摘要
目的探讨贵阳市社区居民脑血管病患病情况、危险因素、与脑血管病相关的临床症状的发生率。方法采用采用分层整群随机方法对16个社区的30岁以上居民问卷调查，按年龄每10岁（60岁以上归人一组）一组分别统计。结果各个年龄段5年累加的脑血管病患病率为5．I％；吸烟、饮酒率在30～49岁两个年龄段最高；脑血管病、高血压、糖尿病、冠心病、高血脂均随年龄增大而患病率增加；而与脑血管病相关的临床症状如头晕、乏力、一侧肢体感觉障碍、单眼视物障碍都随年龄增大而症状发生率增高。结论对社区居民脑血管病的防治，应针对其特征，采取相应的防治措施，如对49岁以下人群重点是戒烟、限酒，主要是一级预防为主；而49岁以上人群在继续作好一级预防的同时，更应该注重二级或以上的预防，关注他们的血压、血糖、血脂等，指导正确的定期体检、正确就医、正确服药、合理膳食、合理运动等措施。
Objective To investigate morbidity,risk factors and clinical symptom of cerebrovascular disease in the Guiyang community. Methods In the sixteen community, 19715 people above 30 years-old were selected. The data of four groups （30 - 39,40 - 49,50 - 59, ≥ 60years-old） was comparatively analyzed. Results The morbidity of the cerebrovascular disease was 5.1% in last five years in the sixteen community. The incidence of smoking and drinking in 30 - 49 years-old two groups was the highest-level comparated other groups. The marbidity of the cerebrovascular disease, the hypertension, the diabetes mellitus, the coronary heart disease, and the hyperlipoidemia was raise as they continue into old age. The incidence of clinical symptom of cerebrovascular disease for instance dizzy, asthenia, Unilateral hypodynamia, unilateral neglect and simple eye blurred vision and so on was raise as they continue into old age. Conclusion In order to prevent and control the cerebrovascular disease of people in community, we should focus on its clinical features, take appropriate measures, such as quist smoking, controlling drinking and Primary Prevent in the under 49 years-old people. The above 49 years-old should take secondary and third prevention, such as pay close attention to their blood pressure, blood sugar, blood-fat and so on. We should guide their periodic physical examination, timing hospitalize, proper dose and adjusting diet composition, strengthening physical exercise.
出处
《中国临床实用医学》
2009年第2期51-53,共3页
China Clinical Practical Medicine
关键词
社区
脑血管病
危险因素
问卷
Community
Cerebrovascular disease
Risk factor
Questionnaire
