上海复发性脑卒中的流行病学研究  

Epidemiology of Recurrent Stroke in Shanghai

作　　者：曾军[1] 洪震[1] 黄茂盛[1] 周玢[1] 金美华[1] 沈明庭[1] 吕传真[1] 

机构地区：[1]复旦大学神经病学研究所,200040

出　　处：《神经疾病与精神卫生》2001年第1期5-7,共3页Journal of Neuroscience and Mental Health

基　　金：国家九五攻关课题(96-906-02-20)

摘　　要：目的 分析复发性脑卒中的疾病监测分布。方法 对1996～1999年上海市静安区约82 220人群进行长达4年的脑卒中发病监测。结果 4年中共有复发性脑卒中153例。各年复发性脑卒中的发病率依次为:26.6/10万、50 0/10万、59.6/10万、48.4/10万。在男性中复发性脑卒中的百分比为23.0％,其中脑出血与脑梗死分别为4.8％、18.2％;在女性中复发性脑卒中的百分比为20.5％,其中脑出血与脑梗死分别为5.4％、15.2％。复发性脑卒中病例中,复发1次者占64.7％。复发次数最多为5次。复发性脑卒中患者患有高血压、糖尿病、高血脂及短暂性脑缺血发作(TIA)的百分率均明显高于首次脑卒中病例。结论 复发性脑卒中百分比相当高,且每年脑卒中发病者中复发性脑梗死发病率占总发病率的百分比高于脑出血。无性别及年龄差异。复发性脑卒中所患各主要危险因素的百分率也较高,防止脑卒中的复发及降低危险因素水平是降低脑卒中发病的重要途径之一。Objective To analyze the distribution of recurrent stroke by surveillance. Methods Community- based surveillance was implemented in 82 220 people in Jingan District of Shanghai during 1996 to 1999. Results A total of 153 recurrent stroke were registered during 4 years, The incidence of recurrent stroke annually were 26.6,50.0,59.6 and 48.4 per 100000 respectively. Among the men population, proportions of recurrent stroke was 23.0% , and recurrent cerebral infarction was 18.2% , recurrent cerebral hemorrhage was 4.8%, respectively. Among the women population, proportions of recurrent stroke was 20.5% , and recurrent cerebral infarction was 15.2% , recurrent cerebral hemorrhage was 5,4% , respectively. In recurrent stroke patients, 64.7% cases were the first recurrence, the most recurrent times approach to five. The proportions of risk factors such as hypertension, diabetes mellitus, lipo-hemia or transient ischemic attacks(TIA) in recurrent stroke patients were higher than first - time stroke. Conclusions The proportions of recurrent stroke was very high in stroke, and incidence of recurrent cerebral infarction was higher than cerebral hemorrhage, without significant difference in sex or age. The risk factors prevalence in recurrent stroke was higher too. Reduction of risk factors in population and controlling recurrence of stroke are one of important ways to lower incidence of stroke.

关 键 词：复发性脑卒中 脑出血 流行病学研究 中脑 危险因素 脑梗死 发病率 上海市静安区 百分比 百分率 

分 类 号：R743[医药卫生—神经病学与精神病学]