[1]肖祎男 董望梅 彭小祥.湖北省40岁及以上居民脑卒中流行病学特征及危险因素分析[J].卒中与神经疾病杂志,2023,30(03):269-272.[doi:10.3969/j.issn.1007-0478.2023.03.007]
　Xiao Yinan*,Dong Wangmei,Peng Xiaoxiang..Epidemiological characteristics and risk factors of stroke in Chinese people aged 40 and older in Hubei province[J].Stroke and Nervous Diseases,2023,30(03):269-272.[doi:10.3969/j.issn.1007-0478.2023.03.007]
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湖北省40岁及以上居民脑卒中流行病学特征及危险因素分析()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第30卷
期数:
2023年03期
页码:
269-272
栏目:
论著
出版日期:
2023-06-20

文章信息/Info

Title:
Epidemiological characteristics and risk factors of stroke in Chinese people aged 40 and older in Hubei province
文章编号:
1007-0478(2023)03-0269-05
作者:
肖祎男 董望梅 彭小祥
430000 武汉,江汉大学医学院(肖祎男); 湖北中医药大学(董望梅); 湖北省第三人民医院神经内科[彭小祥(通信作者)]
Author(s):
Xiao Yinan*;  Dong Wangmei;  Peng Xiaoxiang.
*School of Medicine Jianghan University, Wuhan 430000
关键词:
脑卒中; 流行病学; 高危人群; 危险因素
Keywords:
Stroke; Epidemiology; High-risk population; Risk factors
分类号:
R743.3
DOI:
10.3969/j.issn.1007-0478.2023.03.007
文献标志码:
A
摘要:
目的 调查湖北省40岁及以上常住居民脑卒中、脑卒中高危人群患病情况,为落实湖北省脑卒中防治策略提供科学依据与方向。方法 依托2021年国家重大公共卫生项目-“脑卒中高危人群筛查与干预项目”,在湖北省7个地级市设置13个筛查点,施行整群抽样的方法对40岁及以上常住居民进行问卷调查、体格检查和实验室检查。结果 湖北省脑卒中检出率为2.79%,脑卒中高危人群检出率为20.79%; 两项检出率呈现如下特点,即城市高于农村,男性高于女性; 随着年龄增长,呈升高趋势。此外,在区域对比中武汉市不仅脑卒中检出率最高,其高危人群检出率也是如此。脑卒中伴随危险因素检出率由高到低,排序为高血压病83.45%、血脂异常55.64%、缺乏运动33.21%、糖尿病28.18%、脑卒中家族史23.15%、吸烟15.95%、超重14.75%、房颤2.52%。其中,男性吸烟率明显高于女性; 城市糖尿病、缺乏运动、脑卒中家族史的检出率高于农村(P<0.05)。结论 湖北省脑卒中的防治形势仍然严峻,男性脑卒中患病隐患高于女性,城市脑卒中负担高于农村; 脑卒中高危因素以高血压病、血脂异常、缺乏运动为主,卫生部门要加强对上诉危险因素宣教与干预; 湖北省不同地级市脑卒中高危人群伴随高危因素检出率不同,需要针对性进行防治。
Abstract:
ObjectiveTo investigate the prevalence and risk factors of stroke and high-risk populations for stroke in Chinese people aged 40 years and older in Hubei province to provide the scientific basis for stroke prevention and treatment strategies.Methods Based on the National Major Public Health Project “Stroke High-Risk Group Screening and Intervention Project” in 2021, 13 screening sites were set up in 7 prefectural cities in Hubei Province. The questionnaires, physical examinations and laboratory tests were conducted.Results The detection rate of stroke in Hubei province was 2.79%, and the detection rate of it in high-risk groups was 20.79%. The detection rates were higher in urban than in rural areas and higher in men than in women. The detection rates increased with age. In addition, Wuhan had the highest stroke detection rate not only in the regional comparison but also in its high-risk group. The risk factors of stroke were 83.45% for hypertension, 55.64% for dyslipidemia, 33.21% for lack of exercise, 28.18% for diabetes, 23.15% for family history of stroke, 15.95% for smoking, 14.75% for overweight, and 2.52% for atrial fibrillation. Among them, the smoking rate was significantly higher in men than in women. The detection rates of diabetes, lack of exercise, and family history of stroke were higher in urban areas than in rural areas(P<0.05).Conclusion The prevention and treatment of stroke in Hubei province need to be improved. The risk of stroke in men is higher than that in women, and the burden of stroke is particularly greater in urban areas. The risk factors for stroke include hypertension, dyslipidemia, and lack of exercise. The detection rate of high-risk factors in high-risk groups in different prefecture-level cities of Hubei Province is different. Therefore, it is necessary to carry out targeted prevention.

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更新日期/Last Update: 2023-06-20