摘要
目的:分析社区老年体检人群脑卒中风险评估结果与主要危险因素暴露水平,探讨脑卒中风险的主要影响因素。方法:以2019年参加社区老年人健康体检者作为研究对象共7124人,其中男性3182人,女性3942人,年龄为60~94岁,平均年龄(69.5±6.91)岁。收集身高、体重、血压等一般信息,采集空腹静脉血液检测血脂、血糖、尿酸等生化指标。并对其中3262人进行脑血管功能检测以评估脑卒中的发病风险,并分析影响脑卒中风险的因素。结果:在老年体检人群中,超重/肥胖者占56.7%;收缩压和舒张压升高者分别占31.8%和31.7%;三酰甘油、总胆固醇、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇异常者分别占30.2%、32.0%、22.6%和4.6%;心房颤动和吸烟者分别占1.8%和11.3%。脑血管功能检测发现,脑卒中高危人群的比例占41.6%,其中轻、中、重度高危分别占16.1%、15.6%和9.6%,高危对象的比例随着年龄增长而呈上升趋势(P<0.01)。多因素logistic回归分析显示,年龄增加、血压升高、超重、肥胖与脑卒中风险增加相关。结论:社区老年人群的超重、血压升高和血脂异常暴露率处于较高水平,年龄增加、血压升高、超重、肥胖是脑卒中风险的独立影响因素。
Objective:To analyze the results of the stroke risk assessment and the exposure level of main risk factors in the elderly physical examination population in the community,and to explore the main influencing factors of stroke risk.Methods:A total of 7124 people participated in the elderly physical examination in the community in 2019 were selected as the research objects,and among them,3182 were males and 3942 were females,the aged was from 60 to 94 years old,with an average age of(69.5±6.91)years old.Height,weight,blood pressure and other general information were collected and fasting venous blood was collected to detect biochemical indexes such as blood lipid,blood glucose and uric acid.And 3262 of them were tested for cerebrovascular function to assess the risk of stroke,and analyze the factors that affected the risk of stroke.Results:In the elderly physical examination population,overweight/obese accounted for 56.7%;systolic blood pressure and diastolic blood pressure increased in 31.8%and 31.7%of the patients,respectively;abnormal triglycerides,total cholesterol,low-density lipoprotein cholesterol,and high-density lipoprotein cholesterol accounted for 30.2%,32.0%,22.6%,and 4.6%,respectively;the patients with atrial fibrillation and smokers accounted for 1.8%and 11.3%,respectively.The cerebrovascular function test found that the proportion of high-risk groups of stroke accounted for 41.6%,among them,light,medium and severe high risk accounted for 16.1%,15.6%and 9.6%,respectively,and the proportion of high-risk subjects increased with age(P<0.01).Multivariate logistic regression analysis showed that increased age,increased blood pressure,overweight,and obesity were related to increased risk of stroke.Conclusion:The exposure rates of overweight,elevated blood pressure and dyslipidemia of the elderly in the community are at a high level,and increased age,elevated blood pressure,overweight and obesity are independent influencing factors of stroke risk.
作者
余虹
陶宏凯
张海洋
徐佩玉
陈庆华
YU Hong;TAO Hongkai;ZHANG Haiyang;XU Peiyu;CHEN Qinghua(Prevention and Health Care Department of Tairi Community Health Service Center of Jinhui Town,Fengxian District,Shanghai 201405,China)
出处
《上海医药》
CAS
2022年第2期47-51,共5页
Shanghai Medical & Pharmaceutical Journal
关键词
脑卒中
老年人
风险评估
危险因素
stroke
elderly people
risk assessment
risk factor
