| 35~59岁电网职工缺血性心血管病10年发病风险评估 |
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| 引用本文： | 王德杰,李晓峰,董鲁燕,韩玉刚.35~59岁电网职工缺血性心血管病10年发病风险评估[J].华南预防医学,2021,47(5):557-561. |
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| 作者姓名： | 王德杰 李晓峰 董鲁燕 韩玉刚 |
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| 作者单位： | 山东电力中心医院,山东 济南 250000 |
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| 摘 要： | 目的 探究电网职工缺血性心血管病（ICVD）危险因素暴露情况,评估未来10年缺血性心血管病发病危险度,为不同风险类型群体的健康管理策略提供科学依据。方法 收集2018年5—9月在山东电力中心医院体检的35~59岁电网职工的年龄、性别、体质指数（BMI）、收缩压（SBP）、总胆固醇（TC）、吸烟和糖尿病等危险因素指标,采用国人ICVD 10年发病危险评估表预测ICVD 10年发病危险并进行统计分析。结果 共研究3 049名电网职工,不同性别及不同年龄层（除BMI外）各主要危险因素差异均有统计学意义（均P<0.01）。男性ICVD 10年发病绝对危险的总中位数1.50%（P25,P75：0.80%,2.90%）]明显高于女性0.50%（P25,P75：0.30%,0.80%）]（P<0.01）。发病绝对危险随年龄增加而增大,不同年龄组的绝对危险差异有统计学意义（P<0.01）。男性55~59岁或女性50~59岁人群的绝对危险高于该性别同年龄段人群的平均危险,男性低危组（绝对危险：5%~10%）与中高危组（绝对危险：≥10%）的比例均高于女性（均P<0.01）。结论 男性55~59岁、女性50~59岁人群是ICVD发病的高危人群。应针对主要危险因素,早期发现高危人群,开展个性化健康干预预防心血管疾病的发生。
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| 关 键 词： | 心血管疾病 危险因素 风险评估 |
| 收稿时间： | 2020-08-11 |
Risk assessment of 10-year incidence of ischemic cardiovascular disease among power grid workers aged 35-59 |
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| WANG De-jie,LI Xiao-feng,DONG Lu-yan,HAN Yu-gang.Risk assessment of 10-year incidence of ischemic cardiovascular disease among power grid workers aged 35-59[J].South China JOurnal of Preventive Medicine,2021,47(5):557-561. |
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| Authors: | WANG De-jie LI Xiao-feng DONG Lu-yan HAN Yu-gang |
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| Affiliation: | Shandong Electric Power Center Hospital, Jinan 250000, China |
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| Abstract: | Objective To explore the exposure of risk factors and assess the risk of ischemic cardiovascular disease（ICVD） in the next 10 years among power grid workers, so as to provide a scientific basis for different risk types of groups to implement health management strategies. Methods The power grid workers aged 35-59 who came to Shandong Electric Power Central Hospital for physical examination were collected the age, gender, body mass index （BMI）, systolic blood pressure （SBP）, total cholesterol （TC）, smoking, diabetes and other risk factors from May to September 2018. The Chinese ICVD 10-year risk assessment form was used to predicte the 10-year risk of ICVD and perform statistical analysis. Results There were 3 049 power grid workers. The differences in the major risk factors of different genders and age groups （except BMI） were statistically significant （all P<0.01）. The total median absolute 10-year risk of ICVD in male 1.50% （P25, P75： 0.80%, 2.90%）] was significantly higher than that of female 0.50% （P25, P75： 0.30%, 0.80%）] （P<0.01）. The absolute risk of disease increased with age, and the difference in absolute risk between different age groups was statistically significant （P<0.01）. The absolute risk for male aged 55-59 and female aged 50-59 was higher than the average risk of the same age group of the same gender. The ratio of low-risk group （absolute risk： 5%~10%） and medium-high-risk group （absolute risk： ≥10%） in male was higher than that of female（both P<0.01）, respectively. Conclusion The male aged 55-59 and the female aged 50-59 are at high risk of ICVD. The main risk factors should be targeted at early detection of high-risk groups, and personalized health interventions should be carried out to prevent the occurrence of cardiovascular diseases. |
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| Keywords: | Cardiovascular disease Risk factor Risk assessment |
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