| 铜陵鹞山社区心脑血管病流行病学调查及防治模式探讨 |
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| 引用本文： | 刘维洲,胡婧婷,杨运方,梁菁,罗军,熊恩来,陈佳,张洁琼,潘华. 铜陵鹞山社区心脑血管病流行病学调查及防治模式探讨[J]. 中华全科医学, 2020, 18(9): 1539-1542. DOI: 10.16766/j.cnki.issn.1674-4152.001554 |
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| 作者姓名： | 刘维洲 胡婧婷 杨运方 梁菁 罗军 熊恩来 陈佳 张洁琼 潘华 |
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| 作者单位： | 1. 铜陵市人民医院神经内科, 安徽 铜陵 244009; |
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| 基金项目： | 安徽省卫计委科研计划项目(2016QK034) |
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| 摘 要： | 目的 了解铜陵市鹞山社区人群心脑血管疾病流行病学情况,探索铜陵市社区心脑血管病一体化防治模式。 方法 以方便抽样方法确定铜陵市铜官区鹞山社区为筛查点,40岁以上常住居民列为待筛查和干预对象,确定筛查与综合干预人数为6 182例,并对该社区2015—2017年度的所有常住居民进行了心脑血管病流行病学调查,共调查32 487人次。 结果 铜陵市鹞山社区40岁以上居民中高血压患者占24.44%;高脂血症患者占7.78%;糖尿病患者占6.94%;吸烟人群占24.20%;超重人群占11.36%;有脑卒中病史者占1.78%;心房颤动患者占0.26%;有短暂性脑缺血发作(TIA)病史者占0.10%。2015—2017年脑卒中发病率低于所在的铜陵市铜官区,差异有统计学意义(χ2=9.734,P=0.002);脑卒中死亡率与铜官区相近,发病率及死亡率无逐年递增或递减现象;2015—2017年心脏病死亡率与铜官区相近,心脏病发病率呈逐年上升趋势,差异有统计学意义(χ2=12.570,P=0.002)。 结论 铜陵市鹞山社区40岁以上人群心脑血管疾病流行特点与铜官区总体人群比较有一致性也有差异性,通过一体化筛查可以针对不同社区制定不同的防治方案,最终形成全市心脑血管疾病一体化防治模式。
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| 关 键 词： | 心脑血管病 流行病学 防治 社区 |
| 收稿时间： | 2019-04-24 |
Epidemiological investigation of cardiovascular and cerebrovascular diseases in Tongling Yaoshan community and discussion on prevention and treatment mode |
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| Affiliation: | Department of Neurology,Tongling People's Hospital,Tongling,Anhui 244009,China |
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| Abstract: | Objective To know the epidemiology of cardiovascular and cerebrovascular diseases in Yaoshan community of Tongling City, and explore the integrated prevention and treatment mode of cardiovascular and cerebrovascular diseases in Tongling city community. Methods The Yaoshan community in Tongguan District of Tongling City was identified as a screening point by convenient sampling method. The residents over 40 years old were listed as targets for screening and intervention. The number of screening and comprehensive interventions was determined to be 6 182. An epidemiological survey of cardiovascular and cerebrovascular diseases was conducted for all residents(32 487 person-time) of the community in 2015-2017. Results Among residents over 40 years old in Yaoshan Community, proportion of population with hypertension, hyperlipemia, diabetes, smoking, overweight, history of stroke, auricular fibrillation, history of transient ischemic attack(TIA) were 24.44%, 7.78%, 6.94%, 24.20%, 11.36%, 1.78%, 0.26%, 0.10%, respectively. The average incidence of stroke in residents of Yaoshan community was lower than that in Tongguan District, the difference was statistically significant(χ2=9.734, P=0.002). The stroke mortality rate was consistent with that in Tongguan District, and the incidence and mortality did not increase or decrease year by year. From 2015 to 2017, the incidence rate and mortality rate of heart disease were consistent with that of Tongguan district, and the incidence rate showed an increasing trend year by year(χ2=12.570, P=0.002). Conclusion The prevalence characteristics of cardiovascular and cerebrovascular diseases among the people over 40 years old in Yaoshan community were consistent and different from that of the general population of Tongguan District in Tongling City. Different prevention and control programs can be developed for different communities through integrated screening. Finally, the integrated prevention and treatment mode of cardiovascular and cerebrovascular diseases will be formed. |
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