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目的:了解老年居民颈动脉硬化发生情况,并分析其影响因素。方法:选择2011年1月-2014年1月杭州市西湖区西溪街道社区卫生服务中心体检的老年居民1 600人,通过超声检查其颈动脉硬化发生情况,自制调查问卷仔细询问受检人员相关情况。统计分析其超声检出情况及其相关影响因素。结果:超声检查共诊断出颈动脉硬化患者737人,占总体检人数的46.06%;男性、生活在城镇地区、BMI>25kg/m2、以荤食为主、饮酒史、高血压史、糖尿病史、高脂血症、高尿酸血症、尿微量白蛋白的老年人颈动脉硬化发生率较高(P<0.05或P<0.01)。结论:老年居民颈动脉硬化的超声检出率较高,应调整其生活饮食习惯,针对相关因素积极预防或采取相应的干预措施,以延缓颈动脉硬化的进展。
Objective: To understand the incidence of carotid atherosclerosis in elderly residents and analyze its influential factors. Methods: From January 2011 to January 2014, 1 600 elderly residents were examined in Xixi Street Community Health Service Center, Xihu District, Hangzhou City. Their carotid atherosclerosis was examined by ultrasonography. Self-made questionnaires were used to inquire about the relevant personnel . Statistical analysis of the ultrasound detection and its related factors. Results: A total of 737 patients with carotid atherosclerosis were diagnosed by ultrasound examination, accounting for 46.06% of the total number of patients. The male, living in urban areas, had a BMI> 25kg / m2, predominantly meat and meat, history of alcohol consumption, history of hypertension, history of diabetes , Hyperlipidemia, hyperuricemia, and urinary microalbuminuria were higher in carotid atherosclerosis (P <0.05 or P <0.01). Conclusion: The detection rate of carotid atherosclerosis in elderly residents is higher than that of other residents. The dietary habits of the elderly should be adjusted. Active prevention or relevant interventions should be taken to delay the progress of carotid atherosclerosis.