中山地区脑卒中高危人群相关危险因素分析及防治对策研究  

Risk factors and intervention schemes of stroke in the elderly in zhongshan,China

作　　者：郑静红[1] 吴文军[1] 韩志安[1] 周敏[1] 谭惠瑜 

机构地区：[1]中山市人民医院神经内科,广东中山528403

出　　处：《广州医学院学报》2014年第2期27-29,共3页Academic Journal of Guangzhou Medical College

摘　　要：目的:探索中山地区脑卒中相关危险因素,为脑卒中防控措施提供科学依据。方法:采用多阶段分层随机抽样法对广东省中山市本地40岁以上的常住人口进行危险因素初筛、实验室检查和颈动脉超声检查,结合脑卒中相关危险因素调查,进行危险因素与颈动脉粥样硬化的单因素和多因素相关性分析。结果:颈部血管内膜中层增厚检出率为30.85%,颈动脉狭窄检出率为5.74%;颈动脉粥样硬化斑块检出率为33.18%;年龄、性别、吸烟情况、血脂异常、高血压痛和脑卒中家族史与颈动脉粥样硬化具有相关性(P<0.05)。颈动脉粥样硬化斑块的相关因素为高血压病和脑卒中家族史。结论:针对颈动脉粥样硬化的危险因素,采取特异性的防控措施,有助于脑卒中的防治。Objective:To evaluate the stroke-related risk factors,thus providing scientific basis for stroke prevention and control measures.Methods:Based on multi-stage stratified random sampling,local residents aged over 40 years were screened for the risk factors of stroke,laboratory examination and carotid ultrasonography in Zhongshan,China.We further analyzed the risk factors of stroke and the association with carotid atherosclerosis via univariable and multivariable correlation analysis.Results;The neck vascular intima-media thickening,carotid artery stenosis and carotid atherosclerosis plaque was presented in 30.85%,5.74%and 33.18%of the cohort.The age,gender,smoking status,dyslipidemia,hypertension and the family history of stroke were significantly correlated with carotid atherosclerosis(all P<0.05).Hypertension and a family history of stroke were independently related to stroke.Conclusion;Targeting at the risk factors of carotid atherosclerosis and implementation of specific prevention and control measures would facilitate the prevention and treatment of stroke.

关 键 词：脑卒中 危险因素 颈动脉超声 相关性分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]