摘要
目的了解和掌握北京市房山区脑卒中高危人群危险因素暴露水平及其人群分布特征,为社区建立脑卒中高危人群干预体系提供科学依据。方法采取整群抽样的方法选取房山区户籍>45岁居民6 342人进行现况调查。结果 6 342名居民中有1 853人被评估为脑卒中高危人群,检出率为29.22%。高危人群中有短暂性脑缺血发作史者205人,脑卒中危险因素≥3项者1 648人。在1 648名脑卒中危险因素≥3项的高危人群中,高血压、明显超重或肥胖、血脂异常、糖尿病、缺乏锻炼、脑卒中家族史、吸烟、房颤暴露率分别为85.62%、77.55%、40.96%、36.59%、35.38%、33.07%、32.89%、3.16%;女性高危人群糖尿病、血脂异常、明显超重或肥胖、缺乏锻炼、脑卒中家族史危险因素暴露率高于男性,男性高危人群吸烟率高于女性;高危人群的慢性病共患暴露率较高。结论房山区脑卒中高危人群危险因素整体暴露水平较高,应积极采取措施,有效控制高危人群的血压、血糖和体重。
Objective To find out exposure level and distribution characteristics of risk factors in high-risk persons of stroke in Fangshan District,and to put forward ways to make stroke prevention strategies. Methods 6 342 permanent residents who was older than 45 years in Fangshan were investigated by cluster sampling. All participants were investigated by a questionnaire which included general information and common risk factors of stroke. Results High-risk persons of stroke was 29. 22%. There were 205 cases with TIA and 1 648 cases with ≥3 risk factors of stroke in high-risk persons of stroke. The exposure rate of hypertension,obvious overweight or obesity,dyslipidemia,diabetes mellitus,lack of exercise,family history of stroke,cigarette smoking and atrial fibrillation were 85. 62%,77. 55%,40. 96%,36. 59%,35. 38%,33. 07%,32. 89% and 3. 16% respectively in the 1 648 high-risk persons of stroke. The exposure rate of risk factors such as diabetes,dyslipidemia,significant overweight or obesity,lack of exercise and family history of stroke in female was higher than that in male. Smoking rate in male was higher than female. The exposure rate of stroke high risk population with chronic diseases more than two types was high. Conclusions Exposure rate of risk factors for stroke in highrisk population in Fangshan District is high. Active measures should be taken to control blood pressure,blood glucose and body weight.
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2015年第3期215-217,共3页
Chinese Journal of Disease Control & Prevention
关键词
脑卒中
人群监测
筛查
Stroke
Population surveillance
Screening
