中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2012年
7期
645-648
,共4页
脑卒中%患病率%高血压%慢性病
腦卒中%患病率%高血壓%慢性病
뇌졸중%환병솔%고혈압%만성병
Stroke%Prevalence%Hypertension%Chronic disease
目的 了解2011年北京市50～79岁人群脑卒中患病率和危险因素.方法 于2011年9-11月采用与人口规模成比例的整群PPS抽样方法对北京市50～79岁38 532名人群进行问卷调查、体格测量和颈部彩超检查.结果 北京市50～79岁人群脑卒中年龄标化患病率为9.3％(男性11.5％,女性8.1％)；随年龄增加患病率升高,且男性高于女性,郊区人群高于城区,文化程度低者患病率高.缺血型脑卒中占80.8％,16.6％为复发脑卒中.高血压、血脂异常、肥胖、糖尿病年龄标化患病率分别为80.7％、29.6％、22.9％、16.9％.脑卒中患者高血压、血脂异常、肥胖、糖尿病、偏头痛、心脏病、颈动脉狭窄、阻塞性睡眠呼吸暂停综合征、外周血管病、缺血性眼病、同型半胱氨酸血症和镰刀型细胞贫血的年龄标化患病率为89.3％、39.7％、25.4％、25.4％、21.4％、23.7％、13.2％、6.4％、6.5％、5.9％、0.3％和0.3％,均高于非脑卒中者.47.9％脑卒中患者含有3项及以上慢性病和危险因素.结论 北京市50 ～ 79岁人群脑卒中患病率高,复发率高,以缺血型为主；郊区人群患病率高；脑卒中患者存在危险因素聚集现象,合并的前四位慢性病和危险因素为高血压、血脂异常、肥胖、糖尿病.
目的 瞭解2011年北京市50～79歲人群腦卒中患病率和危險因素.方法 于2011年9-11月採用與人口規模成比例的整群PPS抽樣方法對北京市50～79歲38 532名人群進行問捲調查、體格測量和頸部綵超檢查.結果 北京市50～79歲人群腦卒中年齡標化患病率為9.3％(男性11.5％,女性8.1％)；隨年齡增加患病率升高,且男性高于女性,郊區人群高于城區,文化程度低者患病率高.缺血型腦卒中佔80.8％,16.6％為複髮腦卒中.高血壓、血脂異常、肥胖、糖尿病年齡標化患病率分彆為80.7％、29.6％、22.9％、16.9％.腦卒中患者高血壓、血脂異常、肥胖、糖尿病、偏頭痛、心髒病、頸動脈狹窄、阻塞性睡眠呼吸暫停綜閤徵、外週血管病、缺血性眼病、同型半胱氨痠血癥和鐮刀型細胞貧血的年齡標化患病率為89.3％、39.7％、25.4％、25.4％、21.4％、23.7％、13.2％、6.4％、6.5％、5.9％、0.3％和0.3％,均高于非腦卒中者.47.9％腦卒中患者含有3項及以上慢性病和危險因素.結論 北京市50 ～ 79歲人群腦卒中患病率高,複髮率高,以缺血型為主；郊區人群患病率高；腦卒中患者存在危險因素聚集現象,閤併的前四位慢性病和危險因素為高血壓、血脂異常、肥胖、糖尿病.
목적 료해2011년북경시50～79세인군뇌졸중환병솔화위험인소.방법 우2011년9-11월채용여인구규모성비례적정군PPS추양방법대북경시50～79세38 532명인군진행문권조사、체격측량화경부채초검사.결과 북경시50～79세인군뇌졸중년령표화환병솔위9.3％(남성11.5％,녀성8.1％)；수년령증가환병솔승고,차남성고우녀성,교구인군고우성구,문화정도저자환병솔고.결혈형뇌졸중점80.8％,16.6％위복발뇌졸중.고혈압、혈지이상、비반、당뇨병년령표화환병솔분별위80.7％、29.6％、22.9％、16.9％.뇌졸중환자고혈압、혈지이상、비반、당뇨병、편두통、심장병、경동맥협착、조새성수면호흡잠정종합정、외주혈관병、결혈성안병、동형반광안산혈증화렴도형세포빈혈적년령표화환병솔위89.3％、39.7％、25.4％、25.4％、21.4％、23.7％、13.2％、6.4％、6.5％、5.9％、0.3％화0.3％,균고우비뇌졸중자.47.9％뇌졸중환자함유3항급이상만성병화위험인소.결론 북경시50 ～ 79세인군뇌졸중환병솔고,복발솔고,이결혈형위주；교구인군환병솔고；뇌졸중환자존재위험인소취집현상,합병적전사위만성병화위험인소위고혈압、혈지이상、비반、당뇨병.
Objective To investigate the prevalence and risk factors of stroke among population aged 50-79 in Beijing,2011.Methods 38 532 subjects were randomly selected with cluster sampling method,under the proportion to the population size (PPS).Each participant was invited to receive face to face standardized questionnaire interview,physical examination and neck ultrasonography.Results The standardized prevalence of stroke was 9.3％,with 11.5％ and 8.1％ for males and females respectively.The prevalence rate increased with age and was higher in males,in suburb areas and people with poor education.Ischemic stroke accounted for 80.8％ of all the stroke cases,with 16.6％ of the patients had one recur.The standardized prevalence rates of hypertension,dyslipidemia,obesity,diabetes mellitus were 80.7％,29.6％,22.9％,16.9％,respectively.The prevalence rates of hypertension,dyslipidemia,obesity,diabetes mellitus,migraine,heart disease,carotid stenosis,sleep apnea,peripheral cascular disease,ischemic eye disease,high homocysteine level and sickle cell anemia among stroke patients were 89.3％,39.7％,25.4％,25.4％,21.4％,23.7％,13.2％,6.4％,6.5％,5.9％,0.3％,0.3％,respectively,all higher than those without the disease.47.9 percent of the stroke patients had 3 or more chronic diseases with more risk factors.Conclusion People who were 50 to 79 years old and living in Beijing had both higher prevalence and recurrence rate of stroke,with the main type as ischemic stroke.Compared with urban area,the situation in suburb was more serious.Stroke patients had more risk factors.The top four relevant chronic diseases of stroke patients were hypertension,dyslipidemia,obesity and diabetes mellitus.In order to reduce or delay the occurrence or recurrence of stroke,lifestyle intervention programs should be adopted to control related chronic diseases at their early stages.
