摘要
目的了解四川省城乡居民脑卒中患病率,分析其患病影响因素和患病人群脑卒中危险因素的伴随特点,为制定预防干预措施提供科学的依据。方法自2013-08/11,采用多阶段分层整群随机抽样的方法,以家庭为单位抽取常住人口进行入户调查。用SPSS 22.0软件进行统计分析,计算四川省常住居民脑卒中患病率以及患病人群脑卒中危险因素伴随率,采用线性趋势检验分析年龄与脑卒中患病情况是否存在线性趋势,采用χ^2检验分析患病影响因素。结果四川省常住居民脑卒中患病率339.72/10万,其中男性为373.83/10万,女性为305.70/10万;不同年龄(P<0.001)、民族(P=0.035)、文化程度(P=0.001)、职业(P<0.001)人群脑卒中患病率差异有统计学意义;年龄40岁以上、农民、汉族、文化程度较低者脑卒中患病率较高;脑卒中人群合并高危因素发生率由高到低依次为高血压(71.11%)、吸烟史(32.22%)、饮酒史(30.00%)、糖尿病(12.22%)、血脂异常(15.58%)、冠心病(7.87%)、心房颤动(2.35%)。结论年龄、民族、文化程度、职业对脑卒中患病有显著性影响,且高血压、吸烟史、饮酒史在患者中的伴随率较高,可据此提出针对性的预防干预措施。
Objective To examine the prevalence rate of stroke and its influencing factors in urban and rural residents in Sichuan province in order to provide scientific basis for formulating preventive intervention measures. Methods From August 2013 to November 2013, a multi-stage stratified cluster sampling method was used to select the residents based on the unit of family in Sichuan province. SPSS 22.0 was used to calculate the prevalence rate of stroke and concomitant rate of high-risk factors among stroke patients. A linear trend test was preformed to evaluate the linear trend between age and prevalence of stroke. Chi-square tests were used to explore the risk factors of stroke. Results The overall prevalence rate of stroke was 339.72/10^5 in Sichuan province, the prevalence rates of stroke among male and female residents was 373.83/10^5 and 305.70/10^5,respectively. There were significant differences in the prevalence rates of stroke among the groups with different age(P<0.001),nationalities(P=0.035), education level(P=0.01) and occupation(P<0.01). The prevalence of stroke was higher in residents who were over 40 years old,farmers,Han nationality and low education level. The rates of stroke patients complicated with high risk factors were as follows: hypertension(71.11%), smoking history(32.22%), drinking history(30%),diabetes(12.22%),dyslipidemia(15.58%),coronary heart disease(7.87%),and atrial fibrillation(2.35%). Conclusion Age, nationalities, education level and occupation have significant influence on the prevalence rate of stroke, and the rates of hypertension, smoking history and drinking history in stroke patients were high. Therefore,targeted preventive intervention measures can be proposed based on the results.
作者
张新
胥馨尹
邓颖
季奎
ZHANG Xin;XU Xinyin;DENG Ying;JI Kui(Sichuan Center for Disease Control and Prevention,Chendu 610041,Sichuan Province,China)
出处
《预防医学情报杂志》
CAS
2020年第9期1108-1112,共5页
Journal of Preventive Medicine Information
关键词
脑卒中
患病率
高危因素
伴随率
stroke
prevalence
high-risk factors
concomitant rate
