上海市光明社区脑卒中及其危险因素现况调查

目的描述农村社区年龄≥40岁人群脑卒中患病率及其危险因素的暴露水平。方法按现况调查设计,以整群抽样方法抽取上海市奉贤区光明社区年龄≥40岁人群,进行一般情况、脑卒中患病及常见危险因素调查,描述脑卒中患病率、患病类型及危险因素的分布特征。结果男性高血压病、心脏病、糖尿病史、高血压病家族史、脑卒中家族史、超重或肥胖等危险因素的暴露率分别为31．74％、6．09％、1．16％、3．22％、17．64％和29．68％;女性分别为32．76％、9．22％、1．55％、3．84％、19．22％和29．44％;脑卒中标准化患病率为1167．3／10万,男性脑卒中患病率明显高于女性(P<0．05)。脑出血、蛛网膜下隙出血、脑梗死和未分型脑卒中的构成比分别为22．7％、10．6％、53．0％和13．6％。结论光明社区年龄≥40岁人群的脑卒中标准化患病率为1167．3／10万,危险因素暴露率以高血压病最高,临床类型以脑梗死最多。

A baseline investigation report of stroke cohort population in rural area of Shanghai

Objective To delineate the prevalence and exposure of risk factors of stroke in a population above 40 years of age in rural area of Shanghai. Methods A cross-sectional study was carried out in a cluster sampling population above 40 years of age. General information, prevalence and common risk factors of stroke in the population were investigated. Distributional characteristics of prevalence, type and risk factors of stroke were delineated. Results Exposure rates of hypertension, heart disease, diabetes, family history of hypertension, overweight or obesity in males were 31.74%, 6.09%, 1.16%, 3.22%, 17.64%, 29.68%, and in females 32.76%, 9.22%, 1.55%, 3.84%, 19.22%, 29.44%, respectively. The standardized prevalence of stroke was 1167.3/100 thousands, with male significantly higher than that in the female (P<0.05). Conclusions The standardized prevalence of stroke is 1167.3/100 thousand in Guangming community among the population above 40 years of age, and, hypertension has the highest exposure rate among all the risk factors and cerebral infarction is the most common clinical pattern.