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西安市老年男性冠心病危险因素队列研究.doc

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西安市老年男性冠心病危险因素队列研究.doc

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西安市老年男性冠心病危险因素队列研究.doc

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文档介绍:西安市老年男性冠心病危险因素队列研究
作者:石丘玲,李良寿,徐德忠,黄久仪,王安辉,阎明晓,王嫣
【关键词】冠心病
关键词: 冠心病;死亡;危险因素;队列研究

摘要:目的前瞻性研究老年人群冠心病死亡与常见危险因素的关系. 方法驻西安市部队干休所男性离休干部1268名为研究队列,自1987年起对常见冠心病危险因素(烟酒嗜好、血压、血脂水平、家族史等)及死亡情况进行10a随访. 结果单因素分析示吸烟、负性生活事件、高血压病史是老年男性冠心病死亡的危险因素,相对危险度(RR)分别为:(~),(~),(~).Cox风险比例模型分析示吸烟、负性生活事件、年龄入选,高血压病史、心血管病史、心血管病家族史、冠心病史、胆固醇和三酰甘油水平未能进入模型. 结论在老年人群中,吸烟、高血压等常见冠心病危险因素亦是冠心病死亡的主要危险因素.

Keywords:coronary heart disease;death;risk factors;co-hort study

Abstract:AIM To study the relationship between coronary heart disease(CHD)normal risk factors and CHD death in old A cohort study was performed in the last ten older than55were selected as the investigation included demographic charac-ters,smoking,drinking,negative life event,history and family history of hypertension,blood pressure and serum lipid other year,changes of risk factors and death were By univariate analysis,it was suggested that smoking,negative life event and hyper-tension had positive associations with CHD risks(RR)(~),(~)(~) other risk factors were adjusted in Cox risk ratio model,there were significant relationships between smoking,negative life event and age and Some normal CHD risk factors also have significant effects on C