中国湖南常德城区中老年人群脑卒中流行病学调查
发布时间：2019-04-08 15:53
【摘要】：目的：调查分析常德城区中老年人群脑卒中患病率、危险因素及预后影响因素。 方法：制定统一调查表,由专门培训人员对常德城区40岁以上人群6095人进行脑卒中流行病学调查。①本次调查患病率为时点患病率,计算方法为本次调查时点调查人群中现患脑卒中的新旧病例数比上本次调查时点的总样本数。并以2010年全国第六次人口普查人口年龄构成比为共同标准,标准化现患率。②将调查的数据制成EXCEL表,分为脑卒中组和非脑卒中两组。对发病危险因素分别进行单因素和多因素分析。③采用改良Rankin(modified rankin scale,mRS)量表对脑卒中患者的预后进行评定,分为预后良好组(mRS≤2分)和预后不良(mRS2分)两组(卒中病程不足3月者,病程3月后补充评分),分别进行单因素和多元逐步回归分析。 结果： ①社区调查发现该地区40岁以上人群脑卒中患病人数628人,患病率达10.47%(10470/10万),按全国第六次人口普查数据标化后为8.73%(8730/10万)。其中男性372例,患病率为12.03%(12030/10万),标化后为9.89%(9890/10万)；女性256例,患病率8.8%(8800/10万),标化后为7.21%(7210/10万)。脑卒中组与非脑卒中组在年龄、性别上存在差异(P0.01)。在文化程度、婚姻状况、不同民族上无统计学差异(P0.05)。 ②脑卒中发病相关危险因素：主要有高血压、心脏病、糖尿病、卒中家族史、年龄、吸烟、BMI、低HDL-C。 ③脑卒中预后因素分析：社区调查发现628例脑卒中患者,其中预后良好者332例(52.87%),预后不良者296例(47.13%)。单因素分析显示：两组在年龄、文化水平、既往脑卒中病史,既往吸烟史和血糖水平上存在差异(P0.05)。多因素分析显示年龄、文化水平、既往脑卒中病史、卒中类型为脑卒中患者预后不良因素(P0.05)。 结论： ①常德城区40岁以上中老年人群患病率高于全国平均水平。 ②常德城区脑卒中发病的相关危险因素及预后影响因素与国内其他研究相近。
[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，
本文编号：2454711
[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，
本文编号：2454711
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