内科

目的了解广西柳州市不同年龄男女医护人员10年内发生缺血性心血管疾病（ICVD）的风险。方法应用“国人ICVD 10年发病危险度评估方法”，对柳州市某医院不同年龄、35～59岁男女医护人员1 273名10年内ICVD发病的风险进行评估分析。结果柳州市同一年龄段男性医护人员10年内ICVD发病危险度显著高于女性（P＜0.05），男女医护人员ICVD发病危险度均随着年龄的增长不断升高；除35～年龄段女性外，柳州市男女医务人员10年内ICVD发病危险度均高于我国人群危险度平均水平（P＜0.05）。极低危人群、低危人群、中危人群、高危人群及极高危人群在柳州市男女医护人员中的分布情况比较差异有统计学意义（P＜0.01）。女性医护人员以极低危和低危人群为主（62.7%）；而男性医护人员以中危、高危和极高危人群为主（78.0%）。不同绝对危险度医护人员的年龄分布情况比较差异有统计学意义(P＜0.01)。 35～、40～年龄段的医护人员主要为ICVD发病低危人群，50～年龄段的医护人员以中高危人群为主，在55～59岁的医护人员中高危人群占91.0%。男性医务人员BMI、收缩压、舒张压、TC、FBG异常和吸烟比例显著高于女性（P＜0.01）。绝对危险程度≥10%的医务人员BMI、收缩压、舒张压、TC、FBG异常和吸烟比例显著高于绝对危险程度＜10%的医务人员（P＜0.01）。结论柳州市男女医护人员10年ICVD的发病风险较高，均高于我国男女人群危险度平均水平，可能与他们的BMI、收缩压、舒张压、TC、FBG异常和吸烟比例较高有关。

ObjectiveTo study the 10-year’s risk of ischemic cardiovascular disease (ICVD) among different age and sex of medical staffs in Guangxi Liuzhou. MethodsThe 10-year’s risk of ICVD among 1273 medical staffs aged 35 to 59 in a certain hospital of Liuzhou was evaluated by “National 10-year Risk Assessment for ICVD”. ResultsIn hospital of Liuzhou, the risk of ICVD in male medical staffs in 10 years was significantly higher than that in female medical staffs at the same age, the elder the medical staffs were,the higher risk on ICVD; the risk of ICVD in male and female medical staffs were both significantly higher than the average level in the whole nation in 10 years except the aged 35~ group of females (P＜0.05). There was significant difference in the distribution of ultra-low risk, low-risk, intermediate-risk, high risk and very high risk population between male and female medical staffs (P＜0.01). Female medical staffs were mainly with ultra-low risk and low-risk population (62.7%), while male medical staffs were mainly with intermediate-risk, high risk and very high risk population (78.0%). There was significant difference in the distribution of age among difference risk in medical staffs (P＜0.01). Medical staffs of aged 35~,40~group mainly with low-risk of ICVD, while aged 50~ group mainly with intermediate-risk, high risk, and in aged 55~59 group, the total proportion of ntermediate/high risk was 91.0%.The rate of abnormal body index (BMI), systolic pressure, diastolic blood pressure, serum total cholesterol (TC), average fasting blood glucose (FBG) and the proportion of smoking in male medical staffs were significantly higher than those of female medical staffs (P＜0.01).The rate of abnormal BMI, systolic pressure, diastolic blood pressure, TC, FBG and the proportion of smoking in medical staffs who absolute risk ≥10% were significantly higher than those of absolute risk ＜10%(P＜0.01). ConclusionsThe 10-year’s absolute risk of ICVD of male and female medical staff in Liuzhou was higher than the average level in the whole nation, this was probably related to abnormal BMI, systolic pressure, diastolic blood pressure, TC, FBG and high rate of smoking.