Coronary heart disease： incidence, risk factors and interventions in Jiaozhou of Shandong province

作     者：Yu Hua Li Dan Chu Xianming An Yi Song Tongxun Feng Huixin Lin Peilin Wang Tao Jiang Shaoyan Guo Linlin Xu Fengqiang Liu Zhengke Yang Bin 

作者机构：Department of CardiologyAffiliated Cardiovascular Hospital of Qingdao UniversityQingdaoShandong 266071China Department of CardiologyAffiliated Hospital of Qingdao UniversityQingdaoShandong 266042China Department of CardiologyJiaozhou Peoples HospitalQingdaoShandong 266300China Department of CardiologyJiaozhou Puji Central Health InstituteQingdaoShandong 266326China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2014年第127卷第12期

页      面：2275-2278页

核心收录：

学科分类：0710[理学-生物学] 0832[工学-食品科学与工程（可授工学、农学学位）] 071010[理学-生物化学与分子生物学] 1002[医学-临床医学] 07[理学] 08[工学] 083202[工学-粮食、油脂及植物蛋白工程] 

基　　金：TheSpecializedCommitteeofBrain-HeartTreatment ChineseAssociationofIntegrationMedicine BuchangPharmaofHeze China 

主　　题：冠状动脉疾病 危险因素 心脏疾病 发病率 山东省 干预措施 胶州市 心血管疾病 

摘      要：Background Coronary heart disease (CHD) is the most common type of heart disease and cause of heart attacks.This study investigated the epidemiological characteristics of CHD and its risk factors in Jiaozhou,Shandong province,to ultimately find a way of reducing the prevalence of cardiovascular disease,and to provide a theoretical basis for establishing a cardiovascular disease management path under the regional medical collaborative mechanism.Methods A questionnaire survey was performed including 1 952 people aged 35 years or older who were questioned by means of stratified,cluster,proportional sampling to investigate the prevalence of CHD and its risk factors.The data were inputted into SPSS11.0 statistical software for processing and analysis.We advised the local medical institutions to establish health files for the residents with CHD and risk factors.They were followed up regularly.Their risk factors and life-style were monitored,and advice was given as to proper medications.Green channels were established,and the patients were transmitted in a timely manner to superior hospitals for better treatment if the necessary treatments were not available in the local hospitals.The control of risk factors was observed after the follow-up for half a year.Results In Jiaozhou,the rates of coronary artery disease,hypertension,diabetes,hyperlipidemia and overweight were 8.15%,28.54%,11.43%,35.46%,and 18.70% respectively.The rates of hypertension,diabetes,hyperlipidemia and overweight were higher than the data published in The report of Chinese cardiovascular disease 2012; which are 24%,9.7%,18.6%,and 9.7%,respectively.The control of risk factors improved significantly after the guidance of the residents lifestyle and medication for six months.Conclusions The high prevalence of coronary artery disease in Jiaozhou is closely related to age,gender,diet structure,family history of cardiovascular disease,hypertension,diabetes,hyperlipidemia,overweight,and unhealthy lifestyle.Under the regional medical coordination mechanism,the collaborative management of cardiovascular disease can provide new management concepts for the areas short of medical resources,so as to reduce the prevalence of cardiovascular disease.