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目的:分析鞍钢在职职工心脑血管疾病的现状及易患因素分布情况。方法:通过对95912人的心脑血管疾病既往史、吸烟、血压、糖尿病、血清总胆固醇、高密度脂蛋白、体重指数、总胆固醇/高密度脂蛋白、胆固醇的比值等数据的分析,前瞻性得出受检人群心脑血管疾病发病的危险分层概率。结果:冠心病1910例(占1.99%)、脑血管病607例(占0.63%)、吸烟19453例(占20.28%)、糖尿病788例(占0.82%)、高血压31698例(占33.05%)、高脂血症8347例(占8.70%)、体重超重55462例(占57.83%)、总胆固醇(TC)/高密度脂蛋白(HDL-C)≥3.5者10487例(占10.93%);缺血性心血管病发病概率多分布于极低危(68.14%)和低危(5.75%),中危(0.87%)占很小的比例,颈动脉粥样硬化斑块发生概率多分布于高危(44.23%)、中危(23.21%)和极高危(10.51%),无低危和极低危。结论:鞍钢在职职工的健康状况不容乐观,应进一步加大健康知识宣教力度,并采取相应预防措施。
Objective: To analyze the current status of angina and cerebrovascular diseases and the distribution of predisposing factors of working staff in Anshan Iron and Steel Group. Methods: According to the data of 95912 people’s previous history of cardiovascular and cerebrovascular diseases, smoking, blood pressure, diabetes, serum total cholesterol, high density lipoprotein, body mass index, total cholesterol / high density lipoprotein, cholesterol ratio, The risk stratification probability of cardiovascular and cerebrovascular diseases in the subjects was obtained. Results: There were 1910 cases (1.99%) of coronary heart disease, 607 cases of cerebrovascular disease (0.63%), 19 453 cases (20.28%) of smokers, 788 cases of diabetes (0.82%) and 31698 cases of hypertension (33.05% , 8347 cases (8.70%) of hyperlipidemia, 55462 cases (57.83%) of overweight, 10487 cases (10.93%) of total cholesterol (TCL) / high density lipoprotein≥3.5 Incidence of cardiovascular disease was distributed in very low risk (68.14%) and low risk (5.75%), and moderate risk (0.87%) accounted for a small proportion, the incidence of carotid atherosclerotic plaques were mostly distributed in high risk (44.23%), medium risk (23.21%) and very high risk (10.51%), no low risk and very low risk. Conclusion: The health status of employees in Anshan Iron and Steel Company is not optimistic, we should further increase the awareness of health knowledge, and take appropriate preventive measures.