湖北省某城乡社区中老年人脑卒中危险因素分析

发布时间：2018-07-22 10:37

【摘要】：目的调查并比较湖北省某城乡社区(即湖北省武汉市洪山城市社区与黄冈市福主农村社区)中老年人脑卒中危险因素暴露情况,为制定相应的脑卒中危险因素管理方法提供科学依据。方法通过问卷调查及健康体检收集两地675名中老年人脑卒中危险因素暴露情况并进行统计分析。结果共调查675人,3.3%的被调查者患有脑卒中(22人),脑卒中危险因素暴露率从高到低依次是高血压44.1%、吸烟25.0%、缺少锻炼23.7%、明显超重或肥胖20.9%、血脂异常19.7%、高同型半胱氨酸17.0%、高血糖11.7%、家族史8.6%以及心脏病5.5%。城乡排序有差异,城市人群高血压、缺少锻炼、血脂异常比较突出,农村吸烟、高同型半胱氨酸特别突出,差异均有统计学意义(P0.05)。脑卒中危险因素个数以1~3个最多,城乡脑卒中危险因素个数构成比差异有统计学意义(P0.05),城市2个及以上危险因素比例均高于农村,城市和农村的男女脑卒中危险因素个数构成比差异均有统计学意义(P0.05),男性2个及以上危险因素的比例均高于女性。结论根据城乡差异、性别差异积极采取措施管理脑卒中危险因素,城市社区注重引导居民调整不健康生活方式,农村地区高同型半胱胺酸不容忽视,男性吸烟、女性肥胖应当引起重视。
[Abstract]:Objective to investigate and compare the risk factors of cerebral apoplexy in middle and old people in a urban and rural community in Hubei province (that is, Hongshan urban community in Wuhan city and Fuzheng rural community in Huanggang city). To provide scientific basis for the establishment of corresponding risk factors management methods for stroke. Methods 675 middle aged and elderly stroke risk factors were collected and analyzed by questionnaire and physical examination. Results A total of 675 subjects (3.3%) had stroke (22 cases). The risk factors of stroke were hypertension 44.1%, smoking 25.0%, lack of exercise 23.7m, overweight or obesity 20.9g, dyslipidemia 19.7g and homocysteine 44.1%. 17.0%, 11.7g high blood sugar, 8.6% family history and 5.5% heart disease. There are differences between urban and rural population hypertension lack of exercise abnormal blood lipid more prominent rural smoking homocysteine is particularly prominent the differences are statistically significant (P0.05). The number of risk factors of stroke was 1 ~ 3, the ratio of the number of risk factors in urban and rural areas was significantly different (P0.05), the proportion of two or more risk factors in urban areas was higher than that in rural areas. There were significant differences in the number of risk factors of stroke between urban and rural areas (P0.05). The proportion of two or more risk factors in men was higher than that in women. Conclusion according to the difference between urban and rural areas, the sex difference should take measures to manage the risk factors of stroke, the urban community should pay attention to guide the residents to adjust their unhealthy lifestyle, the high homotypic cysteamine in rural areas should not be ignored, and the male smoking should not be ignored. Obesity in women should be taken seriously.
【作者单位】：湖北中医药大学护理学院;中国中医科学院中医临床基础医学研究所;武汉市洪山区中医院;黄冈市浠水县散花镇福主庙村卫生所;中国中医科学院中医基础理论研究所;
【基金】：2013年中医药行业科研专项(201307003) 国家科技支撑计划项目(2012BAI25B02)
【分类号】：R743.3

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