.结果 在高危对象中,男性有570(32.8%),女性有1 168 例(67.2%).颈动脉血管正常人群的平均年龄为(60.15±8.12)岁.71~75岁年龄组左右颈动脉的CCA-IMT增厚与斑块的发病比例较高.CCA-IMT增厚的影响因素有年龄、性别、户籍、是否抽烟、高血压、体重变化明显、空腹血糖、LDL-C/HDL-C.颈动脉斑块的影响因素包括年龄、性别、户籍、抽烟、糖尿病、高血压、高龄亲属、体重变化.结论 上海市宝山区心血管病高危人群中存在颈动脉异常,需要在控制传统的高血压、糖尿病等危险因素的基础上,加强慢病患者的分层管理,对不同特征的居民采用针对性防制举措.
Investigation on the Health Status of Carotid Artery in High-Risk Population of Cardiovascular Disease in Baoshan District of Shanghai
Objective To understand the health status of carotid artery and its related influencing factors in high-risk population of cardiovascular disease in Baoshan District,and to provide scientific basis for strengthening the prevention and intervention of cardiovascular disease among residents in Baoshan District.Methods From July 2018 to March 2019,stratified sampling was used to conduct questionnaire survey,physical examination and rapid blood glucose and lipid detection among the permanent residents in Baoshan District,and a total of 1 738 high-risk people were selected.The influencing factors of carotid intima-media thickness(CCA-IMT)and carotid plaque(CP)were statistically analyzed.Results There were 570(32.8%)males and 1 168(67.2%)females in the high-risk group.The average age of people with normal carotid arteries is(60.15±8.12)years.The CCA-IMT thickening of carotid artery and the incidence of plaque are higher in the age group of 71-75 years.The influencing factors of CCA-IMT thickening are age,sex,household registration,smoking or not,hypertension,obvious weight change,fasting blood glucose and LDL-C/HDL-C.The influencing factors of carotid plaque include age,gender,household registration,smoking,diabetes,hypertension,elderly relatives and weight changes.Conclusion Carotid artery abnormalities exist in the high-risk population of cardiovascular disease in Baoshan District of Shanghai.On the basis of controlling the traditional risk factors such as hypertension and diabetes,it is necessary to strengthen the hierarchical management of patients with chronic diseases and adopt different targeted prevention measures for residents with different characteristics.

Cardiovascular diseaseHigh risk populationCarotid arteryInvestigation

万金豹、吴萃、陈秋艳

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上海市宝山区疾病预防控制中心,上海, 201901

心血管病 高危人群 颈动脉 调查

国家重大公共卫生项目

Z195110010004

2024

健康教育与健康促进
上海市健康促进中心

健康教育与健康促进

ISSN:1673-6192
年,卷(期):2024.19(2)
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