深圳市社区人群脑卒中发病类型的分布特征

目的]分析深圳市社区人群脑卒中发病类型的分布特征,为卒中防治提供理论依据。方法]2003～2005年对深圳市全市所有自然社区人群的脑卒中新发病例进行登记监测,采用分组、分类比较方法对其进行亚型分析,探讨发生卒中的常见危险因素,如年龄、性别、高血压、糖尿病、心脏病、血脂异常等,并进行双因索方差分析和χ2检验。结果]2003～2005年间深圳市社区人群脑卒中新发病例共15474例,其中脑梗死为10396例(占67.2%),脑出血为4297例(占27.8%),蛛网膜下腔出血为632例(占4%)。结论]中年人特别是50岁以下人群应重视出血性卒中的危害,50岁以上的人群的预防重点应放在缺血性卒中方面。尤其要控制高血压、糖尿病、心脏病等危险因素。

DISTRIBUTION CHARACTERISTICS OF TYPES OF STROKE IN URBAN AREA IN SHENZHEN

Objective] To analyze the types distribution characteristics of stroke in Shenzhen and provide the theoretical basis for preventing stroke.Methods] The new stroke cases in community population of Shenzhen from 2003 to 2005 were monitored and established typing diagnosis,and the common risk factors were emphasized.Two way ANOVA and Chi-square test was used to compare the common risk factors between and within each group.Results] 15 474 new cases of stroke were selected with Hemmorhagic,ischemic,and subarachnoid hemorrhage,which accounted for 27.8%,67.2% and 4.0% respec-tively.Conclusion] Prevention should be focused on hemorrhagic stroke for those who aged over 50 and ischemic stroke for those who aged less than 50.It's important to control high blood pressure,diabetes and heart disease for the prevention of stroke.