都江堰解放社区农村人群脑卒中一级预防现状调查  

作　　者：周弋人[1] 高励[1] 沈富伟[1] 缪礁丹[1] 王良润 雷凯 陈丽[3] 

机构地区：[1]四川省成都市第三人民医院神经内科,四川成都610031 [2]都江堰市灌口解放社区卫生服务中心,四川都江堰611830 [3]中国人民解放军61480部队,四川成都611848

出　　处：《世界中医药》2017年第A01期139-140,共2页World Chinese Medicine

基　　金：四川省卫生厅项目(120539)

摘　　要：目的调查农村人群对脑卒中危险因素的知晓率、治疗率及控制情况。方法以整群抽样的方法抽取都江堰市解放社区农村人群共计597人进行高血压、糖尿病、高脂血症、心脏病、吸烟、过度饮酒、肥胖、低盐等危险因素知晓率调查，以及前四种疾病的治疗率及控制率调查。并进行统计学分析。结果调查的所有危险因素的知晓率均较低，分别为：高血压32.3%、糖尿病13.9%、心脏病8.5%、吸烟12.1%、过度饮酒6.5%、肥胖9.8%、高脂血症9.9%、低盐3.1%。各组间总体知晓率比较，差异显著(P<0.05)。以年龄分层研究发现：年龄可能是吸烟、肥胖、糖尿病组的相关影响因素。治疗率及控制率分别为：高血压治疗率18.5%，控制率14.9%。糖尿病治疗率9.3%，控制率6.5%。血脂治疗率6.7%，控制率4.4%。心脏病的治疗率8.0%，控制率6.8%。高血压组、糖尿病组及心脏病组与高脂血症组比较，差异显著(P<0.05)。结论所有调查危险因素的知晓率均较低，农村人群脑卒中的一级预防需要加大力度。Objective:To investigate the rural population awareness of stroke risk factors and treatment and the control current and discussed.Methods:With cluster sampling method to extract the dujiangyan liberate rural community crowd a total of597people with high blood pressure,diabetes,hyperlipidemia,heart disease,smoking,excessive drinking,obesity and low salt to investigate risk factors such as population,and the first four diseases treatment and control rates.Statistical analysis was carried on.Results:All the risk factors of awareness rate were lower,respectively:hypertension32.3%,diabetes mellitus,heart disease,smoking,smoking12.1%,excessive alcohol consumption by6.5%,obesity,hyperlipidemia,9.9%,low salt of3.1%,9.8%,and so on,the number of patients with high risk of alcohol was not high,and the prevalence rate was8.5%.The overall awareness rate among groups was significantly different(P<0.05).Age stratification study found that age may be related to smoking,obesity and diabetes.Treatment rate and control rate were:hypertension treatment rate of18.5%,control rate of14.9%.Diabetes treatment rate of9.3%,control rate of65%.Blood lipid treatment rate of6.7%,control rate of4.4%.Heart disease treatment rate of8%,control rate of6.8%.Hypertension group,diabetes group and heart disease group compared with hyperlipidemia group,the difference was significant(P<0.05).Conclusion:All investigation and risk factors of awareness is low,the rural population the primary prevention of stroke needs increasing.

关 键 词：脑卒中 一级预防 农村人群 

分 类 号：R453[医药卫生—治疗学]