北京市丰台区蒲黄榆社区脑卒中筛查及危险因素调查分析.docVIP

北京市丰台区蒲黄榆社区脑卒中筛查及危险因素调查分析 　　摘要：目的 通过对北京市脑卒中筛查及防控项目蒲黄榆社区筛查点数据的分析评估本辖区内45岁以上人群脑卒中发病情况及其潜在高危人群并对可能的危险因素进行了分析。方法 对脑卒中筛查的数据进行了分析，分别对筛查后的一般人群、脑卒中高危患者、确诊脑卒中患者进行了统计，并对其可能的危险因素进行了Logistic多因素回归分析。结果 本次项目中蒲黄榆社区中心筛查点共筛查12000名45岁以上的常住居民，查出脑卒中高危人群3323人，占27.7%，高危人群中男/女为1.09/1。共筛查出脑卒中患者1798人，占高危人群的54.1%，确诊脑卒中患者中男/女为1.42/1。高危人群中颈动脉斑块发生率为85.0%，其中狭窄率为9%。对颈动脉斑块可能的危险因素分析发现SBP、LDL-C、BMI是其显著的相关因子。结论 45岁以上人群伴有脑卒中危险因素比例很高，大部分患者有颈动脉斑块，其中收缩压、低密度脂蛋白和体重指数是最可能相关的危险因子，应该予以重点关注，在社区医院进行预防。 　　关键词：脑卒中；颈动脉斑块；危险因素；Logistic回归分析 　　Abstract：Objective To analyze the data of stroke screening in Beijing and PuHuangYu community screening of prevention and control project， to evaluate the morbidity of stroke and potential high-risk population of stroke and analyze the risk factors for the population aged≥40 years. Methods The data of stroke screening was assessed. The general population， the high-risk population and the incidence of stroke were inputted to statistical analysis separately. Logistic regression was adopted to proceed the analysis of risk factors. Results There were 12000 permanent residents whose age was ≥45 years old in the Pengpu community health service center. The high-risk population of stroke had 3323 individuals， and they took up 27.7% in all the 12000 permanent residents. The ratio of male to female was 1.09 to 1. The stroke patients are 1798，took up 54.1%， and the ratio of male to female was 1.42 to 1. The incidence of arterial plaques took up 85.0% in the high-risk population of stroke， and the rate of stenosis was 9%. SBP， LDL-C and BMI were found to be significant correlation factors by investigating the risk factors of arterial plaques. Conclusion The rate of risk factors for stroke in population aged ≥45 years is high， and the majority of patients have arterial plaques. SBP， LDL-C and BMI are found to be significant correlation factors for arterial plaques， and they should be focused on for prevention in community hospitals. 　　Key words：Stroke； Arterial plaques； Risk factor；