社区脑卒中筛查有效性的分析

目的探讨社区脑卒中筛查的意义。方法对1091例北京市户籍社区居民，通过填写调查问卷、体格检查、颈动脉彩超检查的方法，对筛查的结果进行分析。结果前四位可变的危险因素为肥胖、高血压、血脂异常和糖尿病，此四种危险因素人数占总人数的百分比分别为62．0％、45．7％、28．7％和17．3％。吸烟（10．6％）、饮酒（12．6％）等不良生活方式也占较大比例。在1091例参与者中，颈动脉彩超结果显示455例（41．7％）内膜中层增厚、326例（29．9％）单发斑块、324例（29．7％）多发斑块和90例（8．2％）颈动脉狭窄。结论①社区脑卒中筛查能够了解本辖区人群的脑卒中危险因素暴露隋况，为高危人群制定相应的干预措施提供了依据。②填写调查问卷、体格检查和进行颈动脉彩超检查这种社区筛查的方法是筛检脑卒中高危人群可行有效的方法，对社区脑卒中的防控有指导意义。

Community stroke screening report

Objective To discuss the effectiveness of screening stroke in community. Methods We visited 1091 individuals in our community who had registered in Beijing. They were requested to answer questionaries and underwent physical examinations as well as carotid ultrasonography examination. All of the data were analyzed. Results Obesity, hypertension, dyslipidemia and diabetes were the first four important variable risk factors, and the proportions were 62.0%, 45.7%, 28.7% and 17.3% respectively. Of the 1091 anticipants, the results of carotid ultrasound indicated that 455 （ 41.7% ） of carotid intima-media thickening, 326 （ 29.9% ） of single plaques, 324 （ 29.7% ） of multiple plaques and 90 （ 8.2% ） of carotid stenosis, Conclusions ① Screening the risk of stroke in community could give us some information about risk factors and help us to find high-risk group promptly. ② Questionaries, physical examinations and carotid ultrasonography are effective methods. Screening the risk factors of stroke is an effective way to detect high-risk group and prevent stroke.