摘要
目的初步了解北京市50岁以上人群脑卒中相关危险因素情况,早期发现脑卒中的高危人群,并进行干预,为社区开展脑卒中高危人群筛查并建立脑卒中高危人群干预体系提供科学依据。方法采取整群抽样调查方法选取50岁以上的北京市户籍人口605例,首先进行病史采集、体格检查,然后对脑卒中高危人群进行颈动脉彩超检查,了解年龄、高血压、糖尿病、心脏病、血脂异常、肥胖、吸烟等脑卒中危险因素与颈动脉粥样硬化的关系,对筛查出的582例脑卒中高危人群进行颈动脉彩超检查。结果①随着年龄增高,患者颈动脉斑块、狭窄发生率均显著增高,差异有统计学意义(P<0.01,P<0.05)。②伴有高血压、糖尿病、心脏病、血脂异常、超重或肥胖、吸烟、缺乏体力活动中2种及以上危险因素者颈动脉斑块及狭窄发生率显著增高,差异有统计学意义(P<0.01,P<0.05)。结论在社区开展脑卒中高危人群筛查和建立干预体系,对脑卒中的预防与控制具有重要意义。
Objective To investigate the stroke-related risk factors in the population aged over 50 years in Beijing,carry out early the intervention based on the timely diagnosis, and provide the scientific bases for the screening of high-risk stroke popula- tion and the establishment of intervention system. Methods The cluster survey method was carried in 605 people aged over 50 years old in Beijing. After the questionnaire and physical examination, the carotid artery ultrasonography examination was per- formed in 582 high-risk stroke populations to investigate the relationships between the atherosclerosis and the age, hypertension, diabetes, heart disease, dyslipidemia, obesity, smoking and other risk factors. The survey data was analyzed by statistical method. Results （1）The incidence of carotid plaque and stenosis increased with the age Of patients and the difference was Statistical sig- nificance（P 〈0.01 ,P 〈0.05）. （2） The incidence of carotid plaque and stenosis increased with two risk factors in hypertension, diabetes, heart disease, dyslipidemia, overweight or obese, smoking, lack of physical activity, and the difference was statistical sig- nificance （ P 〈 0.01, P 〈 0.05 ）. Conclusion The screening of high-risk stroke population and establishment of intervention sys- tem in community is benefit to the prevention and control of stroke.
出处
《中华全科医学》
2013年第1期106-107,共2页
Chinese Journal of General Practice
关键词
颈动脉彩超
筛查
脑卒中高危人群
Carotid artery ultrasonography
Screening
High-risk stroke population
