2015～2019年烟台市脑卒中高危人群危险因素暴露情况对比分析

目的 分析2015～2019年烟台市东厅街道社区卫生服务中心居民的脑卒中高危人群危险因素暴露变化情况,了解社区脑卒中防控项目成效,为烟台地区脑卒中筛查防治提供依据,指导今后的筛查防治工作.方法 根据国家卫生健康委脑卒中高危人群筛查和干预项目的筛选标准,采用整群抽样方法对2015、2017及2019年烟台市筛查点40岁以...

Comparative analysis of exposure to risk factors of stroke high-risk population in Yantai from 2015 to 2019

Objective To evaluate the effect of community stroke prevention project, provide a basis for stroke screening prevention and control in the Yantai, and guide the future screening prevention and control work by analyzing the dynamic alteration of risk factors in the high-risk population in the Dongting street community from 2015 to 2019.Methods According to the screening criteria of stroke high-risk population screening and intervention project of the National Health Commission, the cluster sampling method was adopted to investigate the permanent residents over 40 years old at the screening sites in Yantai City in 2015, 2017, and 2019. The dynamic changes of previous stroke, TIA,risk stratification, and the risk factors of the high-risk population in stroke screening population were compared from 2015 to 2019 in Yantai.Results There were 5490, 3955 and 4024 patients enrolled in 2015, 2017 and 2019, respectively. The detection rates of high-risk stroke population in Yantai were 17.0%, 23.4% and 28.8%, respectively. Among the screening population in 2015 and 2017, there were statistically significant differences in the proportion of high, medium, and low-risk groups and stroke history(P<0.05). There were statistically significant differences in the composition of the TIA history, high-risk group, and low-risk group among the screening population in 2017 and 2019(P<0.05). Among the high-risk population screened in 2015 and 2017, there were statistically significant differences in risk factor composition ratio(P<0.05), including hypertension, diabetes mellitus, atrial fibrillation or heart valvular disease, dyslipidemia, smoking history, significantly overweight or obesity, physical inactivity, and family history of stroke. Among the high-risk groups screened in 2017 and 2019, there were statistically significant differences in risk factor composition ratio(P<0.05), including atrial fibrillation or heart valvular disease, dyslipidemia, smoking history, physical inactivity, family history of stroke, TIA, and gender. Conclusion The proportion of the high-risk population of stroke in Yantai increased all the time. Hypertension was always the focus of prevention and control of stroke risk factors, while dyslipidemia, overweight, or obesity had become the new object of prevention and control of stroke risk factors.