宁德市蕉城区脑卒中高危人群筛查结果分析  

Analysis of Screening Results of Cerebral Apoplexy High-risk Population in Jiaocheng District,Ningde City

作　　者：林铃芳 曾玉李 林齐防[1] 辛勇通[1] 

机构地区：[1]福建医科大学附属宁德市医院神经内科,宁德352100

出　　处：《福建医科大学学报》2016年第5期306-309,共4页Journal of Fujian Medical University

摘　　要：目的了解宁德市蕉城区脑卒中高危人群现况及脑卒中相关危险因素的暴露水平,为脑卒中的防治提供科学依据。方法采用整群抽样的方法,选取宁德市蕉城区4个乡镇≥40岁常住人口为筛查对象,共筛选11 588例,将其数据录入计算机并加以分析。结果经过脑卒中风险评估,低危8 508例（73.42%）,中危1 107例（9.55%）,高危1 960例（16.91%）。在40-79岁年龄段,高血压病、心房颤动或心脏瓣膜病、糖尿病等因素呈现随年龄增长而增加的趋势,而吸烟则呈现随年龄增长而降低的趋势;〈50岁组人群体力活动最少（79.33%）。高危人群中,男性1 206例（61.53%）,女性754例（38.47%）。结论宁德市蕉城区≥40岁人群中,脑卒中危险因素整体暴露水平较高,前3位的危险因素为高血压病、血脂异常、体力活动少;高血压病、心房颤动或心脏瓣膜病、糖尿病等因素在40-79岁年龄段呈现增长趋势。Objective To investigate the current status of the cerebral apoplexy high-risk popula- tion and its risk factors in Ningde City, providing scientific basis for stroke prevention. Methods Resi- dents of 40 years of age or older in Jiaocheng district were selected by cluster sampling method. 11 588 cases were recorded and analyzed with computer. Results According to the stroke screening and evalua- tion, 8 508 cases had low risk of stroke, 1 107 cases had intermediate risk, while 1 960 cases had high risk. In the 40-69 age group, the prevalence trends of hypertension, atrial fibrillation, valvular heart disease, and diabetes increased with age whilethe number of smokerdecreased with age. Residents under 50 years old did least amount of physical activites In high-risk group, there were 1 206 men and 754 women. Conclusion In Jiaocheng district, risk factors of stroke are higher in the residents of 40 years of age or older. The prevalence trends of hypertension, atrial fibrillation or valvular heart disease, diabetes increases with the age in the range of age 40 to 79. Meanwhile, hypertension, hyperlipidemia and less physical activities are the top three risk factors in the high-risk group.

关 键 词：卒中 危重病 普查 危险因素 数据收集 高血压 糖尿病 心房颤动 心脏瓣膜病 血脂异常 

分 类 号：R743.3[医药卫生—神经病学与精神病学]