汉中市农村地区脑卒中患病危险因素研究  

Study on correlative risk factors of stroke among rural residents from Hanzhong City

作　　者：曹蕾[1] 张小凤[1] 章松[2] 高婉君 毕育学[1] 

机构地区：[1]西安交通大学公共卫生学院流行病与卫生统计学系,陕西西安710061 [2]西安交通大学附属3201医院医教部,陕西汉中723000

出　　处：《中华疾病控制杂志》2017年第3期250-254,共5页Chinese Journal of Disease Control & Prevention

基　　金：国家脑卒中高危人群筛查和干预项目(2009年)

摘　　要：目的探讨汉中市农村地区脑卒中患病危险因素,提出有效的防控措施,为脑卒中的防治和干预提供科学依据。方法采用随机整群抽样方法从汉中市180个乡镇中抽取两个乡镇,以该两个乡镇中40岁及以上常住居民为研究对象,进行问卷调查、体格检查,比较不同心脑血管疾病危险因素下脑卒中的患病率,运用Logistic回归模型和穷举卡方自动交互法(exhaustive Chi-squared automatic interavtion detector,Exhaustive CHAID)分类树模型分别对脑卒中高危人群患病影响因素进行分析。结果本次共调查23 688位居民,其中明确脑卒中者283例(1 195/10万)。Logistic回归分析结果显示,50岁后脑卒中高发,70~79岁脑卒中患病人数最多,男性、高血压、心脏病、明显超重、血脂异常、脑卒中家族史、缺乏体育锻炼、吸烟、饮酒可增加脑卒中患病的风险。Exhaustive CHAID所建立的分类树模型共包括三层12个节点,共筛选出5个解释变量;重要性积分排在前三位的分别是脑卒中家族史、吸烟和高血压。结论在对脑卒中采取综合干预措施的同时,还应对高危人群采取不同的防治措施。Objective To explore the correlative risk factors of stroke among rural residents from Hanzhong City and provide scientific evidences for effective precautions and interventions of stroke. Methods Residents aged 40 and over were selected from 2 of the 180 towns in Hanzhong City by random cluster sampling. A questionnaire survey was used and the physical inspection was performed to investigate the rate of stroke. Risk factors influencing on the eardio cerebral vascular diseases were analyzed by exhaustive Chi-squared automatic interavtion detector （CHAID） analysis and Logistic regression analysis. Results Of total 23 688 residents, 283 （ 1 195/100 000） were diagnosed with stroke, among whieh most were aged 50 and over and those aged 70-79 had a peak incident rate. Male, high-blood pressure, cardiac disease, obesity, blood abnormity, family inherited disease, lack of physical exercise, smoking and drinking alcohol had relalionship with stroke. Five interpretation variables were indicated using the category classification tree mode including 3 layers with 12 nodes which was built up by Exhaustive CHAID. According to the calculus of importance, the top 3 factors were family inherited disease, smoking and high blood pressure. Conclusions Comprehensive interventions and precautions for stroke would be needed to prevent stroke among rural residents in Hanzhong City, especially in those of high risk groups.

关 键 词：卒中 患病率 危险因素 

分 类 号：R54[医药卫生—心血管疾病] R181[医药卫生—内科学]