Investigation and Analysis of ASCVD of Railway Workers in a Certain Area From 2021 to 2023
The overall risk of ASCVD among 30 971 railway workers who participated in physical examination from 2021 to 2023 in a certain area was analyzed,and the evaluation was made according to the Guidelines for Blood Lipid Management in China(2023).The results showed that the proportion of secondary prevention and primary prevention of ASCVD in 30 971 patients was 2.83%and 97.17%,respectively,and 28.02%of them are at high risk,at high risk for 10 years and at risk for the rest of their lives.The proportion of secondary prevention of ASCVD increased year by year,and there were statistical differences among different genders.The qualified rate of secondary prevention lipid reduction decreased year by year.The prevalence rates of carotid atherosclerosis,carotid artery examination,hypertension,lipid-lowering,diabetes and HHcy were 36.52%,37.71%,31.13%,53.08%,11.94%and 82.27%,respectively.The analysis shows that the risk of ASCVD in this area is increased,and the qualified rate of lipid reduction is not optimistic.It is suggested to use the prevention and control mechanism of"Railway CDC+Employee Unit+Employee"to carry out ABCDH action,improve the awareness rate of lipid reduction target and prevent and control cardiovascular diseases.
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