浙江省台州市社区脑卒中高危人群筛查及危险因素调查分析  

Screening and risk factors investigation of stroke high-risk population in Taizhou community,Zhejiang

作　　者：周炜[1] 徐瑛 邵雪华[1] 林侬姆 朱开元 单方群 ZHOU Wei;XU Ying;SHAO Xuehua(Department of General Practice,Taizhou Hospital of Zhejiang Province,Linhai 317000,China)

机构地区：[1]浙江省台州医院全科医学科,浙江临海317000 [2]临海市古城街道社区卫生服务中心

出　　处：《全科医学临床与教育》2023年第10期925-929,共5页Clinical Education of General Practice

基　　金：浙江省医药卫生科技计划项目(2020KY357)。

摘　　要：目的对浙江省台州市40岁以上社区居民进行脑卒中高危人群筛查,了解脑卒中危险因素暴露情况,为社区脑卒中防控提供参考依据。方法采取整群抽样的方法,按照国家脑防委脑卒中高危人群筛查与干预项目的筛查标准,对浙江省台州市临海市某街道社区40岁及以上居民进行脑卒中高危人群筛查和危险因素风险评估,对筛查结果进行数据分析及评估。结果共调查社区居民2633人,筛查出脑卒中高危人群1127人,检出率42.80%,脑卒中粗患病率2.85%,男性粗患病率4.30%,女性粗患病率2.17%。筛查总人群脑卒中危险因素暴露率前四位是血脂异常59.44%、缺乏运动58.75%、高血压54.99%、糖尿病16.98%。脑卒中高危人群危险因素暴露率前四位是血脂异常84.83%、高血压81.54%、缺乏运动76.75%、糖尿病33.01%。脑卒中高危人群11项危险因素暴露率均明显高于非高危人群,差异有统计学意义(χ^(2)分别=526.81、561.15、263.38、359.27、287.53、164.00、130.94、34.89、103.16、19.76、11.17,P均<0.05)。男性脑卒中高危人群检出率55.32%,明显高于女性高危人群检出率36.97%,差异有统计学意义(χ^(2)=78.48,P<0.05)。男性高危人群危险因素暴露率前四位是血脂异常、高血压、缺乏运动和吸烟史;女性高危人群危险因素暴露率前四位是高血压、血脂异常、缺乏运动和糖尿病。脑卒中高危人群以70~79岁年龄段检出率最高,血脂异常、缺乏运动和高血压在不同年龄段脑卒中高危人群危险因素暴露率排名前三位。结论2021年浙江省台州市社区脑卒中高危人群检出率较高,高危人群危险因素暴露率排名前四位是血脂异常、高血压、缺乏运动和糖尿病,危险因素暴露水平与性别、年龄密切相关,应采取有效措施进行脑卒中早期干预和防控。Objective To screen the high-risk population of stroke among community residents over 40 years old in Taizhou,Zhejiang Province,and understand the exposure of stroke risk factors,so as to provide reference for community prevention and control of stroke.Methods By cluster sampling,according to the screening standards of stroke high-risk population screening and intervention project of National Brain Prevention Commission,residents over 40 years old in a community in Linhai,Taizhou,Zhejiang Province were screened for stroke high-risk population and risk assessment of risk factors,and the screening result was analyzed and evaluated.Results A total of 2,633 community residents were investigated,and 1,127 people with high risk of stroke were screened out,with a screening rate of 42.80%,and a crude prevalance rate of stroke of 2.85%,a crude prevalence rate of 4.30%for men and 2.17%for women.The top four expo⁃sure rates of risk factors in the screening population were dyslipidemia with 59.44%,lack of exercise with 58.75%,hyper⁃tension with with 54.99%and diabetes with 16.98%.The top four risk factor exposure rates of stroke high-risk population were dyslipidemia with 84.83%,hypertension with 81.54%,lack of exercise with 76.75%and diabetes with 33.01%.The exposure rates of 11 risk factors in high-risk groups were significantly higher than those in non-high-risk groups,with statistical signif⁃icance(χ^(2)=526.81,561.15,263.38,359.27,287.53,164.00,130.94,34.89,103.16,19.76,11.17,P<0.05).The detection rate of male high-risk population of stroke was 55.32%,which was significantly higher than that of female high-risk population of 36.97%,and the difference was statis⁃tically significant(χ^(2)=78.48,P<0.05).The top four exposure rates of risk factors in male high-risk groups were dyslipid⁃emia,hypertension,lack of exercise and smoking history,and the top four exposure rates of risk factors in female highrisk groups were hypertension,dyslipidemia,lack of exercise and diabetes.The detection rate of high-risk groups o

关 键 词：脑卒中 高危人群 危险因素 社区 

分 类 号：R743.3[医药卫生—神经病学与精神病学]