| 刘宏军,方向华,张国锋,黄卫祖,平光宇,汤哲,吴晓光,周宏,李宁燕,王维山,刁丽君,孙菲.北京市2002年城乡老年人脑卒中患病情况综合评估[J].Chinese journal of Epidemiology,2005,26(10):767-771 |
| 北京市2002年城乡老年人脑卒中患病情况综合评估 |
| A comprehensive evaluation on sstroke prevalence among elderly in urban and rural areas of Beijing,2002 |
| Received:March 17, 2005 |
| DOI： |
| KeyWord: 卒中 患病率 危险因素 残疾 |
| English Key Word: Stroke Prevalence Risk factors Disability |
| FundProject:北京市老龄委基金资助项目 |
| Author Name | Affiliation | E-mail | | LIU Hong-jun | Department of Epidemiology and Social Medicine, Xuanwu Hospital, Capital University of Medical Science, Beijing 100053, China | | | FANG Xiang-hua | Department of Epidemiology and Social Medicine, Xuanwu Hospital, Capital University of Medical Science, Beijing 100053, China | xhfang@public3.bta.net cn | | ZHANG Guo-feng | 北京市通州区老年病院 | | | HUANG Wei-zu | 北京市老年病医院 | | | PING Guang-yu | 广外医院 | | | TANG Zhe | Department of Epidemiology and Social Medicine, Xuanwu Hospital, Capital University of Medical Science, Beijing 100053, China | | | WU Xiao-guang | Department of Epidemiology and Social Medicine, Xuanwu Hospital, Capital University of Medical Science, Beijing 100053, China | | | ZHOU Hong | 北京市通州区老年病院 | | | LI Ning-yan | 广外医院 | | | WANG Wei-shan | 北京市老年病医院 | | | DIAO Li-jun | Department of Epidemiology and Social Medicine, Xuanwu Hospital, Capital University of Medical Science, Beijing 100053, China | | | SUN Fei | Department of Epidemiology and Social Medicine, Xuanwu Hospital, Capital University of Medical Science, Beijing 100053, China | |
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| Abstract: |
| 目的 对北京地区城乡老年人卒中患病和残疾情况及卒中相关疾病和危险因素进行评估。方法 在宣武区、海淀区、通州区各选一个社区，对60岁以上的老年人按20％的比例进行入户调查，调查内容包括卒中患病和恢复情况、健康自评、躯体功能(ADL和IADL)、卒中相关疾病患病和控制情况、不良生活习惯和心脑血管病防治知识水平。结果 共调查2487名老年人，其中321例为卒中患者，患病率为12．9％，经CT或MRI检查确诊者占86．6％，有19．9％的患者有过2次及2次以上卒中发作。城区卒中患病率最高(16．9％)，其次为城乡结合部(11．0％)，农村最低(8．5％)，趋势检验P<0．01；男性明显高于女性(P<0．05)；城市人群卒中患病率随年龄上升而增长。对卒中患者的进一步调查发现，仅34．6％卒中患者认为自己已经完全恢复，其余患者仅部分或完全没有恢复。卒中老年人健康自评不良比例、ADL和IADL依赖率、高血压、冠心病和糖尿病患病率明显高于非卒中老年人，虽然卒中患者的高血压知晓率和治疗率都处于较高水平，但控制率较低，特别是农村地区，仅为4．3％。此外，卒中患者的心血管病防治知识水平、吸烟和饮酒率也与非卒中老年人基本持平。结论北京市老年人卒中患病率水平在过去10余年间有大幅度提高，社区卒中患者健康自评不良率、残疾率、高血压等卒中相关疾病患病率和危险因素均处于高水平，表明北京市社区卒中患者的三级预防工作亟待加强。 |
| English Abstract: |
| Objective To describe the prevalence and disability of stroke as well as the strokerelated diseases among elderly in urban and rural regions of Beijing. Methods In 2002, three communities were selected from urban, suburb and rural regions from Beijing areas, respectively. Twenty percent of the elderly were randomly selected from three communities. The information about history of stroke, hypertension, heart diseases and diabetes, self-rated health(SRH), activity of dally living(ADL) and instrumental ADL(IADL), smoking and drinking habits, knowledge about cardiovascular diseases prevention were collected. Results A total of 2487 elderly were interviewed and the prevalence of stroke was 12.9%(321/2481). Eighty-seven of the stroke patients were diagnosed by CT/MRI. 19.9% of stroke patients had experienced 2 or more attacks. The highest prvalence of stroke was in the urban region and the lowest in the rural region (16.9% us. 8.5%, P for trend <0.01) while it was higher in males than in females(P<0.05). The prevalence of stroke tended to increase with age in urban and 34.6% of the stroke patients had recovered completely. The proportions of poor SRH, ADL and IADL dependence, as well as the prevalences of hypertension, heart diseases and diabeetes were hight among the elderly with stroke than those without. Although rates of awareness and treatment of hypertension were at the high levels among the elderly with stroke, the control rate was low, especially in the rural region(as low as 4.3%).The level of knowledge on the prevention of cardiovascular diseases, and the rates of smoking and drinking were similar between the elderly with or without stroke. Conclusion The prevalence of stroke had increased dramatically during the past decade in Beijing. The proportion of poor SHR, ADL and IADL dependence, prevalence rates of stroke related diseases were hight among the elderly with stroke than those without.Secondary prevention of stroke among Beijing elderly called for urgent action. |
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