419 385名门诊患者中缺血性心脏病的危险因素:长期比较研究
A S Galyavych1, R N Khairullin2, L V Baleeva1
1Kazan State Medical University.
综合诊所的患者表现出高患缺血性心脏病风险因素的高患病率,如高血压和高胆固醇. 尽管出现了一些改善,但这些仍然是对心血管健康的重大担忧.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 心血管疾病仍然是全球主要的死亡原因.
- 在初级保健机构中识别和监测风险因素对于公共卫生倡议至关重要.
- 多诊所的访问提供了一个有价值的机会,以评估人口层面的风险因素流行率.
研究的目的:
- 确定当地多诊所的患者中易于测量的缺血性心脏病 (IHD) 风险因素的发病率.
- 在定义的随访期间分析关键心血管风险因素的趋势.
主要方法:
- 分析了在2018-2023年期间访问多诊所的419.385名患者的大队伍.
- 确定了关键的风险因素,包括动脉高血压,总胆固醇 (TC) 和血葡萄糖.
- 收集和分析了血压,血糖水平,TC和体重指数的数据.
主要成果:
- 血压>140/90mmHg的患者比例下降,但在研究结束时仍然高,为49.7%.
- 在血糖>6.1 mmol/l的患者中观察到显著下降,但仍然超过10%.
- 在63.1%的患者中,高总胆固醇水平 (>5.2 mmol/l) 持续存在,没有发现显著变化.
结论:
- 参观住院诊所的患者表现出主要IHD风险因素的持续高发病率.
- 动脉高血压,高总胆固醇和高血糖仍然是初级保健中普遍存在的挑战.
- 需要有效的公共卫生策略来解决社区中持续存在的这些心血管风险因素.
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