汉中市农村地区脑卒中患病危险因素研究

发布时间：2018-02-22 10:44

本文关键词： 卒中患病率危险因素　出处：《中华疾病控制杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的探讨汉中市农村地区脑卒中患病危险因素,提出有效的防控措施,为脑卒中的防治和干预提供科学依据。方法采用随机整群抽样方法从汉中市180个乡镇中抽取两个乡镇,以该两个乡镇中40岁及以上常住居民为研究对象,进行问卷调查、体格检查,比较不同心脑血管疾病危险因素下脑卒中的患病率,运用Logistic回归模型和穷举卡方自动交互法(exhaustive Chi-squared automatic interavtion detector,Exhaustive CHAID)分类树模型分别对脑卒中高危人群患病影响因素进行分析。结果本次共调查23 688位居民,其中明确脑卒中者283例(1 195/10万)。Logistic回归分析结果显示,50岁后脑卒中高发,70~79岁脑卒中患病人数最多,男性、高血压、心脏病、明显超重、血脂异常、脑卒中家族史、缺乏体育锻炼、吸烟、饮酒可增加脑卒中患病的风险。Exhaustive CHAID所建立的分类树模型共包括三层12个节点,共筛选出5个解释变量;重要性积分排在前三位的分别是脑卒中家族史、吸烟和高血压。结论在对脑卒中采取综合干预措施的同时,还应对高危人群采取不同的防治措施。
[Abstract]:Objective to explore the risk factors of stroke in rural areas of Hanzhong City, and put forward effective prevention and control measures to provide scientific basis for the prevention and intervention of stroke. Methods two villages and towns were selected from 180 villages and towns in Hanzhong by random cluster sampling. A questionnaire survey and physical examination were conducted to compare the prevalence of stroke under different risk factors of cardiovascular and cerebrovascular diseases in the residents aged 40 and above in the two towns. Logistic regression model and exhaustive Chi-squared automatic interavtion detection tree model were used to analyze the risk factors of stroke in the population with high risk of stroke. Results: a total of 23 688 residents were investigated. The results of logistic regression analysis showed that the incidence of stroke after 50 years of age was the highest, male, hypertension, heart disease, obviously overweight, abnormal blood lipid, family history of stroke, lack of physical exercise, the results of logistic regression analysis showed that the incidence of stroke was the highest in men, hypertension, heart disease, obvious overweight, dyslipidemia, family history of stroke, and lack of physical exercise. Smoking and drinking increased the risk of stroke. The classification tree model, which consists of 3 layers and 12 nodes, selected 5 explanatory variables. The first three important scores were the family history of stroke. Conclusion the comprehensive intervention measures for stroke should be taken at the same time different prevention and treatment measures should be taken for the high risk population.
【作者单位】：西安交通大学公共卫生学院流行病与卫生统计学系;西安交通大学附属3201医院医教部;
【基金】：国家脑卒中高危人群筛查和干预项目(2009年)
【分类号】：R743.3

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