摘要
目的了解上海市农村社区脑卒中常见危险因素及脑血管血液动力学指标(CVHI)异常与脑卒中发生的关系。方法以现况研究设计,整群抽样的方法抽取社区40岁及以上人群进行一般情况、常见脑卒中危险因素调查和CVHI检测,并以统一的方法对CVHI进行积分。符合纳入资料完整的人群共计5335人,分析和比较危险因素暴露水平、脑卒中患病率、CVHI,描述其分布特征。结果男性高血压、心脏病、糖尿病史,高血压病家族史、脑卒中家族史、超重或肥胖等危险因素的暴露率分别为31.74%、6.09%、1.16%、3.22%、17.64%、29.68%,女性分别为32.76%、9.22%、1.55%、3.84%、19.22%和29.44%;脑卒中标准化患病率为1167.3/10万,男性脑卒中患病率显著高于女性(P<0.05);CVHI变化与年龄密切相关,积分值<75分者占21.3%。结论农村社区40岁以上人群脑卒中危险因素中高血压暴露率最高,脑卒中患病率男性高于女性,约五分之一人群CVHI异常。
Objective To present data from a baseline investigation on stroke-related cohort population in rural area of Shanghai. Methods A cross-sectional study was carried out in a cluster sampling population aged 40 years and over. General information and data on common risk factors in the population were gathered and cerebral vascular hemodynamic indexes were checked. Hemodynamic score was estimated according to single indexes by unified methods. 5335 persons who had met the inclusion criteria were enlisted in the study. Exposure level of risk factors, prevalence of stroke, and hemodynamic indexes were analyzed and distributional characteristics were described. Results Exposure rate of hypertension, heart disease, diabetes, family history of hypertension, overweight or obesity in males were 31.74 %, 6.09 %, 1.16%, 3.22%, 17.64%, 29.68% and were 32.76%, 9.22% , 1.55%, 3.84%, 19.22% , 29.44% in female respectively. Standard prevalence of stroke was 1167.3/100 000, which in male was significantly higher than that in female （P 〈 0.05 ）. The change of cerebral vascular hemodynamic indexes was significantly associated with age. Hemodynamic score in 21.3% of the subjects was below 75 points. Coaclusion Among population of 40 years old and over in rural areas, hypertension was the principal risk factor regarding the rate of stroke. Prevalence of stroke in males was significantly higher than that in females. Abnormal rate of hemodynamic score was about 20 % in this population.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2006年第1期12-14,共3页
Chinese Journal of Epidemiology
基金
上海市科委重点资助项目(03DZ19701)
