怀柔区农村居民脑卒中患病及其危险因素分析

Analysis of cerebral apoplexy prevalence and risk factors of the rural residents of Huairou District

目的 了解本辖区50岁及以上农村居民脑卒中患病及其危险因素分布情况,为社区建立脑卒中干预体系提供科学依据.方法 将怀柔镇2019年家医签约服务居民体检中50岁及以上户籍居民1965人作为统计对象,内容包括家医签约健康体检表上各项检查,然后将调查数据进行网上录入分析.结果 脑卒中患病率为14.5%,男性患病率17.4%,女性患病率12.3%.经统计学检验,男女患病率有显著性差异(x2=54.183,P<0.01),男性患病率高于女性.脑卒中患病率随着年龄的增长逐渐增加(趋势x2=83.810,P<0.01).吸烟、高血压、糖尿病、血脂异常、心脏病、颈动脉狭窄组为脑卒中的危险因素.结论 做好脑卒中高危人群的规划化管理,加强对高危人群的干预,采取针对性的防控措施,对于脑卒中的预防与控制具有重要意义.

Objective To understand the distribution of the prevalence and risk factors of cerebral apoplexy of Huairou District,rural residents over the age of 50.To provide scientific basis for cerebral apoplexy community intervention system.Methods A total of 1,965 registered residents aged 50 and above in the physical examination of residents who signed up for domestic medical services in huairou town in 2019 were selected as the statistical objects,including all the examinations on the health and physical examination form signed up by domestic medical services,and then the survey data were recorded and analyzed online.Results The prevalence of cerebral apoplexy was 14.5%,and the prevalence was significantly higher in male(17.4%)than female(12.3%,X^(2)=54.183,P<0.01),The prevalence of cerebral apoplexy was increased gradually with age(trend X^(2)=83.810,P<0.01).Smoking,hypertension,diabetes,lipid abnormality,heart disease,carotid stenosis were the risk factors of cerebral apoplexy.Conclusion It is of great significance for the prevention and control of stroke to make planning management of highrisk groups,strengthen the intervention of high-risk groups,and take targeted prevention and control measures.