文章摘要
孙艳花,张国华,呼日勒,王晟.内蒙古自治区全人群脑血管病流行病学调查[J].中华流行病学杂志,2015,36(9):925-928
内蒙古自治区全人群脑血管病流行病学调查
Epidemiological survey of cerebrovascular disease among population in Inner Mongolia autonomous region
收稿日期:2015-01-21  出版日期:2015-09-10
DOI:10.3760/cma.j.issn.0254-6450.2015.09.004
中文关键词: 脑血管病  患病率  发病率  死亡率
英文关键词: Cerebrovascular disease  Prevalence rate  Incidence  Mortality
基金项目:国家科技支撑计划(2011BAI08B01)
作者单位E-mail
孙艳花 010050 呼和浩特, 内蒙古医科大学研究生学院  
张国华 010050 呼和浩特, 内蒙古医科大学附属医院神经内科 363234851@qq.com 
呼日勒 010050 呼和浩特, 内蒙古医科大学附属医院神经内科  
王晟 英国谢菲尔德大学神经科  
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中文摘要:
      目的 探讨内蒙古自治区全人群脑血管病流行病学特点。方法 2013年9月至2014年1月采用与人口规模成比例的PPS抽样方法,对内蒙古自治区全年龄组常住居民19 315人进行现场问卷调查及影像(CT/MRI)等辅助确诊和体格检查。结果 内蒙古自治区全人群脑血管病患病率为1 812.06/10万(男性2 008.86/10万,女性1 613.24/10万)。随年龄增加患病率升高,且男性高于女性,乡村人群高于城区,文化程度低者患病率较高。脑血管病发病率为392.54/10万,男女性别间发病率的差异无统计学意义(χ2=0.380,P=0.846);农村人群高于城市,差异有统计学意义(χ2=13.029,P=0.000),且随年龄增加发病率有逐渐升高的趋势(χ2=410.130,P=0.000)。脑血管病死亡率为149.67/10万,病死率为15.14%。中年组脑出血及脑梗死患病率均高于青年组(< 45岁)人群。结论 内蒙古自治区全人群脑血管病患病率、发病率、死亡率、复发率均较高,并以缺血型为主。
英文摘要:
      Objective To understand the epidemiological characteristics of cerebrovascular disease among population in Inner Mongolia. Methods From September 2013 to January 2014,a total of 19 315 local residents in all age groups were selected through cluster random sampling,and face to face questionnaire survey was conducted among them,than health examination was provided for them. Results The overall prevalence of cerebrovascular diseases among the population in all age group was 1 812.06/100 000(2 008.86/100 000 in males and 1 613.24/100 000 in females). The prevalence of cerebrovascular diseases increased with age,and the prevalence was higher in males than in females,in rural population than in urban population and in people with lower educational level than in people with higher educational level. The annual incidence stroke was 392.54/100 000,the difference in the incidence between males and females had no statistical significance (χ2=0.380,P=0.846). The incidence of stroke was higher in rural population than in urban population,the difference was statistically significant (χ2=13.029,P=0.000). The incidence of stroke increased with age (χ2=410.130,P=0.000). The annual mortality of stroke was 149.67/100 000 and the case fatality rate was 15.14%. Compared with the elderly,the prevalence of cerebral hemorrhage and cerebral infarction were higher in young people. Conclusion The prevalence,incidence,mortality and recurrence rate of cerebrovascular disease were high in the population in Inner Mongolia,ischemic stroke was the major form of cerebrovascular disease.
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