【摘要】 目的探讨广西人群的动脉粥样硬化性心血管疾病(ASCVD)发病风险预测特征和危险因子分布情况。方法连续纳入2020年1月在广西壮族自治区人民医院体检中心参加体检3 066名研究对象,进行体格检查、问卷调查、血清学检测,应用中国动脉粥样硬化性心血管疾病风险预测模型(China-PAR)对研究对象进行评估,计算10年和终身ASCVD发病风险。结果相比女性人群,男性的体质指数、腰围、吸烟率、血压、糖尿病患病率和血脂水平均明显升高(均为P<0.05)。男性的10年(2.8%±3.9%比1.3%±2.5%)和终身(16.3%±8.0%比9.7%±5.1%) ASCVD发病风险均明显高于女性(均为P<0.05)。在各年龄段比较中,除65～74岁年龄段的终身ASCVD风险男女无差异(P>0.05),其余各年龄段男性的10年和终身ASCVD风险均高于女性(均为P<0.05)。结论血脂水平偏高和男性人群超重、吸烟以及血压水平偏高是广西人群ASCVD发病风险升高的重要因素。更多还原

【Abstract】 Objective To investigate the risk prediction characteristics and distribution of risk factors of atherosclerotic cardiovascular disease( ASCVD) in Guangxi Zhuang Autonomous Region. Methods A total of 3 066 subjects who participated in physical examination in the medical examination center of the People’ s Hospital of Guangxi Zhuang Autonomous Region in January 2020 were enrolled in this study.Physical examination,questionnaire survey and serological test were carried out. The subjects were evaluated by China-PAR model,and the 10-year and lifetime risk of ASCVD was calculated. Results Compared with female population,BMI,waist circumference,smoking rate,blood pressure,diabetes prevalence rate and blood lipid level of men were significantly increased( all P < 0. 05). The 10-year( 2. 8% ± 3. 9% vs.1. 3% ±2. 5%) and lifetime( 16. 3% ± 8. 0% vs. 9. 7% ± 5. 1%) ASCVD risk were significantly higher in males than in females. In the comparison of different age groups,except for the 65-74 years old group,there was no difference in the lifetime ASCVD risk between men and women. The 10-year and lifetime ASCVD risk of men in other age groups were higher than that of women( all P< 0. 05). Conclusions Hyperlipidemia,overweight,smoking and high blood pressure are important risk factors of ASCVD in Guangxi.更多还原