摘要
目的了解天津市区成人脑卒中流行病学特征及相关因素,为防治脑卒中提供科学依据。方法采用多级(区-街道-社区居委会-社区居民)随机抽样方法,抽取天津市区的30个社区居委会居民进行调查,获取人口学信息、病史和体格检查结果。采用2000年第五次全国人口普查数据计算标化患病率。结果共调查18岁及以上居民28515人,报告脑卒中826例,其中单纯缺血性脑卒中691例,单纯出血性脑卒中117例,同时合并有两者18例,脑卒中患病率为2896.72/10万,其中缺血性卒中患病率为2486.41/10万,出血性卒中患病率为473.44/10万,年龄结构标化后患病率分别为1289.93/10万、1073.30/10万和249.80/10万。脑卒中患病率随年龄增长而升高,男性高于女性,差异有统计学意义(P<0.01)。Logistic回归分析显示,较高的文化程度和人均收入水平为脑卒中的保护因素;男性、年龄、高血压、血脂异常、糖尿病为脑卒中的危险因素,尤其是高血压危险最高(OR=4.225,P=0.001)。结论天津市区成人脑卒中的患病率高于全国水平,应强化有效控制各种危险因素的措施,尤其是高血压。
Objective To investigate the epidemiological characteristics and risk factors of stroke among adult residents in the urban areas of Tianjin and provide directive references for population intervention. Methods 30 residents committees were selected from the urban areas of Tianjin by using randomized multistage sampling method, and al subjects were taken questionnaire interview and physical examination. Results A total of 28 515 residents aged 18 yrs and over in urban areas of Tianjin were selected. The investigation results indicated that 826 cases with stroke were reported, including 691 cases with cerebral arterial thrombosis, 117 cases with hemorrhagic apoplexy, and 18 cases with both condition. The prevalence rates of stroke, cerebral arterial thrombosis and hemorrhagic apoplexy were 2896.72/100 000, 2486.41/100 000 and 473.44/100 000, while the age-adjusted prevalence rates were 1289.93/100 000, 1073.30/100 000 and 249.80/100 000, respectively. Stroke prevalence rate increased with the age increasing, and that of the male was significantly higher than that of the female （P〈0.01）. Logistic regression analysis revealed that higher levels of education and income per capita were protective factors, while male, age, hypertension, dyslipidemia and diabetes mellitus were risk factors, especially the hypertension, which had the highest OR value （OR =4.225, P〈0.01 ）. Conclusions There is a higher prevalence rate of stroke in the urban adult residents in Tianjin, compared with that of whole country, and the risk factors should be well controlled, especially the hypertension.
出处
《中国慢性病预防与控制》
CAS
2012年第3期287-289,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
天津市科技发展计划项目(06YFSZSF01400)
关键词
脑卒中
患病率
流行病学特征
危险因素
Stroke
Prevalence
Epidemiologic characteristics
Risk factors
