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目的对荆门市居民脑卒中流行现状及危险因素进行调查分析,为荆门市脑卒中的预防和诊疗提供参考,降低荆门市脑卒中发病率。方法对荆门市40岁以上(包括40岁)的居民进行整体随机抽样,对每例被调查者均进行问卷调查。由神经科医师做出脑卒中诊断。每个脑卒中患者均统一抽血进行实验室检查。后采用SPSS 17.0统计软件包进行统计分析,计数资料采用χ2检验,相关危险因素采用多因素Logistic回归分析,P<0.05为差异有统计学意义。结果荆门市脑卒中患病率在性别上无统计学差异,但城市人群患病率与农村人群患病率有统计学差异,城市人群患病率高于农村人群患病率。脑卒中在各组年龄间患病率差异有统计学意义(P<0.05),从40岁开始脑卒中患病率随年龄增长呈显著上升趋势。多因素Logistic回归分析表明高血压、糖尿病、心房颤动、高脂血症、高同型半胱氨酸血症、超重、吸烟是脑卒中的危险因素。结论脑卒中的防治应该根据荆门市脑卒中的流行现状及危险因素,采取针对性的综合措施。
Objective To investigate the prevalence and risk factors of stroke in residents of Jingmen City and provide references for the prevention and treatment of stroke in Jingmen City and to reduce the incidence of stroke in Jingmen City. Methods Residents over the age of 40 (including 40 years old) in Jingmen City were randomly sampled at random and questionnaires were conducted on each surveyed person. Stroke diagnosis by a neurologist. All patients with stroke were unified blood tests for laboratory tests. SPSS 17.0 statistical software package was used for statistical analysis, the count data using χ2 test, the relevant risk factors using multivariate Logistic regression analysis, P <0.05 for the difference was statistically significant. Results The prevalence of stroke in Jingmen had no statistical difference in gender, but the prevalence rate in urban population was significantly different from that in rural population. The prevalence rate in urban population was higher than that in rural population. The prevalence of stroke in each group was statistically significant (P <0.05). The prevalence of stroke increased significantly with age from the age of 40 years. Multivariate Logistic regression analysis showed that hypertension, diabetes mellitus, atrial fibrillation, hyperlipidemia, hyperhomocysteinemia, overweight and smoking were the risk factors of stroke. Conclusion Prevention and treatment of stroke should be based on the prevalence of stroke in Jingmen City and risk factors, to take targeted comprehensive measures.