506例单位管理层人员心血管危险因素调查与干预.pdfVIP

18摇 誗论著誗 摇 (总394)《中国临床医生杂志》 2015年 第43卷 第5期 摇 506例单位管理层人员心血管危险因素调查与干预 吟 张瑞华,秦明照 ,陈一文(首都医科大学附属北京同仁医院干部医疗科,北京100730) 摘摇 要:摇 目的摇 探讨工作场所心血管健康管理有效模式。 方法摇 选取某单位管理层人员506 例,干预并 随访。 调查干预前后吸烟、体质指数情况;高血压、糖尿病、血脂异常患病情况;高血压、低密度脂蛋白(LDL鄄 C)达标情况,进行心血管危险评估。 结果摇 干预前后高血压患者血压达标率分别是52.25%、69.00%(P 0.05),LDL鄄C水平分别是3.02 mmol/ L 、2.84 mmol/ L(P0.05);干预后45岁以上三组人群心血管病平均 危险分别为2.6%、3.1%、3.8%,高于同年龄段国人总体人群平均危险(1.9%、2.6%、3.6%)。 结论摇 该人 群存在多种心血管危险因素,45岁以上人群心血管病风险显著升高。 干预后高血压达标率显著升高,LDL鄄C 水平显著下降。 关键词:摇 心血管疾病;危险因素;工作场所;危险性评估 中图分类号: R54摇 摇 文献标识码:A摇 摇 文章编号:2095-8552(2015)05-0018-03 doi:10.3969/ j.issn.2095-8552.2015.05.007 A survey and intervention of cardiovascular risk factors in506 white鄄collar workers 吟 ZHANG Rui鄄hua,QIN Ming鄄zhao ,CHEN Yi鄄Wen(Department of Geriatrics,Beijing TongRen Hospital, Capital Medical University,Beijing 100730,China) Abstract:ObjectiveToexploreapatternof thecardiovascularhealthmanagement inoffice鄄workplace. MethodTo recruited506 managersaged39-65yearswithouthistoryof CVDasthestudy subjects. Follow鄄up 1yearafterinter鄄 vention. To analyzed the following CVD risk factors:smoking,body mass index (BMI),prevalence of hyperten鄄 sion,diabetesanddyslipidemia. Toachievedthetargetratesofbloodpressureandlowdensitylipoprotein (LDL鄄C) before and after the intervention. To evaluate the CVD risk in this population. Result The blood pressure target a鄄 chievement was69.00% and 52.25%(P0.05),the level of LDL鄄C was 3.02 mmol/ L and 2.84 mmol/ L(P 0.05) in baseline and after the interventionrespectively. After intervention Chinese CVDrisk scoreof thegroup of 45-49 years;50-55years;56-59yearsintheofficerpopulationwasstillhigherthanthatingeneralpopulationre鄄 spectively (2.6%,3.1%,3.8% vs 1.9%,2.6%,3.6%). Conclusion CVDriskfactorsare common inX de鄄 partment in鄄service managers