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目的了解宁德市蕉城区脑卒中高危人群现况及脑卒中相关危险因素的暴露水平,为脑卒中的防治提供科学依据。方法采用整群抽样的方法,选取宁德市蕉城区4个乡镇≥40岁常住人口为筛查对象,共筛选11 588例,将其数据录入计算机并加以分析。结果经过脑卒中风险评估,低危8 508例(73.42%),中危1 107例(9.55%),高危1 960例(16.91%)。在40~79岁年龄段,高血压病、心房颤动或心脏瓣膜病、糖尿病等因素呈现随年龄增长而增加的趋势,而吸烟则呈现随年龄增长而降低的趋势;<50岁组人群体力活动最少(79.33%)。高危人群中,男性1 206例(61.53%),女性754例(38.47%)。结论宁德市蕉城区≥40岁人群中,脑卒中危险因素整体暴露水平较高,前3位的危险因素为高血压病、血脂异常、体力活动少;高血压病、心房颤动或心脏瓣膜病、糖尿病等因素在40~79岁年龄段呈现增长趋势。
Objective To understand the status of high risk stroke patients and the related risk factors of stroke in Jiaocheng City, Ningde City, so as to provide a scientific basis for the prevention and treatment of stroke. Methods A total of 11 588 elderly people aged ≥ 40 years from 4 townships in Jiaocheng District of Ningde City were enrolled in this study. The data were entered into the computer and analyzed. Results After stroke risk assessment, there were 8 508 cases (73.42%) with low risk, 1 107 cases (9.55%) with intermediate risk, and 1 960 cases (16.91%) with high risk. In 40 ~ 79 years of age, hypertension, atrial fibrillation or valvular heart disease, diabetes and other factors showed an increasing trend with age, while smoking showed a trend of decline with age; <50-year-old population physical activity The least (79.33%). Among the high-risk groups, there were 1,206 (61.53%) males and 754 females (38.47%). Conclusion The overall risk of stroke in the population over 40 years old in Jiaocheng District of Ningde City is higher than that of the other three. The top three risk factors are hypertension, dyslipidemia, less physical activity, hypertension, atrial fibrillation or valvular heart disease, Diabetes and other factors in the 40 to 79 age group showed an increasing trend.