我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

云南农村地区冠心病危险因素的分布

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2013年第5期
页码:
527-530
栏目:
临床研究
出版日期:
2013-09-25

文章信息/Info

Title:
An epidemiologic survey of risk factors of coronary heart disease in a rural community of Yunnan Province
作者:
王亚静1; 吴新华1; 陈章荣1; Detrano RC2; 杨 瑛1; 董 瑜1; 李利华1
(1.大理学院附属医院内一科，云南 大理 671000；2.美国加州大学医学院放射科，美国 92697)
Author(s):
WANG Ya-jing1;  WU Xin-hua1;  CHEN Zhang-rong1;  Detrano RC2;  YANG Ying1;  DONG Yu1; LI Li-hua1
(1.Department of Cardiovascology, Affiliated Hospital, Dali University, Dali, Yunnan 671000, China; 2.Department of Radiology, School of Medicine, University of California, Irvine, CA 92697, USA)
关键词:
冠状动脉疾病; 危险因素; 云南农村; 流行病学研究
Keywords:
coronary disease;  risk factors;  rural area of Yunnan;  epidemiology studies
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的:调查云南省农村地区50～70岁人群冠心病危险因素的分布，为该地区冠心病的防治和干预提供科学依据。方法： 采用分层随机抽样方法，共抽取云南省四个县区11个农村地区中50～70岁人群540人进行现况调查，使用SPSS11.0软件进行统计学分析。结果： 云南省农村50～70岁人群高血压病、超重/肥胖、高胆固醇和糖尿病的患病率分别为42.4%、15.7%、36.8%和0.6%，吸烟率为36.7%，饮酒率为33.5%。各民族间高血压病、超重/肥胖的患病率和饮酒率存在显著差异（P<0.01）。白族和纳西族超重/肥胖率显著高于汉族、彝族、傈僳族；藏族高血压病与饮酒率高于汉族、彝族、傈僳族，差异有统计学意义（P<0.05）。高血压病、肥胖的患病率随年龄的增长而增加,差异有统计学意义（P<0.05）。女性超重/肥胖率（18.7%）显著高于男性（12.5%，P<0.05），男性吸烟率、饮酒率及高血压病患病率（66.1%、54.9%和47.5%）显著高于女性（9.9%、14.1%和37.8%，均P<0.05）。结论： 云南省农村地区冠心病的危险因素在国内处于较高水平，民族间某些危险因素的分布存在显著差异。
Abstract:
AIM:To investigate the risk factors of coronary heart disease (CHD) in a rural area of Yunnan Province and to provide scientific evidence for the prevention and treatment of CHD. METHODS: Five hundred and forty patients aged 50-70 years were sampled with stratified and cluster multistage sampling in 11 rural areas of four counties of Yunnan Province. SPSS 11.0 was used for data analysis. RESULTS: The prevalence of hypertension, overweight and obesity, smoking, alcohol use, high cholesterol and diabetes was, respectively, 42.4%, 15.7%, 36.7%, 33.5%, 36.8%, 8.6%, and 0.56%. The rates of hypertension, overweight and obesity, and alcohol use were significantly different among different nationalities (P<0.01). The prevalence of overweight and obesity in Han, Yi, and Lisu nationalities was lower than in Bai and Naxi nationalities, and the rate of hypertension and alcohol use in Han nationality was lower than in Zang nationality (P<0.05). The prevalence of hypertension and obesity increased with age (P<0.05). The rate of overweight and obesity in women was higher than in men (18.7% vs. 12.5%, P<0.05). However, the prevalence of smoking, alcohol use, and hypertension in men was higher than in women (66.1% vs. 9.9%, 54.9% vs. 14.1%, 47.5% vs. 37.8%, P<0.05). CONCLUSION: The prevalence of risk factors for CHD is high in rural areas of Yunnan and full-scale measures should be taken to reduce its prevalence.

参考文献/References

[1]胡大一,徐亚伟.冠心病现代治疗[M].同济大学出版社,2007:1-148.
[2]中国肥胖问题工作组数据汇总分析协作组.我国成人适宜体质量指数切点的前瞻性研究[J].中华流行病学杂志,2003,23(6):431-434.
[3]中国成人血脂异常防治指南制订联合委员会.中国成人血脂异常防治指南[J].中华心血管病杂志,2007,35(5):390-413.
[4]中国高血压防治指南修订委员会.2004年中国高血压防治指南(实用本)[J].中华心血管病杂志,2004,32(12):1060-1064.
[5]Expert Committee on the Diagnosis and Classification of Diabetes Mellitus.Report of the expert committee on the diagnosis and classification of diabetes mellitus[J].Diabetes Care,2003,26(Suppl 1):S5-S20.
[6]中国预防医学科学院,中国吸烟与健康协会,卫生部疾病控制司,等.1996年全国吸烟行为的流行病学调查[M].北京:中国科学技术出版社,1997:155-158.
[7]张廷杰.Framingham心脏研究历史与现状[J].高血压杂志,2003,11(5):404-405.
[8]吴兆苏,姚崇华,赵 冬,等.我国多省市心血管病趋势与决定因素的人群监测(中国 MONICA方案),危险因素水平与心血管病的联系[J].中华心血管病杂志,1998,26(2):85-88.
[9]吴兆苏,赵 冬.中国11省市队列人群基线血压和7年累积心血管发病危险的前瞻性研究[J].中华心血管病杂志,2001,29(4):251-253.
[10]Lam TH,Chung SF,Janus ED,et al.Smoking,alcohol drinking and non-fatal coronary heart disease in Hong Kong Chinese[J].Ann Epidemiol,2002,12(8):560-567.
[11]Reddy NK,Kumar DN,Rayudu NV,et al.Prevalence of risk factors for coronary atherosclerosis in a cross-sectional population of Andhra Pradesh[J].Indian Heart J,2002,54(6):697-701.
[12]王德宝,邱丽颖,吕 莉. 年龄作为高血压危险因素的分子基础[J].中国全科医学,2001,4(1):18-19.
[13]Gu D,Gupta A,Muntner P,et al.Prevalence of cardiovascular disease risk factor clustering among the adult population of China: results from the International Collaborative Study of Cardiovascular Disease in Asia (InterAsia)[J].Circulation,2005,112(5):658-665.
[14]王陇德.中国居民2002年营养与健康状况调查报告之一:2002综合报告[M]:北京:人民卫生出版社,2005:43-61.

备注/Memo

备注/Memo:
收稿日期：2013-03-20.基金项目：国家自然科学基金项目资助（30960137） 通讯作者：吴新华，教授，主要从事冠心病的基础与临床研究 Email：13987286915@139.com 作者简介：王亚静，硕士生 Email：yajing861015@163.com
更新日期/Last Update: 2013-09-30