贵阳市60岁以上人群脑卒中危险因素调查分析  

A investigation report on risk factors of stroke in people aged 60 and over in Guiyang

作　　者：代鸣明 楚兰[2] 刘芳[2] 朱英武[2] 方旭明[2] 

机构地区：[1]海南省农垦总医院,海南海口570300 [2]贵阳医学院附属医院神经科,贵州贵阳550004

出　　处：《中风与神经疾病杂志》2013年第5期446-449,共4页Journal of Apoplexy and Nervous Diseases

基　　金：贵阳市科技局社会公关计划资助项目(3-016)

摘　　要：目的了解贵阳市城乡≥60岁人群脑卒中相关危险因素的暴露情况及分布规律。方法采用整群随机方法对两个街道办事处和一个镇的60岁及以上常住居民进行调查,包括一般情况及脑卒中相关危险因素的调查,描述脑卒中危险因素的城乡分布特征。结果城市老年人群高血压、心脏病、高血糖、血脂异常、超重或肥胖、卒中家族史、吸烟、饮酒、喜盐、喜脂等危险因素的暴露率分别为39.66%、4.53%、17.12%、8.63%、33.11%、1.31%、30.05%、17.60%、8.16%、8.99%;农村老年人群分别为43.6%、2.45%、14.50%、6.47%、22.63%、1.09%、45.73%、33.02%、19.74%、26.92%。临床指标中,高血压暴露率农村高于城市,其余各因素城市暴露率高于农村(P<0.05)。生活行为因素中,农村地区暴露率高于城市(P<0.05)。结论贵阳市60岁以上人群脑卒中危险因素中高血压暴露率最高,其次为吸烟,而超重或肥胖也已称为不容忽视的重要因素。农村老年人群生活行为因素暴露率高,这也可能是近年来农村地区脑卒中患病率迅速上升的原因之一。Objective To investigate the characteristic exposure and distribution characteristics of stroke-related risk factors in People aged 60 and above in urban and rural areas of Guiyang.Methods Two street offices and a town resident population aged 60 and over were selected by cluster sampling method.The information about general,and stroke-related risk factors were investigated.Describe the distribution characteristics of risk factors for stroke in urban and rural areas.Results Exposure rates of hypertension,heart disease,high blood sugar,dyslipidemia,overweight or obese,family history of stroke,smoking history,drinking history,high-salt diet,high-fat diet in urban elderly were 39.66%,4.53%,17.12%,8.63%,33.11%,1.31%,30.05%,17.60%,8.16%,8.99%,and in rural 43.6%,2.45%,14.50%,6.47%,22.63%,1.09%,45.73%,33.02%,19.74%,26.92%.In Clinical indicators,the exposure rate of hypertension was higher in rural than in urban,the rest of the factors wereas opposite（P〈0.05）.On the other hand,the exposure rates of life and behavioral factors wereas higher in rural than in urban（P〈0.05）.Conclusion In people aged 60 and over in Guiyang,hypertension has the highest exposure rate among all the risk factors,followed by smoking.Then,overweight or obese has also been known as important factors which can not be ignored.It may also be one of the reasons that the prevalence of stroke is rising rapidly iIn recent years In rural areas.

关 键 词：脑卒中 危险因素 暴露率 调查 

分 类 号：R743.3[医药卫生—神经病学与精神病学]