目的 探索常州市居民心血管病(Cardiovascular disease,CVD)高危风险的流行病学特征和聚集情况,为心血管病预防工作提供研究依据。方法 选取2015—2019年参与心血管病高危筛查与干预项目的常州市居民,并分析不同特征人群的高危特点与多种高危类型的共存情况。结果 20 531例筛查对象中,检出高危对象3 174例,检出率为15.46%。高危检出率随年龄增加而升高,男性1 724例(占20.5%)高于女性1 450例(占11.96%)(χ²=276.642,P＜0.05),学历高中及以上932例(占12.9%)低于高中以下2 242例(占16.85%),不同学历筛查对象高危检测率差异有统计学意义(χ²=55.728,P＜0.05),农民272例(占21.99%)高于其他职业2 902例(占15.04%)(χ²=42.944,P＜0.05)。血压高型检出率最高,为1 838例(占8.95%),其次为血脂异常型1 026例(占5%)、患病风险≥20%型513例(占2.5%)、心血管病史型449例(占2.2%)。结论 常州市居民心血管病高危风险特征为一种为主,多种共存。应根据不同人群的特征针对性地实施心血管病防控措施,降低心血管病发病率。

Objective To explore the epidemiological characteristics and aggregation of high risk of cardiovascular disease (CVD) among Changzhou residents,and to provide a research basis for the prevention of cardiovascular disease. Methods Residents of Changzhou City who participated in the cardiovascular disease high risk screening and intervention program from 2015 to 2019 were selected and the high risk characteristics of different groups of people and the coexistence of multiple high risk types were analyzed. Results Among 20 531 screening subjects,3 174 high risk subjects were detected,with a detection rate of 15.46%.The high risk detection rate increased with age,males (1 724 cases,20.5%) was higher than females (1 450 cases,11.96%) (χ²=276.642,P<0.05),the high school degree or above (932 cases,12.9%) was lower than the below high school degree (2 242 cases,16.85%),and there was statistical significance in the high risk detection rate of screening subjects with different education levels (χ² =55.728,P< 0.05).Farmers (272 cases,21.99%) were higher than other occupations ( 2 902 cases,15.04%) (χ²=42.944,P<0.05).The highest detection rate was high blood pressure type(1 838 cases,8.95%),followed by dyslipidemia type(1 026 cases,5%),disease risk ≥20% type(513 cases,2.5%),cardiovascular history type (449 cases,2.2%). Conclusion The characteristics of high risk of cardiovascular disease in Changzhou residents are mainly one kind,and many kinds coexist.Cardiovascular disease prevention and control measures should be implemented according to the characteristics of different populations to reduce the incidence of cardiovascular disease.