發(fā)布時(shí)間：2019-04-08 15:53

【摘要】：目的：調(diào)查分析常德城區(qū)中老年人群腦卒中患病率、危險(xiǎn)因素及預(yù)后影響因素。 方法：制定統(tǒng)一調(diào)查表,由專門培訓(xùn)人員對(duì)常德城區(qū)40歲以上人群6095人進(jìn)行腦卒中流行病學(xué)調(diào)查。①本次調(diào)查患病率為時(shí)點(diǎn)患病率,計(jì)算方法為本次調(diào)查時(shí)點(diǎn)調(diào)查人群中現(xiàn)患腦卒中的新舊病例數(shù)比上本次調(diào)查時(shí)點(diǎn)的總樣本數(shù)。并以2010年全國第六次人口普查人口年齡構(gòu)成比為共同標(biāo)準(zhǔn),標(biāo)準(zhǔn)化現(xiàn)患率。②將調(diào)查的數(shù)據(jù)制成EXCEL表,分為腦卒中組和非腦卒中兩組。對(duì)發(fā)病危險(xiǎn)因素分別進(jìn)行單因素和多因素分析。③采用改良Rankin(modified rankin scale,mRS)量表對(duì)腦卒中患者的預(yù)后進(jìn)行評(píng)定,分為預(yù)后良好組(mRS≤2分)和預(yù)后不良(mRS2分)兩組(卒中病程不足3月者,病程3月后補(bǔ)充評(píng)分),分別進(jìn)行單因素和多元逐步回歸分析。 結(jié)果： ①社區(qū)調(diào)查發(fā)現(xiàn)該地區(qū)40歲以上人群腦卒中患病人數(shù)628人,患病率達(dá)10.47%(10470/10萬),按全國第六次人口普查數(shù)據(jù)標(biāo)化后為8.73%(8730/10萬)。其中男性372例,患病率為12.03%(12030/10萬),標(biāo)化后為9.89%(9890/10萬)；女性256例,患病率8.8%(8800/10萬),標(biāo)化后為7.21%(7210/10萬)。腦卒中組與非腦卒中組在年齡、性別上存在差異(P0.01)。在文化程度、婚姻狀況、不同民族上無統(tǒng)計(jì)學(xué)差異(P0.05)。 ②腦卒中發(fā)病相關(guān)危險(xiǎn)因素：主要有高血壓、心臟病、糖尿病、卒中家族史、年齡、吸煙、BMI、低HDL-C。 ③腦卒中預(yù)后因素分析：社區(qū)調(diào)查發(fā)現(xiàn)628例腦卒中患者,其中預(yù)后良好者332例(52.87%),預(yù)后不良者296例(47.13%)。單因素分析顯示：兩組在年齡、文化水平、既往腦卒中病史,既往吸煙史和血糖水平上存在差異(P0.05)。多因素分析顯示年齡、文化水平、既往腦卒中病史、卒中類型為腦卒中患者預(yù)后不良因素(P0.05)。 結(jié)論： ①常德城區(qū)40歲以上中老年人群患病率高于全國平均水平。 ②常德城區(qū)腦卒中發(fā)病的相關(guān)危險(xiǎn)因素及預(yù)后影響因素與國內(nèi)其他研究相近。
[Abstract]:Objective: to investigate the prevalence, risk factors and prognostic factors of cerebral apoplexy in middle-aged and aged people in Changde city. Methods: a unified questionnaire was established and 6095 people over 40 years old in Changde city were investigated for cerebral apoplexy by special training personnel. 1 the prevalence rate of this survey was the time-point prevalence rate. The method of calculation is that the number of new and old cases of cerebral apoplexy in the population investigated at the time point of this survey is higher than that of the total sample number of the time point of the previous survey. Taking the age composition ratio of the sixth national census in 2010 as the common standard, the prevalence rate was standardized. 2 the data of the survey were made into EXCEL table and divided into two groups: stroke group and non-stroke group. The risk factors of stroke were analyzed by univariate and multivariate analysis. (3) the prognosis of stroke patients was evaluated by modified Rankin (modified rankin scale,mRS scale. They were divided into two groups: good prognosis group (mRS 鈮，

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