| 马爱娟,董忠,李刚.北京市50～79岁人群脑卒中患病率和危险因素调查[J].Chinese journal of Epidemiology,2012,33(7):645-648 |
| 北京市50～79岁人群脑卒中患病率和危险因素调查 |
| Prevalence rates and risk factors on stroke among 50-79 years-olds in Beijing, 2011 |
| Received:January 19, 2012 |
| DOI： |
| KeyWord: 脑卒中 患病率 高血压 慢性病 |
| English Key Word: Stroke Prevalence Hypertension Chronic disease |
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| Abstract: |
| 目的 了解2011年北京市50～79岁人群脑卒中患病率和危险因素.方法 于2011年9-11月采用与人口规模成比例的整群PPS抽样方法对北京市50～79岁38 532名人群进行问卷调查、体格测量和颈部彩超检查.结果 北京市50～79岁人群脑卒中年龄标化患病率为9.3％(男性11.5％,女性8.1％)；随年龄增加患病率升高,且男性高于女性,郊区人群高于城区,文化程度低者患病率高.缺血型脑卒中占80.8％,16.6％为复发脑卒中.高血压、血脂异常、肥胖、糖尿病年龄标化患病率分别为80.7％、29.6％、22.9％、16.9％.脑卒中患者高血压、血脂异常、肥胖、糖尿病、偏头痛、心脏病、颈动脉狭窄、阻塞性睡眠呼吸暂停综合征、外周血管病、缺血性眼病、同型半胱氨酸血症和镰刀型细胞贫血的年龄标化患病率为89.3％、39.7％、25.4％、25.4％、21.4％、23.7％、13.2％、6.4％、6.5％、5.9％、0.3％和0.3％,均高于非脑卒中者.47.9％脑卒中患者含有3项及以上慢性病和危险因素.结论 北京市50 ～ 79岁人群脑卒中患病率高,复发率高,以缺血型为主；郊区人群患病率高；脑卒中患者存在危险因素聚集现象,合并的前四位慢性病和危险因素为高血压、血脂异常、肥胖、糖尿病. |
| English Abstract: |
| Objective To investigate the prevalence and risk factors of stroke among population aged 50-79 in Beijing,2011.Methods 38 532 subjects were randomly selected with cluster sampling method,under the proportion to the population size (PPS).Each participant was invited to receive face to face standardized questionnaire interview,physical examination and neck ultrasonography.Results The standardized prevalence of stroke was 9.3％,with 11.5％ and 8.1％ for males and females respectively.The prevalence rate increased with age and was higher in males,in suburb areas and people with poor education.Ischemic stroke accounted for 80.8％ of all the stroke cases,with 16.6％ of the patients had one recur.The standardized prevalence rates of hypertension,dyslipidemia,obesity,diabetes mellitus were 80.7％,29.6％,22.9％,16.9％,respectively.The prevalence rates of hypertension,dyslipidemia,obesity,diabetes mellitus,migraine,heart disease,carotid stenosis,sleep apnea,peripheral cascular disease,ischemic eye disease,high homocysteine level and sickle cell anemia among stroke patients were 89.3％,39.7％,25.4％,25.4％,21.4％,23.7％,13.2％,6.4％,6.5％,5.9％,0.3％,0.3％,respectively,all higher than those without the disease.47.9 percent of the stroke patients had 3 or more chronic diseases with more risk factors.Conclusion People who were 50 to 79 years old and living in Beijing had both higher prevalence and recurrence rate of stroke,with the main type as ischemic stroke.Compared with urban area,the situation in suburb was more serious.Stroke patients had more risk factors.The top four relevant chronic diseases of stroke patients were hypertension,dyslipidemia,obesity and diabetes mellitus.In order to reduce or delay the occurrence or recurrence of stroke,lifestyle intervention programs should be adopted to control related chronic diseases at their early stages. |
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