上海市松江区岳阳街道脑卒中高危人群筛查情况分析  

Analysis of screening high risk population for stroke in Yueyang Community of Songjiang District,Shanghai

作　　者：顾伶俐 吴秀其 顾琼龙 GU Lingli;WU Xiuqi;GU Qionglong(General Practice Department of Yueyang Community Health Service Center of Songjiang District,Shanghai 201699,China)

机构地区：[1]上海市松江区岳阳街道社区卫生服务中心全科,上海201699

出　　处：《上海医药》2023年第10期35-38,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:通过分析上海市松江区岳阳街道老年体检居民脑卒中高危因素筛查情况,了解岳阳辖区老年人脑卒中危险因素分布情况,为脑卒中综合防治提供科学依据。方法:通过对参加上海市松江区2020年度岳阳街道60岁及以上老年人体检的居民进行脑卒中高危因素筛查,收到有效问卷2012份,其中有男性904例,女性1108例,对筛查的结果进行数据分析及评估调查对象的脑卒中高危因素。结果:检出脑卒中高危对象931人,检出率为46.27%,男性的脑卒中高危检出率高于女性,差异有统计学意义(52.77%比40.97%,P<0.001)。脑卒中危险因素暴露率由高到低依次为为高血压(55.86%)、血脂异常(33.55%)、肥胖(BMI≥26 kg/m^(2))(27.29%)、吸烟(25.55%)、糖尿病(17.64%)、脑卒中家族史(8.05%)、运动缺乏或轻体力劳动(7.80%)、既往脑卒中史或短暂性脑缺血发作史(6.16%)、房颤和(或)心脏瓣膜病等心脏病(0.84%)。男性抽烟和既往脑卒中史或短暂性脑缺血发作史的暴露率高于女性,肥胖和血脂异常的检出率低于女性,差异均有统计学意义(均P<0.05)。结论:上海市松江区岳阳街道老年体检人群脑卒中高危检出率较高,且男性显著高于女性。在开展家庭医生制服务中要始终贯彻倡导健康生活方式,探索有效的家庭医生制服务模式。Objective:To understand the distribution of risk factors for stroke in the elderly population by analyzing the screening of high risk factors for stroke in the elderly in Yueyang Community of Songjiang District,Shanghai,and to provide scientific basis for comprehensive prevention and treatment of stroke.Methods:The residents aged 60 years and above who participated in the 2020 physical examination in Yueyang Community in Songjiang District of Shanghai were screened for stroke risk factors,there were 2012 valid questionnaires,including 904 males and 1108 females,and the results of screening were analyzed and the risk factors of stroke were evaluated.Results:Nine hundred and thirty-one high-risk subjects of stroke were detected,with a detection rate of 46.27%,the high risk detection rate of stroke in men was higher than that in women,and the difference was a statistically significant(52.77%vs 40.97%,P<0.001);the exposure rates of stroke risk factors from high to low were hypertension(55.86%),dyslipidemia(33.55%),obesity(BMI≥26kg/m^(2))(27.29%),smoking(25.55%),diabetes(17.64%),family history of stroke(8.05%),lack of exercise or light manual labor(7.80)%,history of stroke or history of transient ischemic attack(6.16%),and heart disease such as atrial fibrillation and/or valvular heart disease(0.84%).The exposure rates of smoking and previous stroke or transient ischemic attack in men were higher than those in women,the prevalence of obesity and dyslipidemia in men was lower than that in women,and the difference was a statistically significant(P<0.05).Conclusion:The detection rate of stroke in the elderly population in Yueyang Community of Songjiang District of Shanghai is high,and the male population is significantly higher than the female population.In the development of family doctor system service,the healthy life style should be always advocated and the effective family doctor system service mode be explored.

关 键 词：脑卒中 危险因素 高危筛查 老年人 

分 类 号：R743.33[医药卫生—神经病学与精神病学]