Study On The Incidence Of Cardiovascular Disease And Constitution Of Traditional Chinese Medicine In Hetian, Xinjiang

Objective:To provide guidance for the prevention and treatment of Cardiovascular Disease(CVD)in Hetian,asymptomatic residents aged 35-74 years in Hetian was assessed,and the characteristics of TCM constitutions in middle-risk group and high-risk group and the correlation between TCM constitutions and various risk factors of ICVD was analyzed.Methods:According to n=(Z~2?~2)/E~2,the minimum sample size is 4,500 people.According to the population of 8 counties and cities in Hetian,7,676 residents aged 35-74year old were randomly selected,and the"Chinese evaluation method of 10-year morbid risk of Ischemic Cardiovascular Disease"was used to calculate the absolute risk of ICVD of the crowd,and the risk factor exposure rates and risk differences were compared according to gender and age grouping.A total of 810 patients were randomly selected from a sample of 7,676 patients to conduct a questionnaire survey on the"Traditional Chinese Medicine Constitution Scale"to analyze the distribution of TCM constitutions,and logistic regression was used to analyze the relationship between the different risk factors middle-high-risk group and the TCM constitutions.Results:The exposure rate of abnormal systolic blood pressure,overweight,obesity,total cholesterol abnormality,smoking and diabetes,which are ICVD risk factors for asymptomatic residents aged 35-74years in Hetian,are 61.7%,33.9%,31.8%,12.5%,8%and 10.8%.The proportions of low,moderate,and high risk in the absolute risk classification of ICVD are 94.0%,4.0%,and2.0%,respectively.Among the 810 questionnaires of the"Traditional Chinese Medicine Constitution Scale",the valid questionnaires were 804,and the distribution of TCM constitutions was mainly balanced constitution(25.3%),qi-deficiency constitution(37.2%),yang-deficiency constitution(13.7%),and phlegm-dampness constitution(7.21%)).The stagnant blood constitution,yin-deficiency constitution,specific endowment constitution and qi-deficiency constitution are significantly correlated with middle-high-risk CVD incidence risk.Conclusion:The abnormal systolic blood pressure and abnormal body weight are more prominent in Hetian residents aged 35-74.Therefore,there should be a corresponding focus in the education work.The risk factor exposure rates and risk classification differences of different ages and genders have statistical significance.There is a certain correlation between TCM constitutions and CVD risk factors,such as hypertension,total cholesterol levels,and diabetes(P<0.05);TCM constitutions are significantly correlated with middle-high-risk CVD incidence risk(P<0.05).Therefore,in the process of prevention and treatment of CVD,the characteristics of TCM constitution of the residents in the area and the evaluation results of CVD risk factors should be combined with syndrome differentiation and treatment,which has guiding significance for the prevention and treatment of CVD in the area.