安徽省某社区40岁以上城镇常住居民脑卒中患病率及其危险因素分析
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摘要
目的了解安徽省某社区≥40岁城镇居民脑卒中患病现况及其危险因素,为制定脑卒中早期干预措施提供参考。方法采取多阶段整群随机抽样的方法对安徽省某社区3823例≥40岁城镇常住居民进行问卷调查、体格检查以及颈动脉彩色多普勒超声检查。结果安徽省某社区≥40岁城镇常住居民脑卒中患病率为6.04%,年龄标化患病率为4.61%;231例脑卒中患者中,缺血性脑卒中167例(72.29%),出血性脑卒中61例(26.41%);出血型和缺血型脑卒中两者兼有3例(1.30%);多因素非条件logistic回归分析显示,年龄越大、有高血压病、糖尿病、心脏病、血脂异常、吸烟、明显超重或肥胖以及脑卒中家族史等情况的居民罹患脑卒中的危险度高于无上述情况的居民(均P<0.05),且高血压病为罹患脑卒中最大的危险因素(OR=9.875,P<0.01)。结论安徽省某社区≥40岁城镇常住居民脑卒中以缺血性脑卒中为主,应采取有针对性的综合干预措施预防和控制脑卒中的发生。
Objective To understand the prevalence of stroke and risk factors among the over 40 in a community of Anhui province,and provide scientific evidence for the intervention of stroke. Methods Totally 3823 residents over 40 were selected from a community of Anhui province by multistage cluster sampling,and complete a face- to- face questionnaire survey,physical examination and carotid ultrasonography examination. Results The prevalence of stoke was 6. 04%,the age standardized prevalence of stroke was 4. 61%,including 167( 72. 29%) patients with ischemic stroke and 61( 26. 41%) patients with hemorrhagic stroke and 3( 1. 30%) patients with both. Multivariate unconditioned logistic regression analysis indicated that elderly,hypertension,diabetes,heart disease,lipid abnormality,smoking,overweight and family history of stroke were high risks of stroke,hypertension was the biggest risk factor( OR = 9. 875,P < 0. 01). Conclusion Ischemic stroke is the main type of Anhui residents over 40,comprehensive measures should be adopted to prevent and control the stroke.
Objective To understand the prevalence of stroke and risk factors among the over 40 in a community of Anhui province,and provide scientific evidence for the intervention of stroke. Methods Totally 3823 residents over 40 were selected from a community of Anhui province by multistage cluster sampling,and complete a face- to- face questionnaire survey,physical examination and carotid ultrasonography examination. Results The prevalence of stoke was 6. 04%,the age standardized prevalence of stroke was 4. 61%,including 167( 72. 29%) patients with ischemic stroke and 61( 26. 41%) patients with hemorrhagic stroke and 3( 1. 30%) patients with both. Multivariate unconditioned logistic regression analysis indicated that elderly,hypertension,diabetes,heart disease,lipid abnormality,smoking,overweight and family history of stroke were high risks of stroke,hypertension was the biggest risk factor( OR = 9. 875,P < 0. 01). Conclusion Ischemic stroke is the main type of Anhui residents over 40,comprehensive measures should be adopted to prevent and control the stroke.
引文
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[10]周桂荣,刘爱萍,叶纯,等.北京门头沟区中老年人群脑卒中患病现状及危险因素[J].中国公共卫生,2014,30(4):420-423.
[11]彭佳惠,严光,胡立群,等.合肥地区高血压患病情况及影响因素调查[J].中国临床保健杂志,2014,17(5):454-457.
[12]褚强强,唐海沁,夏光云,等.社区老年高血压患者相关心血管危险因素和不良生活方式状况调查及干预[J].中国临床保健杂志,2014,17(2):134-136.
[13]Furie KL,Kasner SE,Adams RJ,et al.Guidelinse for the prevention of stroke in pationts with stroke or transient ischemic attack:a guideline for healthcare Professionals from the American heart association/American stroke association[J].Stroke,2011,42(1):227-276.
[2]Norrving B,Kissela B.The global burden of stroke and need for a continuum of care[J].Neurology,2013,80(3Suppl 2):5-12.
[3]王洪波,李玉莲,王利清,等.北京海淀区≥40岁居民脑卒中患病现状及其影响因素[J].中国公共卫生,2014,30(5):583-585.
[4]Marshall IJ,Wang Y,Mc Kevitt C,et al.Trends in risk factor prevalence and management before first stroke:data from the South London Stroke Register 1995-2011[J].Stroke,2013,44(7):1809-1816.
[5]张振汉,程淑艳,李宁,等.北京市朝阳区八里庄地区40岁以上人群脑卒中危险因素现况调查[J/CD].中华脑血管病杂志:电子版,2013,7(6):322-329.
[6]卫生部卫生部统计信息中心.2013中国卫生统计年鉴[EB/OL].[2015-07-25].http://www.nhfpc.gov.cn/htmlfiles/zwgkzt/ptjnj/year2013/index2013.html.
[7]李粲,韩莉娜,霍富元,等.2012年广州市海珠区居民脑卒中患病率及相关危险因素调查分析[J].热带医学杂志,2013,13(6):712-715.
[8]马爱娟,董忠,李刚.北京市50-90岁人群脑卒中患病率和危险因素调查[J].中华流行病学杂志,2012,33(7):645-648.
[9]刘丽霞,周盛年,张晓,等.年龄老化对缺血性脑卒中发生发展和恢复的影响[J].中国老年学杂志,2012,32(2):417-420.
[10]周桂荣,刘爱萍,叶纯,等.北京门头沟区中老年人群脑卒中患病现状及危险因素[J].中国公共卫生,2014,30(4):420-423.
[11]彭佳惠,严光,胡立群,等.合肥地区高血压患病情况及影响因素调查[J].中国临床保健杂志,2014,17(5):454-457.
[12]褚强强,唐海沁,夏光云,等.社区老年高血压患者相关心血管危险因素和不良生活方式状况调查及干预[J].中国临床保健杂志,2014,17(2):134-136.
[13]Furie KL,Kasner SE,Adams RJ,et al.Guidelinse for the prevention of stroke in pationts with stroke or transient ischemic attack:a guideline for healthcare Professionals from the American heart association/American stroke association[J].Stroke,2011,42(1):227-276.