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目的掌握辽宁农村地区主要心脑血管疾病(CVD)危险因素的现状,为实施CVD干预措施提供依据。方法采用分层整群随机抽样方法,共抽取辽宁阜新县农村地区≥35岁29 970人进行流行病学调查,使用SAS 8.2统计软件进行统计分析。结果高血压患病率为36.22%,超重率为27.65%,肥胖率为4.62%,吸烟率为42.11%,高血脂、糖尿病自述患病率分别为4.05%、0.49%;64.38%的村民至少存在一种CVD因素,同时具有4个主要危险因素的占0.15%;老年人(年龄≥60岁)中,高血压患病率、吸烟率高于对应年龄段的全国平均水平,而肥胖率、高血脂及糖尿病自述患病率低于全国水平,差异具有统计学意义(P<0.01)。结论应积极加强对农村地区主要CVD危险因素的整合管理。
Objective To investigate the prevalence of major cardiovascular and cerebrovascular disease (CVD) risk factors in rural areas in Liaoning and provide evidence for the implementation of CVD interventions. Methods A stratified cluster random sampling method was adopted. A total of 29 970 persons aged 35 or older in rural areas of Fuxin County of Liaoning Province were collected for epidemiological investigation, and the data were analyzed by SAS 8.2 statistical software. Results The prevalence of hypertension was 36.22%, the rate of overweight was 27.65%, the rate of obesity was 4.62%, the rate of smoking was 42.11%, and the prevalence of hyperlipidemia and diabetes mellitus were 4.05% and 0.49% respectively. At least 64.38% A CVD factor that accounts for 0.15% of all 4 major risk factors; prevalence and prevalence of hypertension among older adults (≥60 years of age) are higher than the national average for the corresponding age group, whereas obesity rates are high The prevalence of dyslipidemia and diabetes mellitus was lower than the national level, the difference was statistically significant (P <0.01). Conclusion The integrated management of major CVD risk factors in rural areas should be actively strengthened.