中国全科医学2017，Vol.20Issue(11)：1305-1309,5.DOI:10.3969/j.issn.1007-9572.2017.11.006
社区中年人群十年缺血性心血管病风险评估及干预效果研究
Ten-year Risk Assessment of Ischemic Cardiovascular Disease and the Intervention Effect in Middle-age Population:a Community-based Study
摘要
Abstract
Objective To evaluate the 10-year risk of ischemic cardiovascular disease ICVD) in cormmunity residents aged 45-59 by using the National 10-year Risk Assessment for ICVD Scale and to investigate the community-based intervention effct.Methods From October 2013 to March 2014,by using cluster random sampling,we selected 5 from the 33 neighborhood committees in Shanghai Hudong Community,and in which the permanent residents aged 45-59 were recruited in this study.We obtained their baseline data [height,weight,level of total cholesterol (TC)] by questionnaire survey,physical examination and laboratory testing,and assessed their 10-year risk of ICVD by using the National 10-year Risk Assessment for ICVD Scale.Those who had 10-year moderate or high or extremely high risk of ICVD and needed intervention,were given 1-year intervention,including the clinical intervention,community health education and personalized health guidance based on their own conditions.Results Of the 690 participants,we obtained the complete data of 636 participants,including 439 with 10-year extremely low risk of ICVD,158 with 10-year low risk of ICVD,30 with 10-year moderate risk of ICVD,7 with 10 -year high risk of ICVD,and 2 with 10-year extremely high risk of ICVD.The 39 participants with 10-year moderate or high or extremely high risk of ICVD needed the 1-year intervention,but 34 finished it finally.After the intervention,in the 34 final participants,no significant changes in their BMI were observed (P ＞ 0.05);their systolic pressure and TC level significantly decreased (P ＜ 0.05);the proportion of smokers before and after intervention were 38.2％ (13/34),29.4％ (10/34) respectively,and 3 cases stopped smoking.After intervention,3 were found with 10-year extremely low risk of ICVD,and 10 with 10-year low risk of ICVD in male;in female,4 were found with 10-year extremely low risk of ICVD,10 with 10-year low risk of ICVD,6 with 10-year moderate risk of ICVD,and 1 with 10-year high risk of ICVD.Conclusion Middle-aged population are found to be with the risk of ICVD,and some of them need to be intervened immediately.Community-based early intervention given to the population who have the risk of ICVD but without syndromes can achieve good social and economic benefits.关键词
心血管疾病/危险因素/早期社区干预/中年人Key words
Cardiovascular diseases/Risk factors/Community-based early intervention/Middle aged分类
医药卫生引用本文复制引用
徐绮,沈节艳,施榕,薛锦花..社区中年人群十年缺血性心血管病风险评估及干预效果研究[J].中国全科医学,2017,20(11):1305-1309,5.基金项目
上海市浦东新区卫生和计划生育委员会科技发展专项基金资助(PW2013C-5) （PW2013C-5）
