北京市顺义区18~79岁常住居民脑卒中危险因素分析

Analysis for the Risk Factors on Stroke Among 18-79 Years Old in Beijing Shunyi District

目的调查和分析北京市顺义区脑卒中危险因素,为开展脑卒中综合防治提供依据。方法采用PPS抽样方法抽取2019年4月-6月顺义区25家镇/街道18~79岁常住居民3977名为调查对象,进行统一的问卷调查和体检,分析脑卒中患病率及其危险因素暴露水平。结果共计调查人群3993名,获得3977份完整资料,完整率为99.60%;随年龄的增加,脑卒中患病率呈增高趋势,且男性高于女性,差异有统计学意义(P<0.05);脑卒中和非脑卒中人群性别、年龄、文化程度、高血压、糖尿病、血脂异常、房颤、中心性肥胖、卒中家族史、饮酒史比较,差异有统计学意义(P<0.05);男性高血压、房颤、中心性肥胖、吸烟、饮酒的暴露率高于女性,糖尿病、血脂异常、卒中家族史的暴露率低于女性。其中,男性和女性血脂异常、卒中家族史、吸烟史和饮酒史比较,差异有统计学意义(P<0.05)。结论北京市顺义区脑卒中患病率及其危险因素暴露率较高,年龄、性别、文化程度、高血压、糖尿病、血脂异常、房颤、中心性肥胖、卒中家族史、饮酒是顺义区18~79岁居民脑卒中患病的主要危险因素。

Objective To investigate and analyze the risk factors of stroke in Shunyi District of Beijing,so as to provide basis for comprehensive prevention and treatment of stroke.Methods 3977 permanent residents aged 18-79 in 25 towns/streets of Shunyi District from April to June 2019 were selected by PPS sampling method.A unified questionnaire survey and physical examination were conducted to analyze the prevalence of stroke and the exposure level of risk factors.Results a total of 3993 people were investigated,3977 complete data were obtained,and the integrity rate was 99.60%;With the increase of age,the prevalence of stroke increased,and the male was higher than the female,the difference was statistically significant(P<0.05);There were significant differences in gender,age,education level,hypertension,diabetes,dyslipidemia,atrial fibrillation,central obesity,family history of stroke and drinking history between stroke and non stroke patients(P<0.05).The exposure rates of hypertension,atrial fibrillation,central obesity,smoking and drinking in men were higher than those in women;The exposure rate of diabetes,dyslipidemia and family history of stroke was lower than that of females.There were significant differences in dyslipidemia,family history of stroke,smoking history and drinking history between men and women(P<0.05).Conclusion The prevalence of stroke and the exposure rate of its risk factors are high in Shunyi District of Beijing;Age,gender,educational level,hypertension,diabetes,dyslipidemia,atrial fibrillation,central obesity,family history of stroke and drinking are the major risk factors for stroke in Shunyi District residents aged 18-79 years.