河北省石家庄地区中老年脑卒中危险因素现况分析  

Analysis for the risk factors of cerebral stroke in middle and old age patients in Shijiazhuang region of Hebei

作　　者：王倩[1] 朱慧 赫晓慈 武鹏 孙柯聘 王艳峰 檀国军[2] WANG Qian;ZHU Hui;HE Xiaoci(Office of Prevention and Treatment of Cerebral Apoplexy,The Second Hospital of Hebei Medical University, Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院脑卒中筛查与防治基地办公室,石家庄市050000 [2]河北医科大学第二医院神经内科,石家庄市050000 [3]河北省邯郸市人民医院神经内科

出　　处：《河北医药》2020年第5期779-782,786,共5页Hebei Medical Journal

基　　金：河北省医学科学重点课题计划(编号:20180348)。

摘　　要：目的分析石家庄社区中老年人群脑卒中危险因素,以掌握该地区脑卒中流行病学趋势。方法选取石家庄市卒中筛查防治基地医院河北医科大学第二医院为项目点,于2017年3月对项目点所属社区≥40岁常住居民进行脑卒中危险因素现况调查。了解脑卒中相关危险因素的暴露情况及对其患病率的影响。结果石家庄地区脑卒中患病率为4.49%;脑卒中危险因素的暴露情况情况:最大为血脂异常(77.5%),其次为明显超重或肥胖(26.1%)、高血压(25.4%)、卒中家族史(8.8%)、糖尿病(8.1%)、吸烟(7.9%)、很少体育活动(7.7%)、房颤(1.5%);多因素Logistic回归模型分析地区、年龄、高血压、房颤、吸烟、很少体力活动、卒中家族史与脑卒中显著相关(OR=0.628、1.062、4.753、3.414、2.651、4.289,P<0.05)。结论石家庄地区卒中防控形势严峻,应加强对脑卒中危险因素的管理,预防脑卒中的发生。Objective To investigate the the risk factors of cerebral stroke in middle and old age patients in Shijiazhuang region of Hebei in order to grasp the epidemiological trend of cerebral stroke in Shijiazhuang region.Methods The Second Hospital of Hebei Medical University-Shijiazhuang Stroke Screening and Prevention Base Hospital,was selected as the project site.A cross-sectional survey was conducted among the residents over 40 years old in their communities.The exposure status of risk factors related to stroke and its effects on the prevalence rate were analyzed.Results The prevalence of cerebral stroke among the residents over 40 years old in Shijiazhuang region was 4.49%.Multivariate logistic regression analysis showed that area,age,blood pressure,smoking,little physical activity and family history of stroke were independent risk factors of cerebral stroke(P<0.05).And the greatest one was dyslipidemia(77.5%),followed by overweight or obesity(26.1%),hypertension(25.4%),family history of stroke(8.8%),diabetes(8.1%),smoking(7.9%),little physical activity(7.7%)and atrial fibrillation(1.5%).Conclusion The situation of stroke prevention and control is rigorous,therefor,it is necessary to strengthen the management of risk factors of cerebral stroke to prevent the incidence of cerebral stroke.

关 键 词：脑卒中 危险因素 中老年 

分 类 号：R743.3[医药卫生—神经病学与精神病学]