摘要
目的 探讨成都地区汉族男性腹主动脉瘤(AAA)患病率并分析危险因素.方法 2014-2022年对成都市双流区24个敬老院和四川大学华西医院体检中心≥65岁的男性居民进行普查.筛查项目包括一般情况、合并症、生活习惯和超声指标.计算患病率.通过单因素及logistic逐步回归分析探索AAA发病的危险因素.结果 共7 132 人纳入筛查,体检中心应答率为2 518/3 638(69.2％);敬老院应答率为3 092/3 494(88.5％).参加筛查的人群均为男性,汉族,患病率为5.17％(290/5 610).290人患AAA为患病组,未患病者为未患病组.患病组腹痛、高血压、心血管疾病、脑血管疾病、吸烟,及饮酒高于未患病组(P＜0.05).高血压、脑血管疾病、心血管疾病、吸烟是AAA的影响因素(P＜0.05).结论 超声在AAA筛查中可行;高血压、心脑血管疾病、吸烟是成都地区65岁以上男性人群AAA患病的危险因素.
Abstract
Objective To explore the prevalence of abdominal aortic aneurysm(AAA)in the Han nationality male in Chengdu area and to analyse risk factors.Methods From 2014 to 2022,a census was conducted on male residents aged 65 and above at 24 nursing homes in Shuangliu County,Chengdu,and the Physical Examination Center of West China Hospital,Sichuan University.The screening items included general situation,physical measurement of comorbidities,lifestyle habits,and ultrasound indicators.The incidence rate was calculated.The risk factors for AAA incidence were explored by univariate and logistic stepwise regression analysis.Results A total of 7 132 individuals were included in the screening,and the response rate of the physical examination center was 2 518/3 638(69.2％);the response rate of nursing homes was 3 092/3 494(88.5％).The population participating in the screening was all male,Han ethnicity,with a prevalence rate of 5.17％(290/5 610).A total of 290 people with AAA were in the disease group,and those without AAA were in the non disease group.The incidence of abdominal pain,hypertension,cardiovascular and cerebrovascular diseases,smoking,and alcohol consumption in the disease group were higher than those in the non disease group(P＜0.05).Hypertension,cerebrovascular disease,cardiovascular disease,and smoking were the influencing factors of AAA(P＜0.05).Conclusion Ultrasound is feasible in AAA screening;hypertension,cardiovascular and cerebrovascular diseases,and smoking are risk factors for AAA in male aged 65 and above in Chengdu.
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