【摘要】 目的通过商丘市居民脑卒中及其危险因素的筛查分析,为制定商丘市脑卒中的综合防治措施提供科学依据。方法选择商丘市年龄40岁以上的常住居民6 011例为筛查对象,进行面对面健康问卷调查、人体测量、实验室检测,分析脑卒中的患病率及危险因素。结果梁园区平原社区、虞城县李老家乡高危人群分别为14.56%、17.55%;脑卒中患病率分别为1.38%、1.50%;吸烟、高血压、高脂血症、糖尿病、超重、运动缺乏、脑卒中家族史、房颤的患病率男性分别为28.46%、24.67%、26.11%、7.02%、7.96%、2.21%、2.00%、0.51%、1.06%;女性分别为20.01%、23.58%、29.96%、7.02%、7.96%、2.01%、3.35%、0.35%、1.96%。结论商丘市筛查人群中吸烟、高血压、高脂血症、糖尿病、超重者患病率高,是脑卒中的主要危险因素,有效控制血压、血脂和血糖,开展戒烟、健身运动是降低脑卒中患病率的最有效途径。更多还原

【Abstract】 Objective To analyze stroke risk factors so as to provide the scientific evidence for the prevention in Shangqiu City.Methods A total of 6011 permanent residents over 40 years old in Shangqiu City were included in this study.We performed the face-to-face healthy questionnaires,anthropometry and laboratory test to analyze mortality and characteristics of stroke crowds and related risk factors.Results The rate of high-risk population in Liangyuan District and Yucheng County was14.56% and 17.55%,respectively,and the mortality of stroke was 1.38% and 1.50%,respectively.In males,the rate of smoking,hypertension,dyslipidemia,diabetes,obesity,lack of physical exercise,history of stroke,atrial fibrillation accounted for 28.46%,24.67%,26.11%,8.76%,10.01%,2.01%,3.35%,0.51%,1.06%separately;which took the percentage of 20.01%,23.58%,29.96%,7.02%,7.96%,2.01%,3.35%,0.35%,1.96%respectively in females.ConclusionSmoking,hypertension,dyslipidemia,diabetes,obesity and lack of physical exercise may be the high risk factors of stroke in Shangqiu city.It is needed to effectively control blood pressure,blood glucose and lipids as well as carry out no-smoking activity and physical exercise,which may be the most effective way to reduce the mortality of stroke in Shangqiu City.更多还原