邵阳地区脑卒中流行病学调查及临床干预研究

Epidemiological investigation and clinical intervention study of stroke in Shaoyang area

目的:探讨邵阳地区脑卒中流行病学调查及临床干预措施。方法:2017年1月~2019年12月应用分层抽样法选取邵阳地区常驻人群进行脑卒中流行病学调查,采用Logistic多因素分析影响邵阳地区脑卒中发生原因,为制定有效的干预策略提呈参数。结果:本次调查共纳入对象4211例,其中其中脑卒中患者发生率为10.09%(425/4211),其中男性脑卒中发生率为13.03%(275/2111)高于女性患者7.14%(150/2100)。与<40岁相比,40~50岁、≥60岁患者脑卒中发生率明显提高。经Logistic多因素分析可知,高龄、肥胖、吸烟、家族病史、合并高血压、合并高血脂是导致脑卒中发生的危险因素,而体检次数≥1次/年、运动时间>120 min/周是脑卒中发生的保护因素。结论:邵阳地区脑卒中发生率呈逐年增加及年轻化趋势,应对常驻人群加强脑卒中知识宣教,提高患者脑卒中防治知识,从而降低脑卒中发生率。

Objective To discuss the epidemiological investigation and clinical intervention measures of stroke in shaoyang area.Methods The stratified sampling were selected with resident population in shaoyang area for epidemiological investigation of stroke from January 2017 to December 2019.The causes of stroke in Shaoyang area were analyzed by logistic multi-factor analysis and effective intervention strategies were formulated.Results A total of 4,211 subjects were included in the survey,of which the incidence of stroke was 10.09%(425/4211),and the incidence of stroke was increasing year by year.The incidence of stroke in men was temporarily 13.03%(275/2111),higher than women 7.14%(150/2100).The old of stroke in patients of 40-50 years old and≥60 years old were increased than<40 years.The advanced age,obesity,smoking,family history,hypertension,hyperlipidemia,high-sugar and high-fat diet were risk factors for stroke by logistic multivariate analysis,and the number of physical examinations were≥1/Years and exercise time>120 min/week were protective factors for stroke.Conclusion The incidence of stroke in Shaoyang area is increasing year by year and becoming younger.The permanent population should be strengthened to promote stroke knowledge and improve patients’knowledge of stroke prevention,so as to reduce the incidence of stroke.