河北省40岁及以上人群脑卒中患病状况及影响因素分析  

Prevalence of stroke and its influencing factors in residents(≥40 years old)of Hebei Province

作　　者：李玫 曹亚景[1] 岳福娟 郭甜甜 赵晶晶 张帆[1] 牛秀丽 刘玉环[1] 刘晓丽[1] LI Mei;CAO Yajing;YUE Fujuan;GUO Tiantian;ZHAO Jingjing;ZHANG Fan;NIU Xiuli;LIU Yuhuan;LIU Xiaoli(Hebei Provincial Center for Disease Control and Prevention,Shijiazhuang,Hebei Province 050021,China)

机构地区：[1]河北省疾病预防控制中心慢性非传染性疾病防治所,河北省石家庄050021

出　　处：《中国慢性病预防与控制》2023年第9期675-679,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：河北省医学科学研究课题计划(20210354)。

摘　　要：目的探讨河北省40岁及以上人群脑卒中的患病状况及影响因素,旨在为脑卒中筛查防治提供科学依据。方法中国脑卒中筛查项目于2019年12月至2020年12月采用多阶段整群随机抽样方法在河北省9个地级市48个筛查点中抽取59434名40岁及以上常住居民作为调查对象。采用SAS 9.2软件进行χ^(2)检验,使用多因素非条件logistic回归模型探讨脑卒中的影响因素。结果河北省40岁及以上人群脑卒中患病率为4.33%,标化患病率为4.47%。高血压、血脂异常、糖尿病、房颤或瓣膜性心脏病标化患病率分别为51.33%、39.86%、22.52%和0.77%,吸烟、超重或肥胖、缺乏运动、脑卒中家族史等因素的标化流行率分别是13.29%、16.92%、20.84%和13.57%。高血压、糖尿病、房颤或瓣膜性心脏病的标化患病率随年龄的增加而升高,在70~79岁时达到峰值;血脂异常、吸烟、脑卒中家族史标化率也随年龄的增加而升高,在60~69岁时达到峰值;超重或肥胖标化率在50~59岁时达到峰值;缺乏运动标化率在≥80岁时达到峰值。多因素logistic回归分析结果显示,高血压与脑卒中的患病风险关联最强(OR=3.72,95%CI:3.34~4.14);其次是脑卒中家族史(OR=2.51,95%CI:2.29~2.75);血脂异常、房颤或瓣膜性心脏病、糖尿病、超重或肥胖、缺乏运动的OR值(95%CI)依次为1.81(95%CI:1.66~1.97)、1.79(95%CI:1.33~2.41)、1.47(95%CI:1.35~1.61)、1.17(95%CI:1.06~1.29)和1.11(95%CI:1.01~1.22)。结论河北省40岁及以上人群脑卒中患病率较高,高血压与脑卒中的患病风险关联最强,建议脑卒中高风险人群注意控制血压、饮食健康、规律锻炼、控制体重,及早进行预防和干预。Objective To explore the prevalence of stroke and its influencing factors in residents(≥40 years old)of Hebei Province,and provide the scientific basis for stroke screening and prevention or treatment.Methods From December 2019 to December 2020,the multi-stage-random-sampling method was used to select 59434 residents(≥40 years old)from 48 screening points in 9 cities of Hebei Province as the subjects.Theχ^(2) test and multivariate unconditional logistic regression model were used to analyze the data and influencing factor.The used software was SAS 9.2.Results The stroke morbidity and standardized morbidity in residents(≥40 years old)of Hebei Province were 4.33%and 4.47%,respectively.The standardized morbidities of hypertension,dyslipidemia,diabetes,atrial fibrillation or valvular heart disease were 51.33%,39.86%,22.52%and 0.77%,respectively;the standardized prevalence rates of smoking,overweight/obesity,physical inactivity and family history of stroke were 13.29%,16.92%,20.84%and 13.57%,respectively.The standardized morbidities of hypertension,diabetes,atrial fibrillation or valvular heart disease increased with age(70-79 years old was the peak);also the standardized prevalence rates of dyslipidemia,smoking,stroke family history increased with age(60-69 years old was the peak);the peak stage of the morbidity of overweight/obesity was 50-59 years old;the peak stage of the prevalence rate of physical inactivity was≥80 years old.The multivariate unconditional logistic regression model showed that the order of correlation was:the correlation between hypertension and stroke risk(OR=3.72,95%CI:3.34-4.14),the correlation between stroke history and stroke risk(OR=2.51,95%CI:2.29-2.75),the correlation between dyslipidemia,atrial fibrillation or valvular heart disease,diabetes,overweight/obesity or physical inactivity and stroke risk(OR values were 1.81,95%CI:1.66-1.97;1.79,95%CI:1.33-2.41;1.47,95%CI:1.35-1.61;1.17,95%CI:1.06-1.29;1.11,95%CI:1.01-1.22,respectively).Conclusion The stroke morbidity in residents(≥4

关 键 词：脑卒中 患病率 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]