上海市某社区脑卒中高危人群筛查情况分析

Analysis of Screening of Stroke High-Risk Population in a Community of Shanghai

目的了解上海市南桥社区脑卒中的筛查情况,及早发现脑卒中高危人群,为脑卒中防控措施提供依据。方法选取南桥社区≥40岁的常住居民6284名作为研究对象,通过问卷调查、体格检查及实验室检查等方式,以脑卒中风险评分卡为依据,评估出脑卒中高危人群,并对危险因素进行分析。结果在6284名研究对象中,筛查出脑卒中高危者959人(15.26%);脑卒中高危人群的危险因素依次为高血压(88.22%)、很少进行体育活动(63.30%)、肥胖(51.72%)、高血脂(46.40%)、心房颤动或瓣膜心脏病(31.49%)、吸烟(29.61%)、糖尿病(26.38%)和脑卒中家族史(3.34%)。高危人群中男性的检出率(16.74%)高于女性(14.17%),差异有统计学意义(χ^(2)=32.244,P<0.001);随着年龄的增长,高危人群检出率逐渐增高(χ^(2)=26.638,P<0.001)。结论应早期识别脑卒中的高危人群,并针对其危险因素进行干预,提高人群健康意识,做到早发现与及时干预,从而进一步减少脑卒中的发病率、复发率和死亡率。

Objective To understand the screening situation of stroke in a community of Shanghai and find out the high-risk groups of stroke as early as possible,to provide the basis for stroke prevention and control measures.Methods A total of 628440 years old or above permanent residents in Nanqiao Community were selected as the research subjects.Through questionnaire surveys,physical examinations,and laboratory examinations,and based on the stroke risk scoring card,high-risk groups for stroke were evaluated,and their risk factors were analyzed.Results Among the 6284 study subjects,959(15.26%)were identified as high-risk groups;the risk factors of high risk population of stroke were hypertension(88.22%),little physical activity(63.30%),obesity(51.72%),hyperlipidemia(46.40%),atrial fibrillation or valvular heart disease(31.49%),smoking(29.61%),diabetes(26.38%),and family history of stroke(3.34%).The detection rate of high-risk groups in males(16.74%)was higher than that in females(14.17%),and the difference was statistically significant(χ^(2)=32.244,P<0.001);as age increased,the detection rate of high-risk groups gradually increased(χ^(2)=26.638,P<0.001).Conclusion The high-risk population of stroke should be identified early,and intervention should be carried out according to its risk factors,so as to improve the health awareness of the population and achieve early detection and timely intervention,and further reduce the incidence rate,recurrence rate and mortality of stroke.