摘要
目的调查湖北省荆州市乡镇地区脑卒中人群分布情况,探究该地区乡镇人群脑卒中发生的高危因素,为开展脑卒中的综合防治提供临床依据。方法2014年11月-2021年11月,采取整群抽样的方法,选择荆州市部分乡镇3450名40岁及以上居民为调查对象,进行问卷调查及相关体检。采用χ^(2)检验探究当地脑卒中发生的危险因素,根据单因素分析结果建立Logistic回归预测模型。结果荆州市乡镇地区脑卒中患病率为8.2%(282/3450),高龄(年龄>65岁)、高血压、糖尿病、房颤、缺乏体育锻炼和吸烟为该地区人群脑卒中的相关危险因素(P<0.05)。其中,排名前三的高危因素是年龄(OR=2.326,95%CI:1.569~4.317)、高血压(OR=2.311,95%CI:1.812~2.969)和房颤(OR=2.238,95%CI:1.136~4.813)。结论荆州市乡镇地区脑卒中患病率较高,应结合当地居民患病的危险因素进行针对性筛查与干预,早期筛查发现高血压、房颤等相关疾病,严密监测和控制患者的血压、血糖等指标,倡导居民戒烟、加强体育锻炼,定期开展健康教育和随访,从而降低脑卒中的发病风险。
Objective To investigate the distribution of stroke population in the township of Jingzhou city,Hubei province,and explore the risk factors of stroke occurrence in the township population in this area,so as to provide clinical basis for the comprehensive prevention and treatment of stroke.Methods From November 2014 to November 2021,a cluster sampling method was adopted to select 3450 residents aged 40 and above in some townships of Jingzhou city as the survey objects,and questionnaire survey and related physical examination were conducted.Chi-square test was used to explore the local risk factors of stroke,and logistic regression prediction model was established according to the results of single factor analysis.Results The prevalence rate of stroke was 8.2%(282/3450)in Jingzhou township.Old age(more than 65 years),hypertension,diabetes,atrial fibrillation,physical inactivity,and smoking were the risk factors for stroke in the local population(P<0.05).The top three risk factors were old age(OR=2.326,95%CI:1.569-4.317),hypertension(OR=2.311,95%CI:1.812-2.969)and atrial fibrillation(OR=2.238,95%CI:1.136-4.813).Conclusion The prevalence of stroke in townships of Jingzhou city is relatively high.Targeted screening and intervention should be carried out based on the risk factors of local residents,including early screening to detect diseases such as hypertension and cardiovascular diseases,closely monitoring and controlling patients'blood pressure and blood sugar,advocating residents to quit smoking and strengthening physical exercise,and carrying out regular health education and follow-up,so as to reduce the risk of stroke.
作者
汪红莲
吴明灿
黄劲柏
张晓方
涂清芬
WANG Honglian;WU Mingcan;HUANG Jinbai;ZHANG Xiaofang;TU Qingfen(Department of Stroke Center,The First Affiliated Hospital of Yangtze University,Jingzhou,Hubei,434000,China;不详)
出处
《中国社会医学杂志》
2023年第4期442-445,共4页
Chinese Journal of Social Medicine
基金
湖北省自然科学基金项目(2018CFC835)。
作者简介
通信作者:涂清芬,E-mail:tuqingfen2022@163.com。
