摘要
目的分析社区老年人脑卒中的患病情况并对重点人群的同型半胱氨酸(HCY)水平进行筛查,为脑卒中的早发现、早诊断、早治疗提供判断依据。方法基于国家基本公共卫生服务项目中老年人健康管理服务,选取上海市松江区佘山镇的老年人展开调查。结果佘山社区老年人脑卒中患病率2023年和2024年分别为3.92%和4.12%,呈上升趋势。Logstic回归分析结果显示:男性、高龄、糖尿病是脑卒中发病的危险因素。HCY筛查结果显示:重点人群中HCY异常的检出率非常高,检出率为83.41%;HCY异常人群中的脑卒中患病率高于HCY正常人群。结论老年人群是脑卒中的高发人群且患病率逐年增高,而HCY水平的升高是脑卒中早期筛查的重要指标。
Objective To analyze the prevalence of stroke among elderly people in the community and screen for homocysteine(HCY)levels in key populations,providing a basis for early detection,diagnosis,and treatment of stroke.Methods Based on the elderly health management services in the National Basic Public Health Service Project,a survey was conducted among the elderly in Sheshan Town.Results The incidence of stroke among elderly people in Sheshan were 3.92%and 4.12%in 2023 and 2024,respectively,showing an upward trend.The results of logstic regression analysis showed that male,elderly and diabetes were risk factors for stroke.The HCY screening results show that the detection rate of HCY abnormalities in key populations is very high,with a detection rate of 83.41%;The incidence of stroke in individuals with abnormal HCY is higher than that in individuals with normal HCY.Conclusion The elderly population is a high-incidence group for stroke,and the incidence is increasing year by year.An elevated level of HCY is an important indicator for the early screening of stroke.
作者
林梦睿
李婷
王琴
Lin Mengrui;Li Ting;Wang Qin Sheshan(Town Community Health Care Center,Shanghai 201602,China)
出处
《健康教育与健康促进》
2025年第6期595-598,共4页
Health Education and Health Promotion
基金
国家基本公共卫生服务项目(国卫基层发[2017]13号)。
