摘要
目的了解天水社区/乡镇和门诊/住院人群脑卒中及暴露危险因素人群流行病学情况,为制定相应预防干预措施提供科学依据。方法 2012年9月—2013年2月在天水市5个社区、乡镇以及医院门诊部、住院部进行脑卒中筛查,运用Pearsonχ2检验对筛查中脑卒中及暴露危险因素人群分布情况进行对比分析,对社区、乡镇脑卒中及暴露危险因素人群进行对比分析,对医院门诊部、住院部脑卒中相关人群进行对比分析,对社区/乡镇和门诊/住院人群进行对比分析。结果各乡镇、社区脑卒中及暴露危险因素人群分布情况与乡镇地区间存在相关性(χ2=1.204,P<0.05)。社区居民中,脑卒中、TIA、高危人群、中危人群、低危人群人数构成比分别为:0.84%、3.88%、7.47%、15.11%、72.70%,乡镇居民中分别为:0.31%、1.54%、8.44%、5.82%、83.89%,差异有统计学意义(χ2=2.116,P<0.05)。筛查医院门诊患者中,脑卒中、TIA、高危人群、中危人群、低危人群人数构成比分别为18.03%、5.45%、15.35%、30.79%、30.40%,住院患者中分别为43.86%、6.14%、14.62%、24.28%、11.10%,差异有统计学意义(χ2=1.804,P<0.05)。筛查社区/乡镇居民中,脑卒中、TIA、高危人群、中危人群、低危人群人数构成比分别为0.73%、3.38%、7.68%、13.12%、75.10%;医院门诊/住院人群中分别为29.17%、5.74%、15.03%、27.98%、22.07%,差异有统计学意义(χ2=3.854,P<0.05)。结论天水市社区、乡镇、门诊、住院居民的脑卒中及暴露危险因素人群分布存在差异,有必要对各地区脑卒中及暴露危险因素人群采取干预措施。
Objective To understand the epidemiological characteristics of stroke and population exposed to risk factors a- mong outpatients and inpatients in communities and townships of Tianshui,so as to provide a scientific basis for formulating intervention measures. Methods Stroke screening was conducted among residents from five communities and townships, outpatients and inpatients form September 2012 to February 2013 in Tianshui region. Pearson X2 test was used to analyze the distribution of population with stroke or exposed to risk factors between community residents, township residents, inpa- tients and outpatients. Results There was correlation between regions and distribution of population with stroke or exposed to risk factors in townships and communities （X2 = 1. 204, P 〈 0.05 ）. Among community residents, the proportion of stroke, TIA, population at higher risk, population at moderate risk, population at low risk was 0.84%, 3.88% ,7.47%, 15.11% and 72.70% respectively ; among township residents, population at higher risk, population at moderate risk, population at low risk was 0.31% ,1.54% ,8.44% ,5.82% and 83.89%respectwely（X＇ 2 = 2. 116,P 〈0.05） . Among out- patients, the proportion of stroke, TIA, population at higher risk, population at moderate risk, population at low risk was 18.03%, 5.45%, 15.35%, 30.79% and 30.40% respectively; among inpatients, the proportion of stroke, TIA, popu- lation at higher risk, population at moderate risk, population at low risk was 43.86% ,6.14% ,14.62% ,24.28% andll. 10%, respectively; significant difference was found between them （X2 = 1. 804, P 〈 0.05）. Among community and township residents, the proportion of stroke, TIA, population at higher risk, population at moderate risk, population at low risk was 0.73% ,3.38% ,7.68%, 13.12% and 75.10% respectively; among inpatients and outpatients, the proportion of stroke, TIA, population at higher risk, population at moderate risk, population at low risk was 29.17% ,5.74%, 15.03% ,27. 98% and 22.07% respective
出处
《社区医学杂志》
2014年第2期16-19,共4页
Journal Of Community Medicine
基金
卫生部脑卒中筛查与防治项目
关键词
脑卒中
危险因素
疾病监测
流行病学
Stroke
Risk factor
Disease surveillance
Epidemiology
