孝感市40岁以上社区居民脑卒中危险因素现况调查

Investigation of Risk Factors of Stroke in Community Residents Aged 40 years and Above

目的了解和掌握孝感市40岁以上社区居民脑卒中危险因素分布情况,为有针对性地开展脑卒中防治工作提供参考依据。方法采取整群抽样方法,对孝感市≥40岁以上1 780名社区居民进行问卷调查,使用国家卫计委编写的"脑卒中高危人群与干预项目风险评估表",对符合纳入标准者进行问卷调查、体格检测和实验室检查。结果 1 274人被评估为脑卒中高危人群,男595人,女679人。8项危险因素中排列前三位的是高血压、肥胖、血脂异常,分别为81.5%、61.1%、50.2%。50~59岁和60~69岁年龄段危险因素相对于其他年龄段更为突出。结论高危人群危险因素处于较高水平,各危险因素分布情况与性别、年龄有统计学意义(P<0.05)。应有针对性地对社区高危人群进行健康教育,积极主动控制危险因素,降低脑卒中发病率。

Objective To understand and master the distribution of risk factors of stroke in community residents aged 40 and above in Xiaogan city,to provide reference basis for the targeted development of stroke prevention and control.Methods Adopting the method of cluster sampling,1780 community residents aged 40 or higher,using the unified ＂ stroke risk groups and intervention project risk assessment chart＂ issued by the national health commission,a questionnaire survey was conducted to meet eligibility criteria,physical testing and laboratory examination. Results Of the 1 274 people who were assessed as high risk of stroke,595 men,679 women and 8 risk factors were among the top three of the patients with high blood pressure,obesity and blood lipids,81. 5 percent,61. 1 percent and 50. 2 percent respectively. The risk factors for ages 50 - 59 and 60 - 69 were more significant than those of other age groups. Conclusion The risk factors of high-risk groups were at a high level,and the distribution of risk factors was statistically significant（ P〈0. 05）. We should aim to make healthy education for high-risk groups in the community,actively control risk factors and reduce the incidence of stroke.