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目的评估奉化市≥35岁农村居民缺血性心血管病(ICVD)的10年发病风险,为制定干预方法提供依据。方法采用多阶段整群抽样方法,在奉化市随机抽取6个镇(街道),每个镇(街道)抽取2个村,每个村抽取35~74岁且无ICVD病史的常住居民,采用《国人缺血性心血管病(ICVD)10年发病风险评估表》进行评估。结果共纳入797人,男性303人,占38.02%;女性494人,占61.98%。奉化市≥35岁居民ICVD 10年发病风险得分为6.00,绝对危险为2.90%,其中高危者占9.66%,中危者占26.60%,低危者占63.74%。男性ICVD10年发病高危风险的比例高于女性(P<0.01);年龄越大,ICVD 10年发病的绝对危险越高(P<0.01);文化程度、家庭月收入越高,ICVD 10年发病的绝对危险越低(P<0.01)。结论奉化市9.66%的≥35岁农村居民未来10年发生ICVD的可能性≥10%,应重点关注男性、高龄、低文化程度及低收入人群。
Objective To evaluate the 10-year risk of ischemic cardiovascular disease (ICVD) in rural residents aged 35 years or older in Fenghua City, and provide a basis for the development of intervention methods. Methods A multistage cluster sampling method was used to randomly select 6 towns (streets) in Fenghua and 2 villages in each town (street). Each village sampled residents aged 35-74 years with no ICVD history and adopted “ Chinese ischemic cardiovascular disease (ICVD) 10-year risk assessment of risk assessment ”. Results A total of 797 enrolled patients, 303 men, accounting for 38.02%; women 494, accounting for 61.98%. In Fenghua City, the risk of ICVD in 10-year-olds was 6.00 and the absolute risk was 2.90%. Among them, the highest risk was 9.66%, the middle-risk was 26.60%, and the low-risk was 63.74%. The incidence of ICVD10 was significantly higher in women than in women at 10 years (P <0.01). The older the ICVD was, the higher the absolute risk was in 10 years (P <0.01). The educational level and family monthly income were higher in ICVD 10 years The absolute risk is lower (P <0.01). Conclusion 9.66% of rural residents ≥35 years old in Fenghua City are more than 10% likely to have ICVD in the next 10 years. Men, old age, low education level and low-income people should be the focus of attention.