Chen Y J, Su J, Qin Y, Shen C, Fan Z Q, Pan E C, Gao Y, Zhang N, Zhou J Y, Wu M
Department of Epidemiology and Health Statistics, School of Public Health, Southeast University, Nanjing 210096, China.
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2019 Feb 6;53(2):218-222. doi: 10.3760/cma.j.issn.0253-9624.2019.02.018.
To evaluate the risk of 10-year risk of ischemic cardiovascular disease (ICVD) in patients with type 2 diabetes aged 35 years old and above in two cities of Jiangsu province. From December 2013 to January 2014, a total of 15 624 patients with type 2 diabetes aged 35 years old and above, who received national basic public health service in Changshu county of Suzhou city, Huai'an and Qinghe districts of Huai'an city, Jiangsu province, were recruited by cluster sampling method. Face-to-face questionnaire survey, anthropometric and laboratory measurements were conducted to collect exposures to ICVD risk factors. Improved Ten Year Risk Assessment Table of ICVD in Chinese was used to assess the risk score and the absolute risk of developing ICVD. The participants were (62.2±9.7) years old, of which 6 137 were men (39.3%). Among the participants, the highest rate of exposure to ICVD risk factors was high systolic blood pressure (74.8%, 11 685), followed by high total cholesterol (70.7%, 11 051).The score of 10-year risk for ICVD was (10.4±3.3) and the median ((25)-(75)) value of absolute risk was 15.6% (6.8%-32.7%). 16.7% (2 602) participants were under extremely high risk of 10-year risk for ICVD, 23.8% (3 714) under high-risk and 24.0% (3 746) under middle-risk. Among the total risk score of ICVD, age (49.1%), hypertension (17.7%) and diabetes (15.5%) accounted for relatively high proportion, however, smoking (11.0%) was the most important risk factor except for age (47.4%) and systolic blood pressure (20.5%) in male participants. Patients with type 2 diabetes aged 35 years old and above in two cities of Jiangsu Province have a high risk of developing ICVD for 10 years, especially in elderly, female, hypertension patients and male smokers.
评估江苏省两个城市35岁及以上2型糖尿病患者10年缺血性心血管疾病（ICVD）风险。2013年12月至2014年1月，采用整群抽样方法，在江苏省苏州市常熟县、淮安市和淮安市清河区接受国家基本公共卫生服务的15624例35岁及以上2型糖尿病患者中进行研究。通过面对面问卷调查、人体测量和实验室检测收集ICVD危险因素暴露情况。采用改良的中国ICVD十年风险评估表评估风险评分及发生ICVD的绝对风险。参与者年龄为（62.2±9.7）岁，其中男性6137例（39.3%）。参与者中，ICVD危险因素暴露率最高的是收缩压升高（74.8%，11685例），其次是总胆固醇升高（70.7%，11051例）。ICVD 10年风险评分为（10.4±3.3），绝对风险的中位数（四分位数间距）为15.6%（6.8%-32.7%）。16.7%（2602例）参与者处于ICVD 10年风险极高风险水平，23.8%（3714例）处于高风险水平，24.0%（3746例）处于中风险水平。在ICVD总风险评分中，年龄（49.1%）、高血压（17.7%）和糖尿病（15.5%）占比较高，然而，在男性参与者中，除年龄（47.4%）和收缩压（20.5%）外，吸烟（11.
