朝阳市农村地区≥40岁脑卒中高危人群颈动脉硬化检出情况及其影响因素分析  

Prevalence and associates of carotid atherosclerosis among middle-aged and older rural residents with high stroke risk in Chaoyang prefecture

作　　者：孙靖伦 邢立莹[2] 张立敏[3] 井丽 田园梦 阎涵[2] 孙群[4] 刘爽[1] SUN Jinglun;XING Liying;ZHANG Limin;JING Li;TIAN Yuanmeng;YAN Han;SUN Qun;LIU Shuang(Department of Ultrasonography Imaging,The Fourth Affiliated Hospital of China Medical University,Shenyang 110033,China;Institute of Chronic Non-Communicable Disease Prevention and Control,Liaoning Provincial Center for Disease Control and Prevention,Shenyang 110015,China;The First Affiliated Hospital of China Medical University,Shenyang 110002,China;Chaoyang Municipal Center for Disease Control and Prevention,Chaoyang 122099,China)

机构地区：[1]中国医科大学附属第四医院超声科,沈阳110033 [2]辽宁省疾病预防控制中心慢性非传染性疾病预防控制所,沈阳110015 [3]中国医科大学附属第一医院,沈阳110002 [4]朝阳市疾病预防控制中心,朝阳122099

出　　处：《中国公共卫生》2023年第6期753-757,共5页Chinese Journal of Public Health

基　　金：国家自然科学基金(62171472);2019年辽宁省重点研发计划项目(2019JH2/10300001)。

摘　　要：目的了解辽宁省朝阳市农村地区≥40岁脑卒中高危人群颈动脉硬化(CA)检出情况及其影响因素,为CA的预防控制定有针对性的综合干预措施提供参考依据。方法于2017年9月—2018年5月采用随机整群抽样方法在辽宁省朝阳市朝阳县和凌源市抽取6830名≥40岁常住农村居民进行问卷调查、体格检查和实验室检测,并对筛查出的2479名脑卒中高危人群进行颈动脉超声检查,分析脑卒中高危人群的CA检出情况及其相关影响因素。结果朝阳市农村地区2479名≥40岁脑卒中高危人群中,检出CA者1211例,CA检出率为48.9%;多因素非条件logistic回归分析结果显示,年龄≥50岁、家庭年均总收入5000~19999元、现在吸烟和缺乏运动是朝阳市农村地区≥40岁脑卒中高危人群CA检出的危险因素,女性和超重/肥胖是朝阳市农村地区≥40岁脑卒中高危人群CA检出的保护因素。结论朝阳市农村地区≥40岁脑卒中高危人群CA检出率较高,性别、年龄、家庭年均总收入、是否现在吸烟、是否缺乏运动和是否超重/肥胖为该地区≥40岁脑卒中高危人群CA检出的主要影响因素。Objective To investigate the prevalence and influencing factors of carotid arteriosclerosis(CA)among high stroke risk people aged≥40 years in rural areas of Chaoyang prefecture for providing evidence to develop targeted intervention measures on CA prevention and control.Methods Face-to-face interview with a self-designed questionnaire,physical examination,and laboratory tests were conducted among 6830 permanent residents aged≥40 years recruited with stratified random cluster sampling in rural areas of Chaoyang prefecture,Liaoning province from September 2017 to May 2018.Subsequent carotid artery ultrasonography was carried out in 2479 participants assessed as having high stroke-risk based on the National Technical Specification for Stroke Screening and Prevention;CA prevalence and its influencing factors in the high-risk population were analyzed.Results Among the 2479 high stroke-risk people,totally 1211 CA cases were detected and the observed CA prevalence rate was 48.9%.The results of multivariate unconditional logistic regression analysis showed that aged≥50 years,with an annual household income of 5000-19999 RMB yuan,current smoking,and lack of physical exercise are risk factor of CA for the high stroke-risk people;while,female gender and being overweight/obesity are protective factors against CA.Conclusion The prevalence of CA is relatively high and mainly influenced by gender,age,total annual household income,smoking,physical exercise and body mass index among middle-aged and older residents with high stroke-risk in rural areas of Chaoyang prefecture.

关 键 词：颈动脉硬化(CA) 检出情况 影响因素 脑卒中高危人群 农村地区 

分 类 号：R743.3[医药卫生—神经病学与精神病学]