摘要
目的分析社区50岁以上人群脑卒中发生的危险因素和实验室检查结果。方法选取2017年3—4月在上海市浦东新区唐镇社区卫生服务中心行问卷调查和健康体格检查者881人,其中男434人、女447人,年龄范围51~79岁,年龄为(64.81±5.19)岁。按10岁间隔进行分组,50~59岁87人(9.88%)、60~69岁637人(72.30%)和70~79岁157人(17.82%)。采用问卷调查形式采集受检人员的病史,并进行体格检查和实验室检查,分析不同年龄段的男、女性脑卒中高危人群所占比例和脑卒中患者比例,不同性别间脑卒中高危人群危险因素,以及脑卒中高危人群与非高危人群的实验室检查结果。结果所有受检对象中,脑卒中患者比例为5.11%(45/881),脑卒中高危人群所占比例为41.09%(362/881)。男性脑卒中高危人群所占比例、脑卒中患者比例为51.38%(223/434)、6.68%(29/434),分别显著高于女性的31.10%(139/447)、3.58%(16/447,P值均<0.01)。50~59岁组、60~69岁组男性脑卒中高危人群所占比例为54.29%(19/35)、52.96%(170/321),分别显著高于同组女性的25.00%(13/52)、30.38%(96/316,P值均<0.01);70~79岁组男性脑卒中高危人群所占比例与同组女性比较,差异无统计学意义(P>0.05)。60~69岁组男性脑卒中患者比例为5.30%(17/321),显著高于同组女性的1.90%(6/316,P<0.01);50~59岁组、70~79岁组男性脑卒中患者比例与同组女性比较,差异均无统计学意义(P值均>0.05)。在各危险因素中,高血压、脑卒中家族史、心房颤动的女性所占比例为89.93%(125/139)、62.59%(87/139)、17.99%(25/139),分别显著高于男性的67.71%(151/223)、45.74%(102/223)、7.17%(16/223,P值均<0.01);吸烟的男性所占比例为62.33%(139/223),显著高于女性(0,P<0.01)。血脂异常、明显超重或肥胖、糖尿病、运动缺乏的男性所占比例与女性比较,差异均无统计学意义(P值均>0.05)。脑卒中高危人群的红细胞计数、白细胞计数、中性粒细胞计数,以及血红蛋�
Objective To analyze risk factors and laboratory test results of stroke in community residents over 50 years old.Methods A total of 881 people who took physical examination and questionnaires from March to April 2017 in Tangzhen Community Health Service Center,Pudong New District of Shanghai,were enrolled in this study.There were 434 males and 447 females with a mean age of(64.81±5.19)years(range,51-79 years).Of them,87 people(9.88%)were 50-59 years old,637 people(72.30%)were 60-69 years old,and 157 people(17.82%)were 70-79 years old.Medical history,results of physical and laboratory examination were recorded.The proportion of stroke high-risk population and the proportion of stroke patients were compared between men and women of different ages,as well as the risk factors of stroke high-risk population between different genders,and laboratory test results in high-risk and non-high-risk groups of stroke.Results The proportions of stroke patients and high-risk people were 5.11%(45/881)and 41.09%(362/881),respectively.The proportions of men at high risk of stroke and with stroke were 51.38%(223/434)and 6.68%(29/434),which were significantly higher than women’s(31.10%[139/447]and 3.58%[16/447],P<0.01).The proportions of men at high risk of stroke aged 50-59 and 60-69 years old were 54.29%(19/35)and 52.96%(170/321),which were significantly higher than women’s(25.00%[13/52]and 30.38%[96/316],both P<0.01).The proportion of male stroke patients aged 60-69 years old was significantly higher than female(5.30%[17/321]vs.1.90%[6/316],P<0.01),but there was no significant difference in the proportions of stroke patients aged 50-59 years old or 70-79 years old between men and women(P>0.05).The proportions of women with hypertension,family history of stroke,and atrial fibrillation were 89.93%(125/139),62.59%(87/139),and 17.99%(25/139),which were significantly higher than men’s(67.71%[151/223],45.74%[102/223],7.17%[16/223],all P<0.01).The smoking rate in men was significantly higher than that in women(62.33%[139/223]vs.0,P
作者
陈建峰
CHEN Jianfeng(Department of General Practice,Tangzhen Community Health Service Center,Pudong New District of Shanghai,Shanghai 201210,China)
出处
《上海医学》
CAS
北大核心
2020年第9期557-561,共5页
Shanghai Medical Journal
关键词
卒中
高危人群
危险因素
实验室结果
调查分析
Stroke
High-risk population
Risk factors
Laboratory results
Investigation and analysis
