青龙满族自治县居民脑卒中患病现状及影响因素调查分析

Current prevalence of cerebral apoplexy in Qinglong Man Nationality Autonomous County and its influencing factors

目的分析青龙满族自治县居民脑卒中患病现状及影响因素,为本地区脑卒中预防、干预提供科学依据。方法采用整群随机抽样法抽取秦皇岛市青龙满族自治县2013年18岁以上的常住居民1628人为研究对象,通过自制的"基本情况调查问卷"对其进行调查。结果所选研究对象中脑卒中发病人数为116人,约占7.13%;其中缺血性脑卒中94人。不同文化程度与人均年收入的患病率差异具有统计学意义(P<0.05)。不同年龄、职业、婚姻状况、BMI、吸烟史、饮酒史、高血压史、糖尿病史、血脂情况以及脑卒中家族史的患病率差异具有显著统计学意义(P<0.001)。年龄、吸烟史、高血压史、血脂异常、糖尿病史、BMI、脑卒中家族史为脑卒中发病的影响因素。结论青龙满族自治县居民的脑卒中患病率较高,以缺血性脑卒中为主;随年龄增长患病率增高;发病与吸烟史、高血压史、血脂异常、糖尿病史、BMI、脑卒中家族史有关。

Objective To investigate the current prevalence of cerebral apoplexy in Qinglong Man Nationality Autonomous County and its influencing factors and to provide scientific evidence for the prevention and intervention of cerebral apoplexy in the local area.Methods A total of 1628 permanent residents over 18 years old from Qinglong Man Nationality Autonomous County in Qinhuangdao were selected by cluster random sampling in 2013. The self-designed Basic Information Questionnaire was used to conduct a survey.Results Among the selected residents,116 had cerebral apoplexy,accounting for 7. 13%,and 94 of them had ischemic cerebral apoplexy. People with different education levels and average annual incomes showed significant differences in the prevalence of cerebral apoplexy（ P〈0. 05）. The prevalence of cerebral apoplexy also varied among people with different ages,occupations,marriage status,BMIs,smoking histories,drinking histories,hypertension histories,diabetes histories,blood lipid levels,and family histories of cerebral apoplexy（ P〈0. 001）. Age,smoking history,hypertension history,abnormal blood lipid,diabetes history,BMI,and family history of cerebral apoplexy were influencing factors for the onset of cerebral apoplexy. Conclusions The prevalence of cerebral apoplexy is high in Qinglong Man Nationality Autonomous County,with ischemic cerebral apoplexy being predominant. The prevalence increases with age,and the onset is related to smoking history,hypertension history,abnormal blood lipid,diabetes history,BMI,and family history of cerebral apoplexy.