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周桂荣, 刘爱萍, 叶纯, 庄国良, 宋丽君, 杨会棉. 北京门头沟区中老年人群脑卒中患病现状及危险因素[J]. 中国公共卫生, 2014, 30(4): 420-423. DOI: 10.11847/zgggws2014-30-04-12
引用本文: 周桂荣, 刘爱萍, 叶纯, 庄国良, 宋丽君, 杨会棉. 北京门头沟区中老年人群脑卒中患病现状及危险因素[J]. 中国公共卫生, 2014, 30(4): 420-423. DOI: 10.11847/zgggws2014-30-04-12
ZHOU Gui-rong, LIU Ai-ping, YE Chun.et al, . Prevalence of stroke and its risk factors among middle aged and elderly population in Mentougou district of Beijing[J]. Chinese Journal of Public Health, 2014, 30(4): 420-423. DOI: 10.11847/zgggws2014-30-04-12
Citation: ZHOU Gui-rong, LIU Ai-ping, YE Chun.et al, . Prevalence of stroke and its risk factors among middle aged and elderly population in Mentougou district of Beijing[J]. Chinese Journal of Public Health, 2014, 30(4): 420-423. DOI: 10.11847/zgggws2014-30-04-12

北京门头沟区中老年人群脑卒中患病现状及危险因素

Prevalence of stroke and its risk factors among middle aged and elderly population in Mentougou district of Beijing

  • 摘要: 目的了解北京市门头沟区中老年人群脑卒中患病现状及危险因素,为脑卒中的预防控制提供参考依据。方法采用整群抽样方法对在门头沟区6个乡镇18个自然村抽取的3 267名≥45岁中老年常住居民进行体格检查、颈部彩超检查和问卷调查。结果北京门头沟区中老年人群脑卒中患病率为10.9%,年龄标化患病率为11.2%,卒中复发率为21.6%,其中缺血性卒中占77.9%,出血性卒中占22.1%;多因素非条件logistic回归分析结果显示,静坐时间>5 h/d(OR=1.550,95%CI=1.176~2.040)、有房颤(OR=1.098,95%CI=1.024~1.177)、糖尿病(OR=1.428,95%CI=1.065~1.913)、血脂异常(OR=1.734,95%CI=1.304~2.304)、高血压(OR=2.726,95%CI=1.973~3.766)为门头沟区中老年人群脑卒中患病的危险因素。结论北京市门头沟区中老年人群脑卒中患病率较高,以缺血型为主;每天静坐时间较长、有房颤、糖尿病、血脂异常和高血压的中老年更易患脑卒中。

     

    Abstract: ObjectiveTo investigate the prevalence rate of stroke and its risk factors among middle aged and elderly population in Mentougou district of Beijing.MethodsWith cluster sampling method,3 276 permanent residents aged 45 years and above from 18 villages of 6 towns were selected to have a physical examination,Color Doppler ultrasound examination and questionnaire survey.ResultsAmong the residents,the prevalence rate of stroke was 10.9%;the age-standardized prevalence rate of stroke was 11.2%;and the recurrence rate of stroke was 21.6%.As to the type of stroke,ischemic stroke accounted for 77.9% and hemorrhagic stroke 22.1% of all stroke.Multivariate logistic regression analysis showed that sitting over 5 hours per day,atrial fibrillation,diabetes,dyslipidemia,and hypertension were risk factors of stroke,with the odds ratios (ORs)of 1.550,1.098,1.428,1.734,and 2.726,respectively.ConclusionThe prevalence rate of stroke is high among elderly residents in Mentougou district and ischemic stroke is the main type.The elderly people who have features such as having a long sitting time every day,atrial fibrillation,with diabetes,dyslipidemia,and hypertension are more susceptible to stroke.

     

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