吕梁市40岁以上居民脑卒中患病趋势及风险预测研究

发布时间：2019-01-29 02:59

【摘要】：目的:了解和掌握吕梁市40岁以上居民脑卒中危险因素暴露水平、患病状况及其人群分布特征及发展趋势;预测该地40岁以上居民脑卒中风险。方法:本课题选取吕梁市40岁以上城乡居民作为研究对象,严格遵循国家卫生计生委脑卒中防治委员会要求的脑卒中筛查和干预项目评估表,采用访问式问卷调查的方式,对符合纳入排除标准的居民逐一进行脑卒中高危人群风险初筛;对初筛出的高危人群进行复筛,获得其生活方式、家族史、既往病史、实验室检查和颈部血管超声检查等相关资料。运用频数法等方法进行基本的描述性统计分析,对均数进行t检验,率值指标进行卡方检验,分析两组或不同组间率值或构成比差别。检验水准α=0.05,P0.05有统计学差异。结果:吕梁40岁以上居民脑卒中的患病率为3.21%。其中男性为3.64%,女性为2.80%,男性患病率高于女性,峰值年龄为70~79岁。该地居民前三位卒中危险因素为缺乏体育锻炼、吸烟、高血压。随着年份的增加,男性和女性脑卒中粗患病率均有逐年升高的趋势,主要表现农村地区。吕梁市54-85岁脑卒中高危者未来10年发病风险率平均为12.82%。男性10年卒中平均风险为16.94%,女性平均风险为8.95%,男性高于女性;城市高危者10年卒中平均风险为14.07%,农村平均风险为11.70%。结论:吕梁市40岁以上居民脑卒中的患病率高于全国水平。男性患病率高于女性,均有逐年升高的趋势,与我国整体现状吻合。该地前三位卒中危险因素为缺乏体育锻炼、吸烟、高血压,不同于全国人群。吕梁市54-85岁脑卒中高危者未来10年发病风险比较大,男性高于女性,城市平均风险高于农村。
[Abstract]:Objective: to understand and understand the risk factors of stroke in residents over 40 years old in Luliang city, and to predict the risk of stroke in residents over 40 years of age. Methods: the subjects were selected urban and rural residents over 40 years old in Luliang as the research object, strictly followed the stroke screening and intervention project evaluation table required by the Stroke Prevention and treatment Committee of the State Health and Family Planning Commission, and adopted the method of interview questionnaire. The residents who met the exclusion criteria were screened one by one for the risk of stroke. The high risk groups were screened again to obtain their lifestyle, family history, past medical history, laboratory examination and ultrasound examination of cervical blood vessels and other relevant data. The basic descriptive statistical analysis is carried out by means of frequency method, the t test of the mean and the chi-square test of the rate index are carried out, and the difference of the rate value or the composition ratio between the two groups or different groups is analyzed. There was statistical difference in test level 伪 = 0.05 (P 0.05). Results: the prevalence of stroke in the residents over 40 years old was 3.21. The prevalence rate of male was higher than that of female, and the peak age was 70 ~ 79 years old. The top three risk factors for stroke were lack of physical exercise, smoking and high blood pressure. With the increase of years, the incidence of stroke in both males and females increased year by year, mainly in rural areas. In Luliang 54-85 years old, the risk rate of stroke in the next 10 years was 12.82 on average. The average risk of stroke in 10 years was 16.94 for men, 8.95 for women, 14.07 for urban high-risk patients and 11.70 for rural areas. Conclusion: the prevalence of stroke in residents over 40 years old in Luliang City is higher than that in China. The prevalence rate of males is higher than that of females, which is consistent with the overall situation in China. The top three risk factors for stroke were lack of physical exercise, smoking, high blood pressure, different from the national population. The risk of stroke in 54-85 years old patients in Luliang City is higher than that in women in the next 10 years. The average urban risk is higher than that in rural areas.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3

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