北京部队驻京干休所老干部脑卒中患病情况调查分析

目的对驻京部队部分离退休老干部脑卒中的患病情况进行流行病学调查,分析脑卒中患者合并心血管病主要危险因素的状况。方法在我区驻京干休所离退休老干部中进行心血管病危险因素流行病学调查,分析89例脑卒中患者并存高血压、糖尿病和血脂的控制情况。结果本人群基线调查时脑卒中总患病率为19.59%,其中缺血性脑卒中患病率为17.95%,出血性脑卒中为1.64%,缺血性脑卒中患病率显著高于出血性脑卒中(P<0.01)。与2002年调查时比较,2003～2006年脑卒中发病率、复发率显著减少,总发病率分别下降了58.84%、64.63%、47.56%和51.22%,差异均有统计学意义(P<0.01),其中主要是缺血性脑卒中发病率显著减少。脑卒中患者合并高血压、糖尿病、血脂控制异常的比率与本人群该疾病的患病率差异无统计学意义。结论本人群基线调查时脑卒中的患病率高于我国老年人群的患病率,经过综合干预后脑卒中的发病率与复发率显著下降。

Analysis of the morbidity of stroke in military elderly

Objective To investigate the morbidity of stroke in military elderly and analyse cardiovascular disease(CVD)risk factors in stroke patients. Methods The baseline survey for CVD risk factors was carried out in military elderly in Beijing. Analysis of the control status of hypertension,diabetes mellitus and dyslipidemia in 89 stroke patients. Results The morbidity of stroke was 19.59%,including ischemic stroke was 17.95%,hemorrhage stroke was 1.64% in the baseline survey. The morbidity of ischemic stroke was much higher than hemorrhage stroke significantly(P<0.01). Compared with baseline survey,the morbidity of stroke were reduced by 58.84%,64.63%,47.56% and 51.22% respectively from 2003 to 2006(P<0.01). Conclusions The morbidity of stroke in military elderly was higher than that in Chinese elderly and reduced remarkably after comprehensive intervention including healthy education and individual treatment.