河北省部分城镇白领人群脑血管病危险因素调查

目的:调查河北省城镇白领人群的脑血管病危险因素。方法:选取石家庄市部分白领人群,由专业医师进行询问病史,查体,检测血脂、血糖,巨细胞病毒晚期抗原PP65与抗体IgG、IgM检测,心电图,胸透,B型超声检查肝、胆及颈动脉、椎动脉。结果:高血压患病率43．38％,城镇白领阶层高血压患病率显著高于普通人群(35．7％);高血脂男性发生率45．79％,女性为17．24％:男性公务员高血脂发生率与其他职业人群比较有统计学意义;糖尿病患病率为8．82％,职业间和性别间无统计学意义;颈、椎动脉超声检查,发现39．71％的人颈动脉或椎动脉有动脉粥样硬化病变,男性发生率40．19％,女性发生率37．93％,男性稍高于女性,职业间、性别间无统计学意义;长期大量饮酒率为82．3％,男性吸烟率56．07％;巨细胞病毒(HCMV)激活感染率3．68％。结论:存在心脑血管疾病高危因素的共有129人,占94．85％,其中86．76％的人存在两个或两个以上危险因素。采取早预防、早治疗的方针,关注城镇白领人群常见的脑血管病的危险因素对我国的可持续发展有重要战略意义。

Risk Factor Investigation Of Cerebrovascular Disease In Part Of White-collar Crowd In Hebei Province

Objective:To investigate risk factors of cerebrovascular disease m part of white-collar crowd in Hebei province. Methods:Chosed from white-collars in Hebei province,they were questioned for case history, body-checked,detected blood fat,blood glucose, cytomegalovims late antigen PP65, antibody IgM, IgG, electrocardiogram, chest penetration, B-type ultrasonograph checking liver, cholecyst,carotid artery and vertebral artery. Result:43. 38% of white-collars had hypertension, striking higher than common crowd (35. 7%) . 45. 79% of male and 17. 24% of female white-collars had hy-perlipemiaStatistical significance existed between male civil servants and male occupational crowd of other kinds. 8. 82% had diabete,no statistical significance existing in two occupational groups and two sexes. With ultrasonograph,39. 71% had artherosclerosis in carotid or vertebral artery. Of them,40. 19% were male and 37. 93% were female, no statistical significance existing in two occupational groups and two sexes. 82. 3% of men drinked too much, and 56. 07% of men smoked too much,3. 68% were actively infected with cytomegalovirus. Conclusions:86. 76% had two or mot risk factors of cerebrovascular disease. It is of important strategy significance for persistent development of our country to prevent, cure and pay close attention to the risk factors of cerebrovascular of white-collars in town.