河北任丘市老年居民脑卒中及其危险因素的筛查分析

被引：8

作者：

颜应琳 ^{[1
]}

李芳 ^{[1
]}

高素颖 ^{[1
]}

王拥军 ^{[2
]}

于凯 ^{[1
]}

范东娜 ^{[1
]}

杨波 ^{[1
]}

赵永娜 ^{[1
]}

机构：

[1] 任丘康济医院神经科

[2] 首都医科大学附属北京天坛医院神经科

来源：

中华老年心脑血管病杂志 | 2013年 / 15卷 / 11期

关键词：

卒中; 血糖; 血压; 患病率; 多相筛查; 危险因素;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

1002 ;

摘要：

目的通过任丘市老年居民脑卒中及其危险因素的筛查分析,为制定区域性脑卒中的综合防治措施提供科学依据。方法采用随机整群抽样法,选择任丘市年龄60～70岁的常住居民5010例为筛查对象,进行面对面健康问卷调查、人体测量、实验室检测,分析脑卒中及其危险因素的患病率及特点。结果脑卒中、血压异常、血糖异常、血脂异常、颈动脉狭窄的患病率分别为14.3%、78.9%、18.5%、53.8%和8.0%,男性为18.5%、77.8%、13.8%、45.9%和10.6%;女性为11.1%、79.0%、22.1%、59.8%和6.1%;以血压异常、血糖异常、血脂异常、颈动脉斑块、血尿酸升高、心房颤动、肥胖、缺乏体力运动、脑卒中病史累加统计脑卒中的危险因素,76.6%的老年居民具有≥3个危险因素,男性为80.0%,女性为74.0%;多因素logistic回归分析显示,排在前3位的危险因素分别是血压异常、血糖异常和缺乏体力运动。结论任丘市年龄60～70岁人群脑卒中及其危险因素的患病率高,多数人合并多种危险因素,有效控制血压和血糖,开展健身运动是降低任丘市脑卒中患病率的最有效途径。

引用

页码：1166 / 1169

页数：4

共 10 条

[1]

Effects of exercise modality on insulin resistance and functional limitation in older adults: A randomized controlled trial. Davidson L.E.,Hudson R.,Kilpatrick K.,Kuk J.L.,McMillan K.,Janiszewski P.M.,Lee S.,Ross R.,Lam M. Archives of Internal Medicine . 2009

[2] 老年糖尿病患者合并高血压的危险因素及随访分析 [J].

王志军 ;

周建芝 ;

吴寿岭 .

中华老年心脑血管病杂志, 2013, 15 (02) :151-154

[3] 老年高血压患者危险因素分析及其对靶器官损害的影响 [J].

贾国栋 ;

宫桂花 ;

孟萍 ;

鲍莲华 ;

傅淑宏 .

中华老年心脑血管病杂志, 2012, 14 (01) :22-25

[4]

Guidelines for the Primary Prevention of Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association[J] . Larry B. Goldstein,Cheryl D. Bushnell,Robert J. Adams,Lawrence J. Appel,Lynne T. Braun,Seemant Chaturvedi,Mark A. Creager,Antonio Culebras,Robert H. Eckel,Robert G. Hart,Judith A. Hinchey,Virginia J. Howard,Edward C. Jauch,Steven R. Levine,James F. Meschia,Wesley S. Moore,J.V. (Ian) Nixon,Thomas A. Pearson. &nbspStroke . 2011 (2)

[5]

Guidelines for the Prevention of Stroke in Patients With Stroke or Transient Ischemic Attack: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association[J] . Karen L. Furie,Scott E. Kasner,Robert J. Adams,Gregory W. Albers,Ruth L. Bush,Susan C. Fagan,Jonathan L. Halperin,S. Claiborne Johnston,Irene Katzan,Walter N. Kernan,Pamela H. Mitchell,Bruce Ovbiagele,Yuko Y. Palesch,Ralph L. Sacco,Lee H. Schwamm,Sylvia Wassertheil-Smoller,Tanya N. Turan,Deidre

[6]

Trends in Incidence and Outcome of Stroke in Perth, Western Australia During 1989 to 2001: The Perth Community Stroke Study[J] . Md Shaheenul Islam,Craig S. Anderson,Graeme J. Hankey,Kate Hardie,Kristie Carter,Robyn Broadhurst,Konrad Jamrozik. &nbspStroke . 2008 (3)

[7] Prediction of functional outcome of ischemic stroke patients in northwest China [J].

Liu, Xuedong ;

Lv, Yali ;

Wang, Bo ;

Zhao, Gang ;

Yan, Yongping ;

Xu, Dezhong .

CLINICAL NEUROLOGY AND NEUROSURGERY, 2007, 109 (07) :571-577

[8]

Change in stroke incidence, mortality, case-fatality, severity, and risk factors in Oxfordshire, UK from 1981 to 2004 (Oxford Vascular Study)[J] . PM Rothwell,AJ Coull,MF Giles,SC Howard,LE Silver,LM Bull,SA Gutnikov,P Edwards,D Mant,CM Sackley,A Farmer,PAG Sandercock,MS Dennis,CP Warlow,JM Bamford,P Anslow. &nbspThe Lancet . 2004 (9425)

[9]

Etiology, Risk Factors and Sex Differences in Ischemic Stroke in the Ludwigshafen Stroke Study, a Population-Based Stroke Registry. F. Palm,C. Urbanek,J. Wolf. CEREBROVASCULAR DISEASES . 2012

[10]

Blood pressure reduction for the secondary prevention of stroke: a Chinese trial and a systematic review of the literature. Lisheng Liu,Zengwu Wang,Lansheng Gong,Yuqing Zhang,Lutgarde Thijs,Jan A Staessen,Jiguang Wang. Hypertension Research . 2009

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