【摘要】 [目的]了解贵阳市社区居民主要脑血管病流行现状及其危险因素,为脑血管病的预防控制提供科学依据。[方法]通过整群抽样的方式对贵阳市5个社区年满15岁以上的居民入户进行问卷调查及相关体格检查,数据用Epi-data3.1进行录入,SPSS13.0进行统计分析,危险因素相关性用非条件多因素Logistic回归分析。[结果]人群脑血管病患病率为1 867/10万,男性患病率为1 928/10万,女性患病率为1 810/10万,男女患病率差异无统计学意义;男女脑血管病患病率随年龄的增长呈逐步上升趋势,差异有统计学意义(χ2=男604.43,P﹤0.001,χ2=女467.37,P﹤0.001);TIA为最常见的脑血管类型占40.43%;不同教育水平脑血管病患病率以未受教育人群最高(4257/10万);高血压患病、脑血管病家族史、糖尿病、情绪控制差、A型性格(性子急、脾气暴)为脑血管病的危险因素。[结论]贵阳市的脑血管病流行趋势较为严重,应当以高血压预防控制为核心开展脑血管病的防治工作。更多还原

【Abstract】 [Objective]To understand epidemic status and risk factors of the cerebrovascular disease among urban residents and to provide the scientific evidence for the intervention measurements.[Methods]The residents,older than 15 years old,were selected basing on a cluster sampling design.Questionnaire survey and medical examination were employed.The data were input by Epidata 3.1 and analyzed by SPSS13.0.[Results]In all the surveyed residents,the incidence of the cerebrovascular disease was 1 867/100 000.The incidence between male(1 928/100 000)and female(1 810/100 000)had no significant difference(χ2 =male604.43,P﹤0.001,χ2 =female467.37,P﹤0.001),and both increased with age.TIA was the most common type(40.43%).In different educational level,the highest incidence 4 257/100 000 happened in uneducated persons.The history of hypertension,family history of cerebrovascular diseases,diabetes,ability of emotion control,characters were the risk factors of cerebrovascular diseases for urban residents.[Conclusion]The epidemic tendency of cerebrovascular disease is serious,so the hypertension prevention should be the key for the cerebrovascular control and prevention.更多还原