摘要 目的探讨赤峰市居民脑卒中危险因素的城乡差异。方法利用整群抽样方法抽取赤峰市≥40岁常驻人口18 835名。收集临床资料,并对结果进行统计分析。结果城镇居民及乡村居民前三位危险因素均为缺乏运动、高血压病及超重或肥胖。与乡村居民比较,城镇居民脑卒中家族史、高血压病、糖尿病、超重或肥胖、卒中既往史、血脂异常的暴露率显著升高,缺乏运动、吸烟史的暴露率显著降低(P<0.05~0.01)。城镇居民的高危比率显著高于乡村居民(P<0.001)。与乡村脑卒中高危人群比较,城镇脑卒中高危人群的高血压病、血脂异常、超重或肥胖、糖尿病、脑卒中家族史和卒中既往史的暴露率显著升高(P<0.05~0.01),缺乏运动、吸烟的暴露率显著降低(均P<0.001)。多因素Logistic回归分析显示,脑卒中家族史(OR=1.614,95%CI:1.330~1.960,P<0.001)、糖尿病(OR=2.098,95%CI:1.744~2.523,P<0.001)、超重及肥胖(OR=1.391,95%CI:1.191~1.626,P<0.001)、卒中既往史(OR=1.798,95%CI:1.420~2.276,P<0.001)、血脂异常(OR=1.770,95%CI:1.499~2.090,P<0.001)在城镇脑卒中高危人群中更为普遍,而吸烟史(OR=0.774,95%CI:0.656~0.913,P=0.002)及缺乏运动(OR=0.534,95%CI:0.451~0.632,P<0.001)则在乡村脑卒中高危人群中更为普遍。结论赤峰市城市居民脑卒中风险高于乡村,高血压是城乡需要重点防控的因素。城市应重点关注糖尿病、血脂异常及肥胖等代谢性疾病的控制,乡村应着重强调对吸烟、运动不足等不良生活方式的干预,同时应重视对心房颤动的筛查。 Objective To investigate the difference of risk factors of stroke between urban and rural residents in Chifeng city. Methods The method of cluster sampling was used to collect the population(18 835 cases) lived in urban and rural resident in Chifeng city, who over 40 years old. The clinical data were collected, and the results were statistically analyzed. Results The first three risk factors were lack of exercise, hypertension and overweight or obesity in urban and rural residents. Compared with those in rural residents, the exposure rates of family history of stroke, hypertension, diabetes, overweight or obesity, previous stroke history and dyslipidemia in urban residents were significantly higher, the exposure rates of lack of exercise and smoking history in urban residents were significantly lower(P<0.05-0.01). The rate of high risk in urban residents was significantly higher than that in rural residents(P<0.001). Compared with those in the high-risk population in rural residents, the exposure rates of hypertension, dyslipidemia, overweight or obesity, diabetes, family history of stroke and previous stroke history in the high-risk population in urban residents were significantly higher(P<0.05-0.01), the exposure rates of lack of exercise and smoking history in the high-risk population in urban residents were significantly lower(all P<0.001). Multiple Logistic regression analysis showed that family history of stroke(OR=1.614, 95%CI: 1.330-1.960, P<0.001), diabetes(OR=2.098, 95%CI: 1.744-2.523, P<0.001), overweight or obesity(OR=1.391, 95%CI: 1.191-1.626, P<0.001), previous stroke history(OR=1.798, 95%CI: 1.420-2.276, P<0.001), dyslipidemia(OR=1.770, 95%CI: 1.499-2.090, P<0.001) were significantly more common in high risk population in urban residents, and smoking history(OR=0.774, 95%CI: 0.656-0.913, P=0.002), lack of exercise(OR=0.534, 95%CI: 0.451-0.632, P<0.001) were significantly more common in high risk population in rural residents. Conclusions The risk factors of stroke among urban residents in Chifeng C
机构地区 赤峰市医院神经内科 赤峰市医院全科医学科
出处 《临床神经病学杂志》 CAS 2021年第1期24-27,共4页 Journal of Clinical Neurology
