宜宾市城乡人群脑卒中危险因素的暴露水平分析  

Analysis on exposure level of stroke risk factors in urban and rural populations in Yibin City

作　　者：庞晓青 李浩[2] 伍燕[2] PANG Xiaoqing;LI Hao;WU Yan(School of Clinical Medicine,Chengdu Medical College,Chengdu,Sichuan 610500,China;Department of Neurology,Yibin Municipal First People's Hospital,Yibin,Sichuan 644000,China)

机构地区：[1]成都医学院临床医学院,四川成都610500 [2]宜宾市第一人民医院神经内科,四川宜宾644000

出　　处：《现代医药卫生》2024年第1期107-110,共4页Journal of Modern Medicine & Health

基　　金：国家卫健委脑卒中筛查与防治工程项目(GN-2020F002);宜宾市第一人民医院院级科研项目(2020-KYY-42)。

摘　　要：目的了解宜宾市40岁以上城乡常住居民的脑卒中患病情况及城乡之间脑卒中危险因素暴露水平的差异,为脑卒中的预防制定合适的防控措施提供依据。方法凭借国家卫生健康委员会脑卒中防治工程项目,对宜宾市2个抽样选中的乡镇/社区中40岁以上常住居民开展脑卒中调查问卷、查体及辅助检查,应用SPSS22.0软件进行数据分析,包括一般性描述分析和单因素χ^(2)检验。结果本次研究共调查40岁及以上常住居民4621例,脑卒中患者112例,患病率为2.42%。其中,城市人群中高危人群576例,中危人群778例,均显著高于乡镇人群,而城市人群中既往有脑卒中病史69例,也显著多于乡镇人群。宜宾市城市地区脑卒中危险因素暴露水平前3位依次为高血压、血脂异常、运动缺乏。宜宾市乡镇地区脑卒中危险因素暴露水平前3位依次为血脂异常、高血压、吸烟史。结论宜宾市脑卒中患病率和省内水平相似,但城乡人群之间的危险因素暴露水平存在差异,城乡共同主要危险因素包括高血压、糖尿病、血脂异常、吸烟、运动缺乏和脑卒中家族史等。Objective To understand the prevalence situation of stroke among urban and rural residents over 40 years old in Yibin City and the difference in the exposure levels of stroke risk factors between urban and rural areas,in order to provide a basis for formulating the appropriate prevention and control measures for stroke prevention.Methods According to the Stroke Prevention and Treatment Project of National Health Commission,the stroke survey questionnaire,physical examination and auxiliary examination were conducted among the permanent residents aged over 40 years old in two sampled towns/communities in Yibin City.The data were analyzed by SPSS22.0 software,including the general description analysis and univariate χ^(2) test.Results A total of 4 621 permanent residents aged 40 years old and above were investigated in this study,including 112 stroke patients,with a prevalence rate of 2.42%.Among them,there were 576 cases in the high-risk groups and 778 cases in the medium-risk groups in the urban population,which were significantly higher than those in the township population,while 69 cases with previous stroke history in the urban population were also significantly more than those in the township population.The top 3 in the exposure level of stroke risk factors in the urban area of Yibin city were in turn hypertension,dyslipidemia and lack of exercise,which in the tawnship areas were in turn dyslipidemia,hypertension and smoking history.Conclusion The prevalence rate of stroke in Yibin City is similar to that in the province,but there are differences in the exposure levels of risk factors between urban and rural populations.The common risk factors in urban and rural areas include hypertension,diabetes,dyslipidemia,smoking,lack of exercise,family history of stroke,etc.

关 键 词：脑卒中 城乡人群 危险因素 暴露水平 

分 类 号：R743.3[医药卫生—神经病学与精神病学]