| 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].Chinese journal of Epidemiology,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 |
| Received:November 06, 1994 Revised:February 27, 1995 |
| DOI： |
| KeyWord: 脑卒中 影响因素 前瞻性观察 |
| English Key Word: Stroke incidence Influential factor Prospective study |
| FundProject:本项研究为国家自然科学基金资助课题 |
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| Abstract: |
| 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。 |
| English Abstract: |
| 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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