荆门市居民脑卒中流行现状及危险因素调查  

Investigation on Prevalence and Risk Factors of Stroke in Jingmen

作　　者：孔祥辉[1] 刘丹[1] 卢志刚[1] 李军华[1] 胡迎富[1] 

机构地区：[1]湖北省荆门市第一人民医院,湖北荆门448000

出　　处：《现代预防医学》2015年第10期1736-1738,共3页Modern Preventive Medicine

基　　金：2014年度荆门市科技计划重点项目资助

摘　　要：目的对荆门市居民脑卒中流行现状及危险因素进行调查分析,为荆门市脑卒中的预防和诊疗提供参考,降低荆门市脑卒中发病率。方法对荆门市40岁以上(包括40岁)的居民进行整体随机抽样,对每例被调查者均进行问卷调查。由神经科医师做出脑卒中诊断。每个脑卒中患者均统一抽血进行实验室检查。后采用SPSS 17.0统计软件包进行统计分析,计数资料采用χ2检验,相关危险因素采用多因素Logistic回归分析,P<0.05为差异有统计学意义。结果荆门市脑卒中患病率在性别上无统计学差异,但城市人群患病率与农村人群患病率有统计学差异,城市人群患病率高于农村人群患病率。脑卒中在各组年龄间患病率差异有统计学意义(P<0.05),从40岁开始脑卒中患病率随年龄增长呈显著上升趋势。多因素Logistic回归分析表明高血压、糖尿病、心房颤动、高脂血症、高同型半胱氨酸血症、超重、吸烟是脑卒中的危险因素。结论脑卒中的防治应该根据荆门市脑卒中的流行现状及危险因素,采取针对性的综合措施。Objective This work was to analyze the epidemiological characteristics and risk factors of stroke in Jingmen city, and to propose measures for reducing the incidence of stroke in Jingmen. Methods Whole random sampling was used to select residents over 40 years old（including 40 years） in Jingmen city for a questionnaire survey, and neurologists diagnose if they had stroke. Blood sample was drawn from each stroke patients for laboratory examination. SPSS 17.0 statistical software was utilized for statistical analysis. χ^2test was used for enumeration data, multivariate Logistic regression analysis was used for the related risk factors. Results Stroke prevalence differed with genders but with areas. The prevalence in urban areas was higher than rural area. Stroke prevalence varied significantly with age（P〈0.05）. Starting from age of 40 years, it increased significantly with age. By Logistic regression,hypertension, diabetes, atrial fibrillation, hyperlipemia, hyperhomocysteinemia, overweight, and smoking were risk factors of stroke.Conclusion Stroke prevention should be based on Prevalence and risk factors in Jingmen city. Comprehensive measures should be taken to control stroke.

关 键 词：脑卒中 患病率 危险因素 LOGISTIC回归分析 

分 类 号：R181.2[医药卫生—流行病学] R195.4[医药卫生—公共卫生与预防医学]