上海医药
上海醫藥
상해의약
Shanghai Medical & Pharmaceutical Journal
2015年
18期
53-55
,共3页
赵晓燕%祝丽芳%陆燕青%周建根%潘寺奇
趙曉燕%祝麗芳%陸燕青%週建根%潘寺奇
조효연%축려방%륙연청%주건근%반사기
缺血性脑卒中%高危人群筛查%危险因素
缺血性腦卒中%高危人群篩查%危險因素
결혈성뇌졸중%고위인군사사%위험인소
ischemic stroke%high risk population screening%risk factor
目的：了解上海市嘉定区马陆镇辖区内缺血性脑卒中的危险因素和高危人群的分布。方法：2014年6月采用完全随机方法抽取辖区2个村2274名40岁以上居民进行问卷调查和体格检查，以筛查缺血性脑卒中高危人群及其危险因素，并对筛查出的高危人群进一步进行血清同型半胱氨酸水平和颈动脉超声检查。结果：2274名中有缺血性脑卒中高危因素649名（28.54%），其中有脑卒中病史58名（2.55%）。男性检出率37.53%（355/946），脑卒中病史36名；女性检出率23.9%(294/1228)，脑卒中病史22名，男女差异有统计学意义（χ2=47.093，P=0.001）。很少进行体育活动和肥胖是脑卒中的主要危险因素。脑卒中高危人群中，男性高同型半胱氨酸血症检出率为32.94%（111/337），女性为18.73%（53/283），差异有统计学意义（χ2=15.965，P＜0.01）；颈动脉斑块的检出率无性别差异（P＞0.05）。结论：马陆镇辖区内缺血性脑卒中高危人群检出率高，有必要在社区开展脑卒中高危人群筛查及干预工作。
目的：瞭解上海市嘉定區馬陸鎮轄區內缺血性腦卒中的危險因素和高危人群的分佈。方法：2014年6月採用完全隨機方法抽取轄區2箇村2274名40歲以上居民進行問捲調查和體格檢查，以篩查缺血性腦卒中高危人群及其危險因素，併對篩查齣的高危人群進一步進行血清同型半胱氨痠水平和頸動脈超聲檢查。結果：2274名中有缺血性腦卒中高危因素649名（28.54%），其中有腦卒中病史58名（2.55%）。男性檢齣率37.53%（355/946），腦卒中病史36名；女性檢齣率23.9%(294/1228)，腦卒中病史22名，男女差異有統計學意義（χ2=47.093，P=0.001）。很少進行體育活動和肥胖是腦卒中的主要危險因素。腦卒中高危人群中，男性高同型半胱氨痠血癥檢齣率為32.94%（111/337），女性為18.73%（53/283），差異有統計學意義（χ2=15.965，P＜0.01）；頸動脈斑塊的檢齣率無性彆差異（P＞0.05）。結論：馬陸鎮轄區內缺血性腦卒中高危人群檢齣率高，有必要在社區開展腦卒中高危人群篩查及榦預工作。
목적：료해상해시가정구마륙진할구내결혈성뇌졸중적위험인소화고위인군적분포。방법：2014년6월채용완전수궤방법추취할구2개촌2274명40세이상거민진행문권조사화체격검사，이사사결혈성뇌졸중고위인군급기위험인소，병대사사출적고위인군진일보진행혈청동형반광안산수평화경동맥초성검사。결과：2274명중유결혈성뇌졸중고위인소649명（28.54%），기중유뇌졸중병사58명（2.55%）。남성검출솔37.53%（355/946），뇌졸중병사36명；녀성검출솔23.9%(294/1228)，뇌졸중병사22명，남녀차이유통계학의의（χ2=47.093，P=0.001）。흔소진행체육활동화비반시뇌졸중적주요위험인소。뇌졸중고위인군중，남성고동형반광안산혈증검출솔위32.94%（111/337），녀성위18.73%（53/283），차이유통계학의의（χ2=15.965，P＜0.01）；경동맥반괴적검출솔무성별차이（P＞0.05）。결론：마륙진할구내결혈성뇌졸중고위인군검출솔고，유필요재사구개전뇌졸중고위인군사사급간예공작。
Objective:To learn the risk factor of the ischemic stroke and distribution of the high risk population in Malu Community, Jiading District, Shanghai. Methods:In June, 2014, with the complete random method, 2 274 residents aged 40 and over in two villages were chosen to be investigated with the questionnaire and physical examination to screen the high risk population with the ischemic stroke and the risk factor, and the serum homocysteine level and carotid artery ultrasonography were performed in the high risk population who had been screened out. Results:In 2 274 residents, 649 (28.54%) had the high risk factor of the ischemic stroke, among them, 58 (2.55%) had the history of the stroke. The detection rates were 37.53%(355/946), and 23.9%(294/1 228), and the number of people with the history of the cerebral stroke was 36 in the male and 22 in the female, and the difference between the male and female had the statistical signiifcance (χ2=47.093, P=0.001). Less sports and obesity were the main risk factors for the stroke. In the population with high risk of the stroke, the hyperhomocysteinemia detection rates were 32.94%(111/337) in the male and 18.73%(53/283) in the female, and the difference had the statistical signiifcance (χ2=15.965, P<0.01). There was no sex difference in the detection rate of carotid artery plaque (P>0.05). Conclusion:The detection rate in the population with high risk of the ischemic stroke is high, and it is necessary to carry out the screening in them and intervention work in the communities.
