深圳市社区人群脑卒中发病类型的分布特征  

DISTRIBUTION CHARACTERISTICS OF TYPES OF STROKE IN URBAN AREA IN SHENZHEN

作　　者：饶宜光 池洪珊[2] 黄文繁[3] 黄莲婵 刘小立[2] 彭绩[2] 黄会坚 褚晓凡 郭毅 

机构地区：[1]暨南大学第二临床医学院深圳市人民医院神经内科,深圳518020 [2]深圳市慢性病防治院 [3]深圳市南山区疾病预防控制中心 [4]深圳市宝安区公明人民医院

出　　处：《现代预防医学》2007年第9期1610-1611,共2页Modern Preventive Medicine

基　　金：广东省科委重点科技攻关计划项目(粤科计字[1999]245-14)

摘　　要：[目的]分析深圳市社区人群脑卒中发病类型的分布特征,为卒中防治提供理论依据。[方法]2003～2005年对深圳市全市所有自然社区人群的脑卒中新发病例进行登记监测,采用分组、分类比较方法对其进行亚型分析,探讨发生卒中的常见危险因素,如年龄、性别、高血压、糖尿病、心脏病、血脂异常等,并进行双因索方差分析和χ2检验。[结果]2003～2005年间深圳市社区人群脑卒中新发病例共15474例,其中脑梗死为10396例(占67.2%),脑出血为4297例(占27.8%),蛛网膜下腔出血为632例(占4%)。[结论]中年人特别是50岁以下人群应重视出血性卒中的危害,50岁以上的人群的预防重点应放在缺血性卒中方面。尤其要控制高血压、糖尿病、心脏病等危险因素。[Objective] To analyze the types distribution characteristics of stroke in Shenzhen and provide the theoretical basis for preventing stroke. [ Methods] The new stroke cases in community population of Shenzhen from 2003 to 2005 were monitored and established typing diagnosis, and the common risk factors were emphasized. Two way ANOVA and Chi-square test was used to compare the cormnon risk factors between and within each group. [ Results] 15 474 new cases of stroke were selected with Hemmorhagic, ischemic, and subarachnoid hemorrhage, which accotmted for 27.8%, 67.2% and 4.0% respectively. [Conclusion] Prevention should be focused on hemorrhagic stroke for those who aged over 50 and ischemic stroke for those who aged less than 50. It＇s important to control high blood pressure, diabetes and heart disease for the prevention of stroke.

关 键 词：脑卒中 发病类型 流行病学 危险因素 

分 类 号：R543.3[医药卫生—心血管疾病]