澳門地區腦卒中、心肌梗塞人群患病率及相關危險因素分析

The Prevalence of Stroke and Myocardial Infarction and The Relevant Risk Factors In Macao region

我們研究和描述了澳門地區腦卒中,心肌梗塞的人群患病率,並討論了與道兩種疾病相關的一些因素,結果:在抽樣調查的(215歲)5,177人中,發現患(或曾患)腦卒中並仍然存活者共37例,患病率為714.7/10萬,用1996年澳門地區人口構成調整率,1990年中國人口構成調整率和1985年世界標準人口構成調整率分別是529.6/10萬,446.1/10萬,和586.6/10萬。調查時存活的心肌梗塞患者18例,患病率347.7/10萬,用1996年澳門人口構成調整率,1990年中國人口構成調整率和1985年世界標準人口構成調整率分別是239.4/10萬,215.3/10萬,和282.2/10萬,相關危險因素分析表明,高血壓是腦卒中、心肌梗塞的最重要危險因素,而收縮壓的增高僅與腦卒中有聯係。結論:澳門地區較高的腦卒中和心肌梗塞患病率應引起人們關注,因此,在該地區開展高血壓預防和治療有極其深遠的意義。

We investigated a sample of 5177 subjects(215 years)over different residential areas in Macao region with randomization,described the prevalence rates of stroke and myocardial infarction(MI)in Macao region and discussed some risk factors related to these two diseases.Among 5177 subjects,37 individuals alive during investigation days were identified as having a completed stroke(or a stroke history),yielding a prevalence rate of 714.7/100000.The age-adjusted rates to 1996 Macao region population and to 1990 China population and to 1985 world standard population were 529.6/100000,446.1/100000,and 586.6/100000,respectively.18 cases with MI were found during investigation,yielding a prevalence rate of 347.7/100000.The age-adjusted rates to 1996 Macao region population and to 1990 China population and to 1985 world standard population were 239.4/100000,215.3/100000,and 282.2/100000,respectively.The analysis on risk factors revealed that hypertension was the very important risk factor of both stroke and MI,but the increasing of the systolic hypertension was only the risk factor of stroke.In view of the significant greater prevalence of stroke and MI in Macao region,these findings do not negate the important value of prevention and treatment of hypertension in Macao region.