常德市脑卒中危险因素分析

Analysis of Risk Factors for Stroke in Changde City

【目的】分析常德市脑卒中危险因素，以期为脑卒中的-临床防治提供参考。【方法】总结2011年1月至2011年12月常德市多中心卒中登记的5338例脑卒中患者的人口学、病因学、临床特点等资料，对患者各项临床和辅助资料进行收集并录入数据库。【结果]5338例患者中，男性脑卒中患者（58．94％）较女性多，脑梗死患者（60．21％）较脑出血（25．65％）多；本地区脑卒中的年发病率为93．60／10万人口，年病死率为55．02／10万人口。土家族脑卒中年发病率与年病死率明显高于汉族等其他民族。【结论】本研究可以较好反映湘西北地区脑卒中的发病特征及现状。土家族和习惯等可能为脑卒中的独立危险因素。

[Objective]To analyze the risk factors for stroke in Changde city so as to provide a reference for the prevention and treatment of stroke. [Methods]The data about demography, etiology and clinical features of 5338 pa- tients with stroke registered in multiple centers of Changde city from Jan. 2011 to Dec. 2011 were summarized. The clinical and ancillary information were collected and entered into the database. [Results] Among 5338 patients, the male patients with stroke（58. 94%） were more than female patients, and the patients with cerebral infarction （60. 21 %） were more than patients with cerebral hemorrhage（25. 65 %）. The annual incidence rate of stroke in the area was 93. 60/10 million people, and the annual fatality rate of stroke was 55.02/10 million people. The annual in- cidence rate and fatality rate of stroke in Tujia minority were significantly higher than those in Han and other national- ities. [Conclusion] The study can better reflect the characteristics and status of stroke in northwestern area of Hunan province. Nation may he the independent risk factors of stroke.