文章摘要
杜福昌,王海燕,姚才良,朱杰,王敬良,董璜瑛,邹志芬,张淑莲,钱德音.城乡队列人群脑卒中发病差异及其影响因素的前瞻性研究[J].中华流行病学杂志,1995,16(5):278-280
城乡队列人群脑卒中发病差异及其影响因素的前瞻性研究
A Cohort Study on the Difference of Stroke Incidence between Urban and Rural populations and Related Influential Factors
收稿日期:1994-11-06  出版日期:2021-05-24
DOI:
中文关键词: 脑卒中  影响因素  前瞻性观察
英文关键词: Stroke incidence  Influential factor  Prospective study
基金项目:本项研究为国家自然科学基金资助课题
作者单位
杜福昌 南京医科大学第一附属医院心血管病研究所 210029 
王海燕 南京医科大学第一附属医院心血管病研究所 210029 
姚才良 南京医科大学流行病学教研室 
朱杰 南京医科大学第一附属医院心血管病研究所 210029 
王敬良 南京医科大学第一附属医院心血管病研究所 210029 
董璜瑛 南京1014所医院 
邹志芬 南京医科大学职工医院 
张淑莲 南京1014所医院 
钱德音 江苏海门心血管病防治办公室 
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中文摘要:
      在城市778名农村1 031名队列人群中分别进行了为期15年及11年的前瞻性观察。城市组脑卒中平均年标化发病率95.7/10万,较农村组183.1/10万明显为低。其发病率差异的主要影响因素除年龄外为农村人群的高嗜酒率、高吸烟率、心电图异常及女性收缩压的增高。另外血胆固醇水平偏低也可能为影响农村脑卒中特别是脑出血高发的因素之一。
英文摘要:
      A longitudinal prospective study was carried out in a cohort of 1 809 persons aged 35 to 74 at entry, including 778 subjects from urban and 1 031 from rural areas. The average annual age-adjusted incidence of stroke was 95. 7/104 in urban group during a 15-year-period from 1979 to 1994, which was significantly lower than that in rural areas (183.1/104) during a 11-year-period from 1983 to 1994. According to the results through multivariate regression analysis and comparative study of risk factors between urban and rural group at baseline examination, it was suggested that in addition to age, factors as drinking habit,smoking, ECG abnormality and elevated systolic blood pressure (in female) were important parameters causing the difference of incidence between urban and rural groups. Other than those factors mentioned above,low level of serum cholesterol in rural population was also suspected as a possible factor positively influencing the development of stroke.
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