辽宁省城市居民冠心病患病现状及影响因素调查分析

 目的了解辽宁省35 岁以上城市居民冠心病的流行病学特征和相关危险因素，为冠心病的防治和干预提供科学依据。方法按地理经济水平随机抽取沈阳、鞍山和锦州3 个城市，采用分层随机抽样对11 个行政区≥35 岁的15 376 名城区常驻（≥5 年）居民进行调查。由培训过的医师对调查对象进行血压测量和常见冠心病危险因素资料的收集。结果辽宁省城市居民冠心病患病率为2.23%，标化率为2.62%；男、女患病率分别为2.45%和2.03%。随着年龄的增加，冠心病患病率呈增高趋势。多元Logistic 逐步回归显示：年龄、性别、肥胖、腰臀比值、高血压、高血脂、高文化水平、不良生活习惯等因素是冠心病的危险因素。与工人阶层相比，知识分子（OR =2.34，95%CI：1.56~3.50）和干部（ OR=3.58，95%CI：2.46~5.21）是患冠心病的高危职业。超重肥胖伴有高血压、高血脂者患冠心病的危险性是同龄健康者的7.48 倍（95%CI：4.94~11.34）。结论辽宁省城市居民冠心病患病率较高，高血脂是冠心病最显著的危险因素。应加强健康教育宣传，提高居民对冠心病危险因素和相关知识的认识。

Investigation on Prevalence and Risk Factors of Coronary Heart Disease among Urban Residents in Liaoning Province

Objective To explore the epidermiological characteristics and risk factors of coronary heart disease(CHD) among urban residents aged 35 years or older in Liaoning province so as to provide scientific evidence for the prevention,treatment and intervention of CHD.Methods Three cities in Liaoning province(Shenyang,Anshan and Jinzhou) were randomly selected according to geographic location and economic condition.An investigation was conducted on 15 376 permanent residents(over 5 years of residence in cities) ag...