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目的 :探讨长沙市社区居民脑卒中及其危险因素的流行趋势。方法 :在“八五”、“九五”期间 ,在长沙市开福区 5万自然人群中进行脑卒中及其危险因素流行趋势的动态研究。结果 :SBP ,DBP ,T -ch ,HDL -ch ,GLU和BMI水平 10年间整体上有上升 ,2 0 0 0年显著高于 1992年 (P <0 .0 1)。TG水平 10年间有下降 ;10年间男性吸烟率和饮酒率有上升 ,但均无统计学意义。脑卒中的年发病率及死亡率 (标化率 )整体上在下降 ,2 0 0 0年脑卒中的年发病率 (标化率 )及死亡率 (粗率及标化率 )显著低于 1992年 (P <0 .0 5～ 0 .0 1)。结论 :长沙市居民脑卒中的某些危险因素水平仍在上升 ,社区综合性脑卒中防治仍是降低脑卒中发病和死亡的有效途径。
Objective: To explore the prevalence of stroke and its risk factors in community residents in Changsha. Methods: During the “Eighth Five-Year Plan” and “Ninth Five-Year Plan” period, a dynamic study on the prevalence of stroke and its risk factors among 50,000 natural populations in Kaifu District of Changsha City was conducted. Results: The levels of SBP, DBP, T-ch, HDL-ch, GLU and BMI increased as a whole in 10 years, and were significantly higher than those in 1992 (P <0.01) in 2000. TG levels declined in 10 years; 10 years smoking rates and drinking rate of men increased, but no statistically significant. The annual incidence of stroke and mortality (standardization rate) overall decline in the annual incidence of stroke (standardized rate) and mortality (crude rate and standardization rate) was significantly lower in 1992 (P <0. 05 ~ 0 .0 1). Conclusion: Some risk factors of stroke in Changsha residents are still rising. Comprehensive prevention and treatment of stroke in community is still an effective way to reduce the incidence and death of stroke.