乡村居民颈动脉粥样硬化现况调查及相关危险因素分析

摘要

Objective To analyze the prevalence and risk factors of carotid atherosclerosis ( CAS ) among residents in an urban district of Beijing. Methods Totally 600 subjects were recruited using the stratified cluster random sampling among residents aged 50 years or above in Miaofengshan Area, Mentougou District, Beijing. Questionnaire - based survey, physical examination, and ultrasonography of carotid artery were performed to investigate the prevalence of CAS. A Logistic regression a-nalysis was performed to identify the underlying risk factors. Results The prevalence of CAS was 48. 33% among the subjects, with the main risk factors being age, sex, smoking status, hypertention, and diabetes mellitus. Conclusion The prevalence of CAS remains high in this area, with age, sex, smoking status, hypertention, and diabetes mellitus being the independent risk factors.%目的 了解北京妙峰山地区乡村居民颈动脉粥样硬化(CAS)患病情况及可能的相关危险因素.方法 采用分层随机抽样的方法在妙峰山地区3个村中随机选择600例50岁以上的居民进行问卷调查、体格检查和颈部血管超声检查,并对13项与CAS患病有关的因素进行Logistic回归分析.结果 CAS检出率为48.33%,主要危险因素为性别、年龄、高血压、糖尿病和吸烟.结论 性别、年龄、高血压、糖尿病和吸烟是北京妙峰山地区乡村居民CAS的独立危险因素.