摘要
目的了解辽宁省农村地区成年人群脑卒中的流行病学特征和相关危险因素,为辽宁省农村地区脑卒中的防治和干预提供科学依据。方法采用随机分层整群抽样对7个乡镇≥35岁30214名农村常驻(≥5年)成年人进行了调查。由培训过的医师对调查对象进行了血压测量和常见脑卒中危险因素资料的收集。结果辽宁省农村居民脑卒中患病率为2.48%,标化率为2.56%;男性患病率2.97%,显著高于女性患病率1.98%。随着年龄和血压分级的增高,脑卒中患病率呈明显的增高趋势。多元Logistic逐步回归显示年龄、性别、超重肥胖、高血压家族史、高血压、高血脂及高文化等因素是脑卒中患病的危险因素。超重、肥胖伴有高血压、高血脂者患脑卒中的危险性是同龄健康者的54.01倍(95%CI:37.09～78.64)。结论辽宁省农村居民脑卒中患病率高,高血压是脑卒中最显著的危险因素,许多居民对脑卒中危险因素的防治知识非常匮乏。
[Objective]To assess the current epidemic characterization of stroke and risk factors among rural adult groups in Liaoning province, and to provide scientific basis for prevention and intervention of stroke in the rural area for the government. [Method] Through cluster multistage and random sampling, a resident （≥5 years） group of 30214 people was investigated, who were aged more than 35 years in seven small towns of Liaoning province. The blood pressure measurement and correlative risk factors about stroke were investigated by trained doctors. [Results] The prevalence rate of stroke for adult groups in rural of Liaoning was 2.48%, and the standardized prevalence rate was 2.56%. The prevalence of stroke for male （2.97%） was significantly higher than that for female 1.98%）. With the age and grade of blood pressure increasing, the prevalence rate obviously rose up. By Logisticregression, risk factors of age, sex, overweight-obesity, family history of hypertension, hypertension, hyperlipedimia, high education level and so on were close to stroke occurring. The fatalness of suffering from stroke among persons who had overweight-obesity accompanying hypertension and hyperlipidemia was 54.01 times （95% CI： 37.09- 78.64） that of the same age＇ healthy＇ group. [Conclusions] The results indicated that strake is highly prevalent in Liaoning province, and hypertension ranks the In＇st in risk factors. However most residents are highly short of the knowledge of prevention and treatment of stroke.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2008年第6期768-772,共5页
China Journal of Modern Medicine
基金
辽宁省科技攻关重大项目(2003225003)
