社区50岁以上人群颈动脉硬化危险因素调查分析

Risk Factors of Carotid Atherosclerosis in the Community Aged over 50 Years

目的:探讨社区建立脑卒中高危人群干预体系的措施。方法:采取整群随机抽样调查方法选取本辖区50岁以上常住居民752例,进行问卷调查、体格检查及颈动脉超声检查,对结果进行分析。结果:(1)颈动脉斑块及狭窄发生率随着年龄增高而显著增高;(2)伴有高血压、糖尿病、高脂血症中≥2种疾病的患者,显著增高颈动脉斑块及管腔狭窄发生率。结论:开展颈动脉硬化危险因素筛查对脑卒中高危人群预防和干预具有重要意义。

[ABSTRACT]Objective: To explore the measures to establish the intervention system of the high risk population in the high risk population in the community. Methods: 752 cases of permanent residents aged over 50 years were selected by cluster random sampling method. Questionnaire survey, physical examination and carotid ultrasound examination were conducted. The results were analyzed. Results:(1) the incidence of carotid plaque and stenosis had increased significantly with age;(2) associated with hypertension, diabetes and hyperlipidemia in more than 2 kinds of diseases were significantly higher in carotid plaque and stenosis incidence. Conclusions:The risk factors of carotid atherosclerosis screening is important for prevention and intervention of high risk population.