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目的:了解深圳地区50~70岁中老年人群ICVD危险因素的暴露情况及对未来10年的ICVD患病风险进行评估,为深圳地区ICVD的防治提供依据。方法:选取2013年10月至2014年1月在香港大学深圳医院体检中心进行健康体检的1092名50~70岁中老年人群作为研究对象,对其体检资料和检查结果进行分析,应用“国人ICVD10年发病危险度评估方法 ”模型,对研究对象ICVD10年发病危险度进行评估。结果:在1092名研究对象中,高血压、超重(或)肥胖、高脂血症、吸烟、糖尿病的暴露率分别为37.64%、51.19%、56.87%、29.58%、23.46%;男性的超重/肥胖、吸烟和糖尿病的暴露率高于女性,而女性高脂血症的暴露率高于男性,差异有统计学意义(P<0.05);ICVD10年发病绝对危险度极低危、低危、中危、高危及极高危的检出率分别为65.02%、20.14%、10.26%、4.12%、0.46%;所有年龄组平均危险度水平均高于中国人群评估方法参考标准。结论:深圳地区50~70岁中老年人群ICVD发病危险因素暴露水平较高,ICVD10年发病风险较大,应积极进行健康教育及加强对ICVD危险因素的有效干预。
OBJECTIVE: To investigate the risk of ICVD exposure in 50-70 year-old middle-aged and elderly people in Shenzhen and to evaluate the risk of ICVD in the future 10 years, so as to provide basis for the prevention and treatment of ICVD in Shenzhen area. Methods: From October 2013 to January 2014, 1092 middle-aged and elderly people aged 50-70 years in the physical examination center of Shenzhen University Medical Center of Hong Kong University were enrolled in this study. Their physical examination data and examination results were analyzed. ICVD 10-year risk-based covariates "model, on the research object ICVD10 year risk-taking assault. Results: The prevalence rates of hypertension, overweight (or obesity), hyperlipidemia, smoking and diabetes in 1092 subjects were 37.64%, 51.19%, 56.87%, 29.58% and 23.46% respectively. The overweight / The incidence of obesity, smoking and diabetes was higher than that of women, but the incidence of hyperlipidemia was higher in women than in men (P <0.05) The detection rates of dangerous, high-risk and very high-risk were 65.02%, 20.14%, 10.26%, 4.12% and 0.46% respectively. The average risk level of all age groups was higher than that of Chinese population reference method. Conclusion: The exposure risk factors of ICVD in middle-aged and elderly population aged 50-70 years in Shenzhen are higher than those in other regions. The risk of ICVD is high in ICVD10. Health education should be actively carried out and the effective intervention for ICVD risk factors should be strengthened.