【摘要】 目的了解北方农村地区成年人群冠心病的流行病学特征和相关危险因素,为北方农村地区冠心病的防治和干预提供科学依据。方法采用随机分层整群抽样对辽宁省阜新县地区7个乡镇≥35岁30214名常住(≥5年)成年人进行调查。由培训过的医师对其进行血压测量和冠心病危险因素资料收集。结果辽宁省农村居民冠心病患病率为3.64%,标化率为3.58%;男性患病率(2.55%)显著低于女性水平(4.75%),性别比为0.54∶1。随着年龄和血压级别的增高,冠心病患病率呈明显的增高趋势。多元Logistic逐步回归显示年龄、性别、超重肥胖、腰臀比、高血压家族史、高血压、高血脂、高文化、不良生活习惯等是冠心病的危险因素。超重肥胖伴有高血压、高血脂者患冠心病的危险性是同龄健康者的10.04倍(95%CI:7.45-13.54)。结论辽宁省农村居民冠心病患病率高,高血压是冠心病最显著的危险因素。更多还原

【Abstract】 Objective To assess the current epidemic characteristics of coronary heart disease(CHD)and its risk factors among rural adult groups in Liaoning province,and to provide scientific basis for preventing and intervening CHD in the rural area.Methods A resident(≥5 years)group of 30 214 people aged ≥35 years in seven small towns of Liaoning province was investigated by cluster multistage and random sampling.The data of blood pressure and correlative risk factors about CHD were collected by trained doctors.Results The prevalence rate of CHD for middle and old people in countryside of Liaoning was 3.64%,and the standardized prevalence rate was 3.58%.The prevalence of CHD for male(2.55%)was significantly lower than that for female(4.75%).As the age and grading of blood pressure increased,the prevalence rate was obviously up.By Logistic regression,risk factors of age,sex,overweight-obesity,family history of hypertension,hypertension,hyperlipidemia,waist-hip ratio,smoking,bad food habits,high education level and so on were closely correlated to CHD.The overweight-obesity accompanying hypertension and hyperlipidemia were 10.04 times of the same age healthy groups(95%CI 7.45-13.54).Conclusion The results indicate that CHD is highly prevalent in Liaoning province,and hypertension ranks first in risk factors.However,most residents know little knowledge about prevention and treatment for CHD.Therefore,the awareness of risk factors and related knowledge of CHD should be emphasized on to prevent CHD in rural population of Liaoning province.更多还原