|
|
|
| Screening results of high-risk cardiovascular disease among residents aged 35 to 75 years in Nyingchi City |
| YANG Xiaoting1, Suolangyangji1, Gongsangzhadui1, WANG Ying1, Suolangduobujie2, Basangzhuoma3
|
1. Nyingchi Center for Disease Control and Prevention (Nyingchi Institute of Public Health Supervision), Nyingchi, Xizang 860000, China; 2. Bomi County Center for Disease Control and Prevention, Bomi, Xizang 860300, China; 3. Gongbo'gyamda County Center for Disease Control and Prevention, Gongbo'gyamda, Xizang 860200, China |
|
|
|
|
Abstract Objective To investigate the screening results of high-risk cardiovascular disease (CVD) among residents aged 35-75 years in Nyingchi City, Xizang Autonomous Region, and to analyze its influencing factors, so as to provide the evidence for formulating CVD prevention and control strategies in plateau areas. Methods Based on the Early Screening and Comprehensive Intervention Project for High-Risk Cardiovascular Disease Population, a multi-stage random cluster sampling method was used to select permanent residents aged 35-75 years in Nyingchi City from 2016 to 2023. Data on demographic information, disease history, height, weight, blood pressure, blood glucose, and blood lipids were collected through questionnaire surveys, physical examinations, and laboratory tests. Multivariable logistic regression model was used to analyze influencing factors for high-risk CVD among residents. Results A total of 8 803 residents were surveyed, including 3 701 males (42.04%) and 5 102 females (57.96%). There were 3 239 residents (36.79%) aged 40-<50 years. A total of 2 334 cases of high-risk CVD were identified, with a detection rate of 26.51%. Multivariable logistic regression analysis showed that residents aged ≥50 years (50-<60 years, OR=1.953, 95%CI: 1.546-2.466; 60-<70 years, OR=2.653, 95%CI: 2.072-3.398; 70-75 years, OR=3.594, 95%CI: 2.625-4.921), farmers (OR=1.389, 95%CI: 1.144-1.687), those with a history of hypertension (OR=16.888, 95%CI: 14.433-19.760), and those with a history of dyslipidemia (OR=3.085, 95%CI: 2.664-3.572) had a higher risk of high-risk CVD. Conclusions The detection rate of high-risk CVD in Nyingchi City is relatively high. Residents aged ≥50 years, farmers, and those with a history of hypertension or dyslipidemia should be prioritized as key targets for health intervention.
|
|
Received: 26 November 2025
Revised: 28 January 2026
Published: 21 April 2026
|
|
|
|
|
|
[1] 国家心血管病中心,中国心血管健康与疾病报告编写组,胡盛寿.中国心血管健康与疾病报告2024概要[J].中国循环杂志,2025,40(6):521-559. [2] FORD E S,AJANI U A,CROFT J B,et al.Explaining the decrease in U.S.deaths from coronary disease,1980-2000[J].N Engl J Med,2007,356(23):2388-2398. [3] 刘玉环,赵晶晶,岳福娟,等.2016—2020年河北省35~75岁居民心血管病高危人群检出情况及其影响因素分析[J].中国公共卫生,2024,40(1):13-17. [4] 顾亦斌,顾淑君,张秋伊,等.江苏省35岁及以上成人超重、肥胖、中心性肥胖与高血压的相关性研究[J].中华疾病控制杂志,2022,26(8):934-938. [5] 中国高血压防治指南修订委员会,高血压联盟(中国),中华医学会心血管病学分会,等.中国高血压防治指南(2018年修订版)[J].中国心血管杂志,2019,24(1):1-44. [6] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)(上)[J].中国实用内科杂志,2021,41(8):668-695. [7] 诸骏仁,高润霖,赵水平,等.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,31(10):937-953. [8] 国家心血管病中心.心血管病高危人群早期筛查与综合干预项目心血管病高危人群综合干预方案[M].北京:国家心血管病中心,2018. [9] MENDIS S,LINDHOLM L H,MANCIA G,et al.World Health Organization(WHO)and International Society of Hypertension(ISH)risk prediction charts:assessment of cardiovascular risk for prevention and control of cardiovascular disease in low and middle-income countries[J].J Hypertens,2007,25(8):1578-1582. [10] 于跃,白国霞,史恒,等.那曲市色尼区心血管疾病高危人群筛查与危险因素分析[J].中国卫生产业,2020,17(17):162-164. [11] 于跃,扎西宗吉,白国霞,等.西藏地区城乡居民心血管病高危人群筛查及危险因素[J].中华疾病控制杂志,2021,25(1):117-120. [12] 袁媛,宋晓薇,孟娜,等.新疆南山牧区哈萨克族牧民心血管病高危人群危险因素分析及预警模型构建[J].河北医药,2024,46(5):778-782. [13] 孟佳,赵建楠,刘高山,等.北京市石景山区35~75岁心血管病高危人群分布特征及危险因素分析[J].现代疾病预防控制,2025,36(4):303-308,322. [14] 余嗣澳,陈铭,陈聪,等.血管老化对心血管疾病的影响及中药干预机制[J].湖南中医药大学学报,2024,44(5):896-903. [15] 张刚,李英华,李莉,等.2021年我国城乡居民健康素养水平及其影响因素研究[J].中国健康教育,2024,40(5):387-391,400. [16] BRYAN W,GIUSEPPE M,WILKO S,et al.2018 ESC/ESH Guidelines for the management of arterial hypertension[J].Eur Heart J,2018,39(33):3021-3104. [17] 汪晓洲. 高原低氧对血压的影响及相关机制研究[D].西宁:青海大学,2023. [18] 国家心血管病中心.中国心血管健康与疾病报告(2019)[M].北京:科学出版社,2020. [19] 王增武,刘静,李建军,等.中国血脂管理指南(2023年)[J].中国循环杂志,2023,38(3):237-271. [20] 闫申辉,马书杰,杨永林.高原低氧与血脂异常相关性研究进展[J].中华老年心脑血管病杂志,2025,27(12):1748-1751. [21] 北京高血压防治协会,中国老年学和老年医学学会,北京市社区卫生协会,等.成人高血压合并2型糖尿病和血脂异常基层防治中国专家共识(2024年版)[J].中国全科医学,2024,27(28):3453-3475,3482. [22] 何玲萍. 社区高血压、高血糖和高血脂共管的现状及管理模式探索[J].医师在线,2025,15(12):103-110. |
|
|
|