摘要
目的调查湖南省短暂性脑缺血发作（transient ischemic attack，TIA）的发病率、患病率，了解湖南省TIA的流行病学情况。方法通过分层抽样，随机抽取湖南省7个监测点，采用整群抽样法共选取8311名年龄≥50岁的调查对象。患病时间定义为2013年8月31日24：00止，发病时间定义为2012年9月1日00：00至2013年8月31日24：00。统计抽样人群TIA的患病率和发病率及全国2010人口普查标化患病率和发病率。结果在8311名抽样人群中，TIA患病人数为24人（288．8／10万），TIA发病人数为7人（85．2／10万），全国2010人口普查标化患病率和发病率分别为283．2／10万和82．4／10万。其中女性的标化发病率高于男性（114．8／10万比48．8／10万），男性的标化患病率高于女性（288．2／10万比273．2／10万）。高血压是TIA最重要的危险因素（54．2％）。结论湖南省TIA的发病率和患病率高于全国平均水平，高血压是其主要的危险因素。
Objective To determine the incidence and prevalence of transient ischemic attack （TIA） and to evaluate its epidemiological situation in Hunan province. Methods Seven monitoring points were randomly selected from the province, a total of 8 311 subjects aged≥50 years were then chosen by stratified sampling. The cases counted in prevalence was defined as patients diagnosed before 24：00 o＇clock August 31st, 2013, and the new diagnosis for incident counting was defined as those diagnosed between 00：00 September 1st, 2012 and 24：00 August 31st, 2013. Results Among all 8 311 screened subjects, the number of TIA patients was 24 （288.8 per 100 000 people）, the incidence of TIA was 7 （85.2 per 100 000 people）. Standardized prevalence and incidence were 283.2 and 82.4 per 100 000 respectively using 2010 China census population. Among them, the standardized incidence rate of female was higher than that of male （114.8 per 100 000 person-years vs. 48.8 per 100 000 person-years）, and the prevalence rate of males was higher than that of female （288.2 per 100 000 people vs. 273.2 per 100 000 people）. Hypertension is the most important risk factor for TIA （55.2%）. Conclusion The incidence and prevalence of TIA in Hunan province are higher than the national average. Hypertension is the main risk factor.
作者
贺威
刘运海
黄清
冯洁
文延斌
徐吉
王特
刘小娟
黄跃龙
金东辉
刘慧琳
陈碧云
He Wei Liu Yunhai Huang Qing Feng Jie Wen Yanbin Xu Ji Wang Te Liu Xiaojuan Huang Yuelong Jin Donghui Liu Huilin Chen Biyun(Department of Neurology, Xiangya Hospital, Central South University of China, Changsha 410008, China Department of Neurology, Changsha Central Hospital, Changsha 410004, Chin Department of Chronic Disease, Hunan Provincial Center for Disease Control and Prevention, Changsha 410004, Chin)
出处
《中华健康管理学杂志》
CAS
2017年第5期415-420,共6页
Chinese Journal of Health Management
基金
“十二五”国家科技支撑计划（2011BA108801）
