摘要
目的了解长沙市某社区中老年脑卒中高危人群危险因素构成及分布特点,为对其开展规范化教育及健康管理提供参考依据。方法采用《心脑血管病危险因素社区、乡镇人群筛查表》对长沙某社区1944名中老年常住居民进行问卷调查和体格检查。结果435名中老年常住居民被评定为脑卒中高危人群(检出率22.38%),脑卒中高危检出率男性高于女性(P<0.01),并随着年龄的增长呈现递增的趋势(P<0.01)。Logistic回归分析显示,年龄是该社区中老年脑卒中高危人群的影响因素之一。385名危险因素≥3项的高危人群中,危险因素暴露前3位依次为血脂异常、高血压及缺乏运动。结论血脂异常、高血压、缺乏运动为影响该社区脑卒中高危人群的主要危险因素,不同性别、年龄的高危人群危险因素分布特点不同,应针对高危人群危险因素差异,开展个体化的综合干预和健康指导。
Objective To investigate the risk factors and distribution characteristics of middle-aged and elderly people at high risk of stroke in a community in Changsha,and provide reference for its standardized education and health management.Methods A total of 1944 permanent residents aged 40 and over were selected from the community,and questionnaires and physical examinations were conducted using the Clinical and Cerebrovascular Diseases Community and Township Population Screening Table.Results Totally 435 people were assessed as high-risk stroke patients(detection rate 22.38%).The high-risk detection rate was higher in men than in women(P<0.01),and increased with age(P<0.01).Logistic regression analysis showed that age was one of the influencing factors in the high-risk group of elderly stroke in this community.Among the 385 high-risk groups with more than 3 risk factors,the top 3 risk factors were dyslipidemia,hypertension and lack of exercise.Conclusion Dyslipidemia,hypertension and lack of exercise are the main risk factors affecting the high-risk population in this community.The distribution of risk factors in high-risk groups of different genders and ages is different.Individualized comprehensive interventions should be carried out according to the differences of risk factors among high-risk groups.
作者
刘珊
易海波
席明霞
舒玲
LIU Shan;YI Haibo;XI Mingxia;SHU Ling(School of Nursing University of South China,Hengyang,Hunan,421001;Department of Neurology,Changsha Central Hospital Affiliated to University of South China,Changsha,Hunan,410004;Department of Nursing,Changsha Central Hospital Affiliated to University of South China,Changsha,Hunan,410004)
出处
《中西医结合护理（中英文）》
2019年第9期90-93,共4页
Journal of Clinical Nursing in Practice
基金
2018年度湖南省卫健委科研计划课题项目(A20182004)
关键词
中老年人
脑卒中
高危人群
血脂
高血压
糖尿病
middle-aged and elderly
stroke
high-risk population
serum lipid
hypertension
diabetes mellitus
