基诺族脑梗死的流行病学调查

目的 调查云南省西双版纳州基诺族脑梗死的患病率及其发病特点,为开展防治工作提供依据.方法 以全国第四届脑血管病会议修订的脑血管病诊断标准为诊断标准,采取整群抽样的方法,对云南省西双版纳州44个自然村共10610人采取初筛以后确诊与确诊患者的二次线索收集相结合的调查方法,收集其人口学和病史资料,进行社会功能缺陷筛选量表(Social Disability Screening Schedule,SDSS)评定、美国国立卫生院神经功能缺损评分(NIH Stroke Scale,NIHSS )、日常生活能力指数(Barthel Index,BI)评分.结果 西双版纳州基诺族脑梗死发病率9.4/10万.基诺脑梗死的患病率273.3∕10 万,时点平均年龄61.20 岁,37 ～86岁.其中男16 例,时点患病率为284.0∕10万;女13例,时点患病率为261.3∕10万;男女时点患病率无统计学差异(χ2＝0.05,P=0.82).初发年龄平均57.58 岁,男性最小38 岁,最大83 岁;女性最小36岁,最大75岁;初发年龄男女无统计学差异(t=0.12,P=0.90 ).结论 基诺族脑梗死发病率低于全国水平,但是未进行继续的正规药物治疗率和康复训练.

Epidemiological investigation of cerebral infarction in Jinuo nationality

Objective This study aimed to conduct an epidemiological survey of cerebrovascular diseases in Jinuo national minority.Methods The survey was conducted in 10,610 people from 44 Jinuo villages.Cluster sampling method was used to collect and analyzed data.Data included demographic and medical history information,the social Disability screening Schedule(Social Disability Screening Schedule,SDSS) assessment,the U.S.National Institutes of Health neurological deficit score(NIH Stroke Scale,NIHSS),daily life ability index(Barthel Index,BI) score.Results The present study detected 29 cerebral infarction patients among 10610 Jinuo people.The incidence rate and the prevalence rate were 9.4/105 and 273.3/105(284.0/105 for man and 261.3/105 for women),respectively.The difference of average age of onset was not significant between men and women(χ2 = 0.05,P = 0.82).Conclusions The incidence of cerebral infarction in Jinuo nationality is lower than the national average.But patients have not received the regular drug and rehabilitation treatments.