安徽省某社区40岁以上城镇常住居民脑卒中患病率及其危险因素分析

摘要

目的：了解安徽省某社区≥40岁城镇居民脑卒中患病现况及其危险因素，为制定脑卒中早期干预措施提供参考。方法采取多阶段整群随机抽样的方法对安徽省某社区3823例≥40岁城镇常住居民进行问卷调查、体格检查以及颈动脉彩色多普勒超声检查。结果安徽省某社区≥40岁城镇常住居民脑卒中患病率为6．04％，年龄标化患病率为4．61％；231例脑卒中患者中，缺血性脑卒中167例（72．29％），出血性脑卒中61例（26．41％）；出血型和缺血型脑卒中两者兼有3例（1．30％）；多因素非条件 logistic 回归分析显示，年龄越大、有高血压病、糖尿病、心脏病、血脂异常、吸烟、明显超重或肥胖以及脑卒中家族史等情况的居民罹患脑卒中的危险度高于无上述情况的居民（均 P ＜0．05），且高血压病为罹患脑卒中最大的危险因素（OR ＝9．875， P ＜0．01）。结论安徽省某社区≥40岁城镇常住居民脑卒中以缺血性脑卒中为主，应采取有针对性的综合干预措施预防和控制脑卒中的发生。%Objective To understand the prevalence of stroke and risk factors among the over 40 in a commu-nity of Anhui province,and provide scientific evidence for the intervention of stroke.Methods Totally 3823 residents o-ver 40 were selected from a community of Anhui province by multistage cluster sampling,and complete a face -to -face questionnaire survey,physical examination and carotid ultrasonography examination.Results The prevalence of stoke was 6.04%,the age standardized prevalence of stroke was 4.61%,including 167 (72.29%)patients with ischemic stroke and 61(26.41%)patients with hemorrhagic stroke and 3 (1.30%)patients with both.Multivariate uncondi-tioned logistic regression analysis indicated that elderly,hypertension,diabetes,heart disease,lipid abnormality,smok-ing,overweight and family history of stroke were high risks of stroke,hypertension was the biggest risk factor (OR =9.875,P <0.01 ).Conclusion Ischemic stroke is the main type of Anhui residents over 40,comprehensive measures should be adopted to prevent and control the stroke.