深圳市中老年人群脑卒中患病率及影响因素分析  

Prevalence rate and influencing factors of stroke among the middle-aged and elderly population in Shenzhen city

作　　者：谭舒然 杨婷婷 刘建新 张升超 杨宇迪 王超[3] 曾小舟 徐鸿彬 甘勇[3] 汪志宏[5] 卢祖洵[3] TAN Shu-ran;YANG Ting-ting;LIU Jian-xin;ZHANG Sheng-chao;YANG Yu-di;WANG Chao;ZENG Xiao-zhou;XU Hong-bin;GAN Yong;WANG Zhi-hong;LU Zu-xun(The First Clinical School,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China;The People’s Hospital of Henan Province,Zhengzhou,Henan 450003,China;Department of Social Medicine and Health Management,School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China;Community Health Service Management Center,the Central Hospital of Bao’an District,Shenzhen,Guangdong 518100,China;The Second People's Hospital of Shenzhen City,Shenzhen,Guangdong 518035,China)

机构地区：[1]华中科技大学同济医学院第一临床学院,湖北武汉430030 [2]河南省人民医院,河南郑州450003 [3]华中科技大学同济医学院公共卫生学院社会医学与卫生事业管理系,湖北武汉430030 [4]深圳市宝安区中心医院社区健康服务管理中心,广东深圳518100 [5]深圳市第二人民医院,广东深圳518035

出　　处：《实用预防医学》2019年第11期1288-1293,共6页Practical Preventive Medicine

基　　金：2018年中国博士后科学基金面上项目(2018M630870)

摘　　要：目的探讨深圳市中老年人群脑卒中的患病率及其相关因素,为脑卒中的防控研究提供依据。方法于2013年3月-2015年4月,采用整群抽样的方法选取深圳市3个社区筛查点12 908例40岁及以上常住居民为研究对象,结合问卷调查、体格检查和实验室检查等方法进行筛查,利用logistic逐步回归分析探讨脑卒中患病率主要相关因素。结果深圳市中老年人群脑卒中粗患病率为4.06%,男性脑卒中的患病率(5.46%)高于女性(2.89%)(χ~2=48.79,P<0.001)。年龄(50岁组:OR=1.72,95%CI:1.23~2.40;60岁组:OR=2.23,95%CI:1.60~3.09;70岁组:OR=3.93,,95%CI:2.81~5.48)、男性(OR=1.74,95%CI:1.38~2.18)、非在婚(OR=1.90,95%CI:1.27~2.84)、无医疗保险(OR=1.51,95%CI:1.21~1,88)、有卒中家族史(OR=2.92,95%CI:2.21~3.86)、饮酒频率(偶尔:OR=0.55,95%CI:0.39~0.79;经常:OR=0.55,95%CI:0.33~0.91)、吸烟(现在吸烟:OR=1.59,95%CI:1.19~2.14;戒烟:OR=2.53,95%CI:1.74~3.70)、口味偏咸(OR=2.41,95%CI:1.96~2.96)、水果摄入不足(OR=1.75,95%CI:1.44~2.14)、奶类及奶制品摄入不足(OR=1.28,95%CI:1.04~1,58)、缺乏体力活动(OR=1.32,95%CI:1.04~1,58)、高血压(OR=1.31,95%CI:1.07~1,61)及高同型半氨酸血症(OR=1.69,95%CI:1.37~2.04)与中老年人脑卒中患病密切相关。结论深圳市中老年人群脑卒中患病率较高。影响中老年人脑卒中患病的因素较多,建议针对不同人群特征制定干预措施,以有效地开展脑卒中的防控工作。Objective To explore the prevalence rate of stoke and its associated factors among the middle-aged and elderly population in Shenzhen city, and to provide a basis for study of stroke prevention and control. Methods A cluster sampling method was used to select 12,908 permanent residents aged 40 years and above from three community screening points in Shenzhen city from March 2013 and April 2015 to serve as the research subjects. All participants were screened using standardized questionnaires, physical examination and laboratory testing. Logistic stepwise regression analysis was employed to identify the main related factors for the prevalence of stroke. Results The crude prevalence rate of stroke in the middle-aged and elderly population in Shenzhen city was 4.06%, and the prevalence rate of stroke was higher in males than in females(5.46% vs. 2.89%,χ~2=48.791, P<0.001). Age(the 50-59 year age group: OR=1.72, 95%CI:1.23-2.40;60-69 year age group: OR=2.23, 95%CI:1.60-3.09;≥70 year age group: OR=3.93, 95%CI:2.81-5.48), males(OR=1.74, 95%CI:1.38-2.18), unmarried status(OR=1.90, 95%CI:1.27-2.84), without medical insurance(OR=1.51, 95%CI:1.21-1.88), having a family history of stroke(OR=2.92, 95%CI:2.21-3.86), frequency of alcohol consumption(occasionally: OR=0.55, 95%CI:0.39-0.79;often: OR=0.55, 95%CI:0.33-0.91), smoking(current smoking: OR=1.59, 95%CI: 1.19-2.14;quitting smoking: OR=2.53, 95%CI:1.74-3.70), excessive salt intake(OR=2.41, 95%CI:1.96-2.96), inadequate intake of fruit(OR=1.75, 95%CI: 1.44-2.14), inadequate intake of milk and dairy products(OR=1.28, 95%CI:1.04-1.58), physical inactivity(OR=1.32, 95%CI:1.04-1.58), hypertension(OR=1.31, 95%CI: 1.07-1.61) and high homocysteine(OR=1.69, 95%CI:1.37-2.04) were closely related to the prevalence of stroke among the middle-aged and elderly. Conclusions The prevalence rate of stroke in the middle-aged and elderly population in Shenzhen city was high. The factors affecting the prevalence of stroke are complex and various. The results suggest that it is necessary t

关 键 词：脑卒中 中老年人群 患病率 影响因素 横断面研究 

分 类 号：R543[医药卫生—心血管疾病]