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[目的]分析深圳市社区人群脑卒中发病类型的分布特征,为卒中防治提供理论依据。[方法]2003~2005年对深圳市全市所有自然社区人群的脑卒中新发病例进行登记监测,采用分组、分类比较方法对其进行亚型分析,探讨发生卒中的常见危险因素,如年龄、性别、高血压、糖尿病、心脏病、血脂异常等,并进行双因索方差分析和χ2检验。[结果]2003~2005年间深圳市社区人群脑卒中新发病例共15474例,其中脑梗死为10396例(占67.2%),脑出血为4297例(占27.8%),蛛网膜下腔出血为632例(占4%)。[结论]中年人特别是50岁以下人群应重视出血性卒中的危害,50岁以上的人群的预防重点应放在缺血性卒中方面。尤其要控制高血压、糖尿病、心脏病等危险因素。
[Objective] To analyze the distribution characteristics of stroke in Shenzhen community and provide a theoretical basis for prevention and treatment of stroke. [Methods] From 2003 to 2005, new cases of stroke were registered and monitored in all the natural community populations in Shenzhen. Subgroups were analyzed by grouping and classification comparison to explore the common risk factors of stroke, such as age, gender , Hypertension, diabetes, heart disease, dyslipidemia, and two-factor analysis of variance and χ2 test. [Results] A total of 15,474 new stroke cases were found in Shenzhen community population from 2003 to 2005, including 10,396 cerebral infarction cases (67.2%), cerebral hemorrhage 4297 cases (27.8%) and subarachnoid hemorrhage 632 Example (4%). [Conclusion] Middle-aged people, especially those under 50 years old, should pay more attention to the risk of hemorrhagic stroke. The prevention of ischemic stroke should be focused on people over 50 years old. In particular, to control high blood pressure, diabetes, heart disease and other risk factors.