福建省宁德市蕉城区脑卒中干预后复筛结果分析

Analysis of the rescreening results after intervention of cerebral apoplexy in Jiaocheng District, Ningde city, fujian province

目的 分析宁德市蕉城区脑卒中干预后复筛结果,与初筛进行比较,总结脑卒中干预中存在的不足.方法 采用整群抽样法选取蕉城区城乡筛查点,筛查对象为年龄≥40 岁常住人口,通过问卷调查和体格检查方式,采用脑卒中风险评估表进行脑卒中风险评估.结果 2013年度总筛查人群5 956 例,2015年度复筛时失访471例,死亡56 例,余5 429 例中高危人群占9.76%,中危人群占14.51%,低危人群占75.72%.各危险因素的检出率：体力活动少为45.33%,血脂异常为1.69%,吸烟为16.53%,高血压病为19.87%,明显超重或肥胖为8.59%,糖尿病为4.25%,房颤或心脏瓣膜病为0.12%,卒中家族史为1.90%,脑卒中粗患病率为0.54%. 2015年前3位危险因素由2013年的体力活动少、血脂异常和吸烟变为体力活动少、高血压和吸烟.结论 宁德市蕉城区脑卒中干预后复筛,血脂异常比例下降,高危人群比率和脑卒中患病率下降,干预有一定成效.

Objective To summarize the shortcomings in stroke intervention by analyzing the re-sults of stroke rescreening in Jiaocheng District , compared with the results of primary screening. Methods The cluster sampling method was used to select the screening sites in urban and rural areas in Jiaocheng District.The screening target was the permanent population ≥40 years old.By questionnaire and physical examination , stroke risk assessment was used to assess stroke risk.Results There were 5 956 cases of total screening in 2013, 471 cases were missed and 56 cases died in 2015.Among the 5 429 cases, the high-risk population was 9.76%, the middle-risk population was 14.51%, and the low-risk population was 75.72%.Detection rate of various risk factors ： the less physical activity was 45.33%, the blood lipid abnormality was 1.69%, the smoking was 16.53%, the hypertension was 19.87%, the overweight or obesity was 8.59%, the diabetes was 4.25%, the atrial fibrillation or heart valve disease was 0.12%, the family history of stroke was 1.90% and the incidence of stroke was 0.54%.The three risk factors were changed from less physical activity , abnormal blood lipids and smok-ing in 2013 to less physical activity , high blood pressure and smoking in 2015.Conclusions After the intervention of cerebral apoplexy in Jiaocheng District of Ningde , there is a significant decrease in blood lipid abnormality, the ratio of high-risk groups and the incidence of stroke in the brain , and the interven-tion had some effect.