目的　探讨金坛农村脑卒中危险因素。方法　以 1984～ 1986年和 1992年 ,年龄 35～5 9岁 ,完成基线调查的 32 0 4人为研究对象 ,随访至 2 0 0 0年 1月 ,观察所有新发的脑卒中病例。结果平均随访 12 40年 ,共发生脑卒中 6 8例。回归分析显示影响脑卒中发病的主要因素是收缩压、吸烟、脑卒中和饮酒史 ,相对危险性分别为 2 41、1 37、13 82和 1 88。结论　血压升高是可预防的最重要的脑卒中危险因素 ,饮酒是有别于我国其他人群的脑卒中的独立危险因素。 Objective To explore the risk factors of stroke in Jintan rural areas. Methods A total of 324 patients who completed the baseline survey from 1984 to 1986 and 1992 and aged 35-59 years were enrolled in this study. All patients were followed up until January 2000. All new cases of stroke were observed. Results The average follow-up of 1240 years, a total of 68 cases of stroke. Regression analysis showed that the main factors influencing the incidence of stroke were systolic blood pressure, smoking, stroke and alcohol consumption, the relative risks were respectively 2 41,1 37,13 82 and 1 88. Conclusions High blood pressure is the most preventable risk factor for stroke. Drinking alcohol is an independent risk factor that is different from other stroke in China.