广东省惠州地区冠心病危险因素的调查研究

目的分析惠州地区体检人群冠心病（CHD）的危险因素。方法以970例体检对象中检出的85例CHD患者为研究对象，对6项CHD的危险因素进行分析。结果体检970例中，诊断CHD（冠心病组）85例（8．8％），非CHD组（对照组）338例（34．8％），健康者547洌（56．4％）；85例CHD患者60～69岁、70-79岁的CHD患病率明显高于50—59岁（x^2=6．78，X^2=7．02，P均〈0．01）；肥胖、吸烟、大量饮酒、高血压和血脂异常的比例显著高于对照组（（t=2．71，t=2．803，t=2．875，t=2．841，t=2．901，均P〈0．01）；85例CHD患者集聚指数≥1％以上的占92．8％，集聚指数≥3％以上占41．2％；CHD与TC（r=0．28，P〈0．001）、TC（r=0．23，P〈0．001）、SBP（r=0．14，P=0．011）水平显著正相关。结论血脂异常、高血压、肥胖、吸烟、大量饮酒是惠州地区冠心病显著的危险因素。

Investigation of risk factors of coronary heart disease in Huizhou

Objective To analyze the risk factors of coronary heart disease(CHD) by health examination in Huizhou.Methods A total of 85 patients withCHD,were chosen from 970 health check-up subjects as research cases.The roles of 6 risk factors of CHD were analyzed.Results 970 examination,amomg the CHD group were 85 cases(8.8% ),non-CHD group( control group)338 cases(34.8% ),normal healthy individuals 547 cases(56.4% ) respectively;The age of 60-year-old,70-year-old were significantly higher than 50 years in CHD(X2=6.78,X2=7.02,P＜0.01 );The prevalence of obesity 、smoking、over-drinking 、hypertension and dyslipidemia in CHD group were higher than that in control group( t = 2.71,t = 2.803,t = 2.875,t = 2.841,t = 2.901,all P ＜ 0.01 );The index of crowding index ≥ 1 for 92.8%,≥ 3% for 41.2% in 85 cases with CHD;Analysis showed that coronary heart disease andTG ( r = 0.28,P ＜ 0.001 ),TC ( r = 0.23,P ＜ 0.001 ),SBP( r= 0.14,P = 0.011 ) were significantly positively correlated.Conclusions Dyslipidemia、hypertension、obesity 、smoking、over-drinking are the remarkable risk factors of CHD in Hui Zhou.