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成都市社区脑卒中筛查及其危险因素分析
罗慧,温贤秀,何邦,邱文娟,杨文爽
0
(西南医科大学护理学院;四川省医学科学院·四川省人民医院)
摘要:
【摘要】 目的 探讨成都市营门口、荷花池社区年龄≥40岁高危人群健康现况及其脑卒中相关危险因素,为建立规范的脑卒中防治干预措施提供科学依据。方法 采用整群抽样法,选取40岁以上成都市营门口、荷花池社区的常住居民6050名,进行问卷调查和体格检查,并对筛查出的脑卒中高危人群做进一步实验室检查和颈部血管超声检查,对筛查结果进行数据处理及统计学分析。结果 6050名居民筛查出高危人群1116人,检出率为1845 %。脑卒中高危人群各项危险因素所占比重由高到底依次为高血压629%、高血脂5591%、肥胖或超重4794%、少运动4409%、吸烟3620%、糖尿病3486%、卒中家族史2294%、既往卒中史824%、房颤或心瓣膜病296%。男、女脑卒中高危人群在各年龄段分布统计学差异有显著性((2=21555,P<0001)。除肥胖或超重、少运动、糖尿病、既往卒中史外,其余各项危险因素不同性别之间差异有统计学意义(P<005)。高危人群中高血脂和房颤患者的治疗率极低。高危人群中血清中低同型半胱氨酸(Hcy)组165人(1914%);中Hcy组425人(493%);高Hcy组272人(3155%)。脑卒中高危人群颈部血管超声检查内膜增厚217人(5398%),劲动脉斑块314人(7811%),颈动脉狭窄308人(7662%)。结论 早期识别脑卒中高危人群并控制各项高危因素,积极开展健康教育、健康管理和倡导健康生活,对脑卒中的防治有重要的临床意义。
关键词:  脑卒中  筛查  危险因素  防治
DOI:
基金项目:国家卫生计生委“十二五”医改专项(GN 2016F0004)
Analysis of stroke and its risk factors in Chengdu community
LUO Hui,WEN Xianxiu,HE Bang,QIU Wenjuan,YANG Wenshuang
(School of Nursing, Southwest Medical University;Sichuan Academy of Medical Science, Sichuan Provincial People's Hospital)
Abstract:
【Abstract】 Objective To understand the status and risk factors of population aged ≥40 years in Chengdu Yingmenkou and lotus pond community and provide scientific basis for the establishment of standardized stroke prevention and control interventions.Methods 6050 residents of the Yingkou entrance and Lotus pond community were selected. The questionnaire survey and physical examination were carried out. Further laboratory tests and neck vascular ultrasound were implemented in the high risk group of stroke. The results could be analyzed by data processing and statistical analysis. Results 1116 highrisk groups were screened out, with a detection rate of 1845%. The risk factors of cerebral stroke in highrisk population proportio were hypertension (629%), hyperlipidemia (5591% ), obese or overweight (4794%), less exercise (4409%), smoking (3620%), diabetes (3486%), family history of stroke (2294% ), stroke history (824% ), atrial fibrillation or valvular heart disease (296%). There were significant differences in the distribution of highrisk groups between men and women ( 2=21555,P<0001). Despite of the obesity or overweight, less exercise, diabetes, and past stroke history, the other risk factors were different. There was a statistically significant difference between genders (P<005, P<001). The treatment of patients with high blood lipids and atrial fibrillation was very low among the highrisk groups. Among the highrisk group, 165 respondents were in low serum Hcy group (1914%). 425 respondents were in group Hcy (493%). 272 respondents were in high Hcy group (3155%). In the highrisk group of stroke, carotid ultrasound examination revealed intimal thickening in 217 patients (5398%), 314(7811%) respondents with carotid artery plaques, and308 respondents (7662%) with carotid artery stenosis. Conclusion It is very important to early identify highrisk groups with stroke, strengthen health management, control highrisk factors, actively carry out health education,promote healthy life andimplement the prevention and treatment of stroke.
Key words:  Stroke  Screening  Risk factors  Prevention

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