北京市心血管病危险因素1984—1985年调查结果

1984—1985年秋,我们在北京市六个区、一个县用分层随机抽样的办法,抽取25—64岁1673人。按WHO统一标准,在严格质量控制下进行吸烟、血压、血脂等项调查。本次调查结果男性血清胆固醇均值160.5mg/dl,女性为162.8mg/dl。男性血清高密度脂蛋白胆固醇平均值45.4mg/dl,女性48.0mg/dl。男性确诊性高血压患病率为20.6％,女性为15.3％。高血压患者服用抗高血压药物的占25.6％,女性占48.9％。男性平均吸烟率为59％,女性吸烟率为14％。男性平均体重/身高~2指数为23.2,女性平均为23.9。近二、三十年来,我国心血管病的发病率和死亡率都有所增加。其原因并不十分清楚,推测与生活方式的改变有关。为了更好地了解心血管病发病趋势变化的原因,我们在北京市70万人群中开展了为期十年的前瞻性研究—Sino—Monica—Beijing(中国-莫尼卡—北京)方案。它的主要内容是监测心血管病的死亡趋势;脑卒中、心肌梗塞的发病趋势;同时监测已知心血管病危险因素(高血压、高血脂、吸烟和肥胖),社会经济、医疗保健的变化趋势。并评估这些因素与心血管病发病的关系。取十年之开始、中间和终末三个时点,在北京市心血管监测区内分别随机抽取年龄25—64岁者1600人,进行三次心血管病危险因素调查。继1983年的预实验后,开始时点的调查于1984年秋季和1985年秋季完成。

Population risk of cardiovascular diseases in Beijing

The task of Sino-Monica-Beijing study is to monitor the trends and determinantes of cardiovascular diseases (CVD) from 1984 to 1993 as a part of the WHO Monica Project in the People's Republic of China. The present report is based on risk factor studies, A total of 1673 individuals were surveyed in 1984-1985. The response rate was 88％. The mean total serum cholesterol was 160.5 mg/dl in males and 162.8 mg/dl in females 25-64 yeras of age, The prevelence rate of difinite hypertension was 20.6% in males and 15.3% in females. The smoking rate was 59% in men and 14％ in women, The average value of weight/hight~2 index (BMI) was 23.2 in males, and 23.9 in females.