南充市城乡居民脑卒中患病风险及影响因素分析  

Risk and Influencing Factors of Stroke Among Urban and Rural Residents in Nanchong of Sichuan Province

作　　者：杨千三[1] 张宗辉[1] 邹雪平[1] 李锐 YANG Qiansan;ZHANG Zonghui;ZOU Xueping;LI Rui(Nanchong Center for Disease Control and Prevention,Nanchong 637000,Sichuan Province,China;Xichong Center for Disease Control and Prevention,Nanchong 637200,Sichuan Province,China)

机构地区：[1]南充市疾病预防控制中心,四川南充637000 [2]西充县疾病预防控制中心,四川西充637200

出　　处：《预防医学情报杂志》2021年第9期1246-1250,共5页Journal of Preventive Medicine Information

基　　金：2017年南充市应用技术研究与开发项目(项目编号:17YFZJ0042)。

摘　　要：目的了解南充市不同地区脑卒中人群患病差异及其影响因素,为制定防控策略提供科学依据。方法2016-2017年采取整群随机抽样方法抽取南充市辖三区40岁以上城乡居民为研究对象,根据国家卫生健康委员会脑卒中防治工程委员会制定的《脑卒中高危人群筛查和干预方案》要求进行问卷调查、体格检查、实验室检测,筛选出高危人群进一步进行心电图和颈动脉彩超检查,运用Logistic回归分析模型和穷举卡方自动交互法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。结果缺乏运动、血脂异常、高血压在筛检人群中暴露率依次为51.14%、28.27%和19.96%。高危、TIA、脑卒中的检出率分别为20.14%、1.58%和2.0%。城乡居民高血压、糖尿病、卒中家族史与脑卒中的发生有相关关系。结论高血压、糖尿病,乡镇居民中的女性、脑力劳动者、城市中的体力劳动者是发生脑卒中的高危人群,应重点针对其采取有针对性的综合干预措施,以降低脑卒中的发病率和复发率。Objective To investigate the difference of stroke incidences and their influencing factors in different areas of Nanchong City,and to provide evidence for the formulation of prevention and control strategies.Methods Cluster random sampling method was used to select the urban and rural residents over 40 years old in three districts of Nanchong City from 2016 to 2017.Firstly,all the subjects were investigated by questionnaire,physical examination and laboratory testing based on The Screening and Intervention Programmes for High-risk Groups of Stroke formulated by the Stroke Prevention and Treatment Engineering Committee of National Health Commission to screen out the high-risk groups of stroke.Then,the high-risk groups were further tested by electrocardiograph(ECG)and carotid ultrasound.Logistic regression analysis model and Chaid classification tree model of exhaust Chi-square automatic interaction method were used to analyze the risk factors of stroke in high-risk groups.Results The exposure rate of lack of exercise,dyslipidemia and hypertension was 51.14%,28.27%and 19.96%,respectively.The detection rate of high risk,transient ischemic attack(TIA)and stroke was 20.14%,1.58%and 2.0%,respectively.The incidence of stroke was correlated with hypertension,diabetes mellitus and family history in urban and rural residents.Conclusion People with hypertension or diabetes mellitus,females of rural residents,mental workers,and manual workers in cities are the high-risk groups of stroke.Comprehensive intervention measures should be taken to reduce the incidence and recurrence rate of stroke among these high-risk groups.

关 键 词：脑卒中 患病风险 影响因素 LOGISTIC回归分析 CHAID分类树模型 

分 类 号：R743.3[医药卫生—神经病学与精神病学]