1.Analysis of health status of 4502 retired cadres of People's Liberation Army
Yinglu FENF ; Quanjiang LV ; Yi WANG ; Suning XIN
Medical Journal of Chinese People's Liberation Army 1982;0(01):-
Objective To investigate the quality of life of retired cadres of People's Liberation Army,and analyze their health status and unhealthy life style on health.Methods From Jun.2008 to Dec.2008,4502 retired cadres aged 60 and above residing in Shanghai,Nanjing,Qingdao and Hangzhou were involved in present study.A transverse section on-the-spot survey was performed by questionnaire,and the quality of life was then analyzed based on the data gained.Results A total of 4502 valid questionnaires were received,the recruitment rate was 90.03%.Fifty questionnaires were randomly selected and checked,the coincidence was 89%.Several chronic diseases were found in the subjects investigated,and the following diseases occupied the top 10 positions:coronary artery disease,hypertension,type 2 diabetes mellitus,prostate hyperplasia,chronic gastritis,stroke,chronic bronchitis,tumor,hyperlipoidemia and cataract.The detection rates of all these diseases,with an exception of chronic gastritis,were correlated with age in certain degree.Smoking,lack of physical exercises and lack of fruits or vegetables intake were the main unhealthy life habits.Conclusion The basic health status of retired military cadres aged 60 and above has been obtained by the present investigation,and ten main chronic diseases and main unhealthy life habits in these retired cadres have been found,which may provide significant data for further study to work out a health care scheme for retired cadres.
2.Effect of fasudil on the vascular endothelial function in patients with coronary slow flow
Wei GUO ; Liwen LIU ; Suning WU ; Yanan ZHANG ; Meng WANG ; Xin YI
Clinical Medicine of China 2016;32(10):868-871
Objective To investigate the effect of fasudil on vascular endothelial function in patients with coronary slow flow( CSF) . Methods Eighty?two patients with CSF and normal coronary angiography were selected and randomly divided into conventional treatment group and fasudil group, 41 cases in each group. Patients in conventional treatment group were given conventional treatment( aspirin,nitrates and atorvasta?tin) ,while patients in the fasudil group were given fasudil on the basis of conventional treatment. The angina pectoris,TIMI,endothelial?dependent flow?mediated vasodilation( FMD) ,the levels of plasma nitric oxide( NO) , endothelin?1( ET?1) and Rho kinase( ROCKI) of the brachial artery were observed in the two groups before and after two weeks of treatment. Results The total effective rate of fasudil group was 87. 80%,higher than that of conventional treatment group of 65. 85%,the difference was significant(χ2=68. 176,P<0. 05) . TIMI,FMD im?proved in the fasudil group after treatment compared with before treatment, the difference was significant ( t =4. 37,4. 43;P<0. 05);plasma NO level increased compared with before treatment(t=5. 63,P<0. 01),while ROCKI,ET?1 level decreased(t=6. 19,5. 66;P<0. 01). Plasma NO,ET?1,ROCKI and FMD,TIMI of conven?tional treatment had no significantly changes before and after treatment(P<0. 05). The post?treatment of NO, FMD,TIMI levels in fasudil group were significantly increased compared with conventional group ( ( 36. 17 ±7. 64) μmol/L vs. (24. 99±8. 96) μmol/L,(9. 96±1. 76)% vs. (5. 86±1. 45)%,17. 53±5. 81 vs. 29. 71 ±7. 83;t=4. 06,4. 18,5. 41;P<0. 05),while ROCKI,ET?1 levels in fasudil group were significantly decreased compared with conventional group((19. 57±1. 33) μg/L vs. (34. 38±1. 51) μg/L,(14. 36±6. 05) ng/L vs. (20. 95±6. 57) ng/L;t=3. 87,4. 36,P<0. 01). Conclusion Fasudil can significantly improve the vascular en?dothelial function in patients with CSF.
3. The incidence of hypertension, overweight, and obesity and relationship with cardiovascular events among middle-aged Chinese: 6 years follow-up results
Zuo CHEN ; Suning LI ; Xin WANG ; Linfeng ZHANG ; Lan SHAO ; Ye TIAN ; Zengwu WANG
Chinese Journal of Cardiology 2020;48(1):47-53
Objective:
To identify the incidence of hypertension, overweight/obesity in middle-aged population in China, and explore their impact on cardiovascular events.
Methods:
From 2009 to 2010, 12 areas were sampled in China, and about 1 000 subjects aged 35 - 64 from each area were enrolled to collect the basic information, physical examination and blood tests were also performed. From 2016 to 2017, data from 8 835 subjects, who completed the 6 years follow-up, were analyzed.Blood pressure and body mass index(BMI) at both baseline and the follow-up, as well as incidence of hypertension, overweight and obesity, were calculated. Cox proportional hazard model was used to investigate the impacts of hypertension, overweight and obesity on cardiovascular events after adjusting confounders.
Results:
At the end of follow-up, both BMI and systolic and diastolic blood pressure increased significantly compared with the baseline levels (all
4. Effects of standardized management of hypertension in the workplace for patients with diabetes
Xin WANG ; Zengwu WANG ; Suning LI ; Zuo CHEN ; Linfeng ZHANG ; Lan SHAO ; Ye TIAN
Chinese Journal of Health Management 2020;14(1):43-49
Objective:
To evaluate the effects of standardized management of hypertension on blood pressure control of hypertension patients with diabetes mellitus in workplace population.
Methods:
Taking the type and size of workplace into consideration, 61 work sites were selected in different provinces by using epidemiological field trial method. In each selected province, 2-4 work sites with similar economic and medical conditions were chosen, among which 1-3 were designated as the intervention group and the other one as the control group. In total, 443 patients with hypertension and diabetes mellitus were included, with 347 patients in the intervention group and 96 patients in the control group. After training, doctors conducted standardized management for patients in the intervention group for a period of 24 months, following up with them regularly once a month, and recorded changes in blood pressure, risk factors, target organ damage, and treatment, while the control group had no special intervention, and relevant information was collected only at baseline and 24 months. Blood pressure, blood pressure control rate, and blood glucose changes were compared between the two groups.
Results:
After receiving standardized management of hypertension, the control rate of hypertension for patients with both hypertension and diabetes mellitus in the intervention group increased from 24.2% to 63.7% (