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目的探讨南京市下关地区居民脑卒中的流行特征及相关危险因素,为制定有效的预防和康复措施提供科学依据。方法采用多阶段分层随机整群抽样方法,于2007年7～9月对辖区内6个街道年满35周岁并在当地居住满5年的常驻人进行脑卒中的现况调查。结果全区脑卒中现患率3.5%,标化现患率为2.4%。高年龄、文化程度低、白领、丧偶的人群患病率较高。Logistic回归分析显示,超重、肥胖、高血压、糖尿病、冠心病、高脂血症以及父母一方患有脑卒中者发生脑卒中的风险显著增加。结论多种慢性非传染性疾病可增加脑卒中发病风险,脑卒中是遗传、环境及行为多种影响因素相互作用的结果,倡导健康合理的膳食习惯,控制血压、体质量是预防脑卒中发生的重要措施。
Objective To investigate the prevalence and risk factors of stroke in residents in Xiaguan, Nanjing, and to provide a scientific basis for effective prevention and rehabilitation measures. Methods A multistage stratified stratified random cluster sampling method was used to investigate the current status of stroke among residents resident in six streets in the area aged 35 years and living in the area for five years from July to September in 2007. Results The prevalence of stroke in the whole district was 3.5%, and the prevalence rate was 2.4%. High age, low education, white-collar workers, widowed people a higher prevalence. Logistic regression analysis showed a significant increase in the risk of stroke in overweight, obesity, hypertension, diabetes, coronary heart disease, hyperlipidemia, and one parent with stroke. Conclusion A variety of chronic non-communicable diseases can increase the risk of stroke. Stroke is the result of the interaction of many factors, such as heredity, environment and behavior. Advocating healthy and reasonable diet, controlling blood pressure and preventing body weight Important measure