长春市社区脑卒中高危人群筛查分析  

Analysis of the High Risk Population of Stroke Screening in Communities of Changchun

作　　者：李丽[1] 李贯绯[1] 

机构地区：[1]吉林省人民医院神经内科,中国长春130021

出　　处：《国际老年医学杂志》2017年第1期7-10,共4页International Journal of Geriatrics

基　　金：吉林省卫生计生委适宜技术推广项目（2014S012）

摘　　要：目的：了解长春市社区40岁以上居民脑卒中高危人群危险因素分布情况，为社区建立脑卒中高危人群干预策略提供科学依据。方法：采取整群抽样的方法，选取长春市宽城区凯旋社区、德惠胜利社区≥40岁居民1172人，进行问卷调查、体格检查，依据卒中风险筛查评估筛选出高危人群，对高危人群进行血糖、血脂、心电图检查，将调查数据进行分析。结果：高危人群检出率为29．6％，按危险因素暴露率依次排序：高血压（60．8％）、超重（42．9％）、吸烟（40．1％）、血脂异常（36．0％）、脑卒中家族史（30．5％）、糖尿病（30．0％）、很少进行体育活动（26．2％）、脑卒中病史（17．3％）、房颤（4．9％）和TIA病史（4．6％）。男、女性在平均年龄和吸烟方面的差异具有统计学意义（P〈0．05），其余各项危险因素不同性别间差异无统计学意义（P〉0．05）。多因素Logistie回归分析显示高血压、高甘油三酯血症、糖尿病、房颤、体质指数（BMI）、很少体育运动与高危人群脑卒中患病密切相关。结论：长春地区脑卒中高危人群比率较高，主要危险因素为高血压、高甘油三酯血症、糖尿病、房颤、超重、很少体育运动，亟待采取有针对性的干预措施来防控。OBJECTIVE ： To investigate the distribution of risk factors among the high risk population aged over 40 years in com- munities of Changchun and to provide scientific basis of intervention strategy for them. METHODS： 1172 people （ 〉 40 years old） in Kuancheng District and Dehui District were selected. Blood glucose tests, blood lipid tests and ECG were performed on the high - risk crowd who were recorded by questionnaire and physical examination. RESULTS： The detection rate of high risk population was 29. 6%. Rank order according to the risk factor exposure rate was hypertension （60. 8% ） and overweight （42. 9% ）, smoking （40. 1%）, dyslipidemia （36.0%）, cerebral stroke family history （30.5%）, diabetes （30.0%）, very few sports （26.2%）, history of stroke （17.3%） , atrial fibrillation （4. 9% ） and TIA （4. 6% ）. There was statistically significant difference in average age and smoking between male and female （P 〈 0. 05）. Multivariate logistic regression analysis showed that hypertension, hyperlipi- demia, diabetes, atrial fibrillation, BMI and lack of exercise were related with stroke. CONCLUSION： The high risk population of stroke in Changchun was high. The main risk factors were hypertension, high triglyeeride, diabetes, atrial fibrillation, overweight and very few sports. So the urgent and targeted intervening measures were needed.

关 键 词：脑卒中 高危人群 危险因素 

分 类 号：R494[医药卫生—康复医学]