驻京某部军队干部心脑血管病主要危险因素暴露与控制情况分析

目的调查分析驻京某部军队干部心脑血管病主要危险因素暴露水平、变化规律及控制状况,为心脑血管病综合防治提供依据。方法用国际标准化的心脑血管病流行病学调查方法,对某部机关及所属干休所35岁以上干部进行心脑血管病危险因素调查,结合本年度干部体检结果,对干部心脑血管病主要危险因素的暴露与控制情况进行分析。结果吸烟、过度饮酒、饮食结构不合理、缺乏运动、高血压、糖尿病、高脂血症、超重或肥胖、心脏病史等主要危险因素的暴露率分别为31.33%、26.94%、42.61%、31.08%、44.98%、27.19%、54.39%、42.98%、43.48%,多个危险因素在同一个体的聚集现象非常突出;高血压、糖尿病、高脂血症、吸烟、过量饮酒的控制率分别为67.97%、50.23%、67.28%、36.00%、44.19%。结论军队干部心脑血管病主要危险因素的暴露率、控制率高于全国成人平均水平。以健康教育和健康促进为主导的综合干预是心脑血管病防治的基础和有效手段。

Study on the exposure and control status in the major risk factors for cardiac-cerebral vascular disease

Objective To investigate the exposure levels,changing patterns,control status in the chief risk factors of cardiac-cerebral vascular disease in military cadres,so as to provide evidences for comprehensive prevention of cardiac-cerebral vascular disease. Methods By the epidemiological methods of the International Organization for Standardization,the exposure and control status in the major risk factors of cardiac-cerebral vascular disease in military cadres over 35 years of age from institutions or reset institutes of certain troops were analysed,combined with annual result of health examination. Results Exposure rates of smoking,drinking alcohol excessively,constitution of diet unreasonably,lack of exercises,hypertensive disease,diabetes,hyperlipemia, overweight/obesity,heart disease history were 31.33%,26.94%,42.61%,31.08%,44.98%,27.19%,54.39%,42.98%,43.48% respectively in the major risk factors. Many risk factors clustered in the same individual obviously. The control rates of hypertensive disease,diabetes,hyperlipemia,smoking,drinking alcohol excessively were 67.97%,50.23%,67.28%,36.00%,44.19% respectively. Conclusions The exposure rate of major risk factors of cardiac-cerebral vascular disease in military cadres is higher than in the national adult average levels,also the control rate of it is higher than in the national adult average levels. It is foundation and effective methods to prevent cardiac-cerebral vascular disease to strengthen comprehensive intervention measures which focus on health education and health promotion.