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目的了解中老年人群脑卒中的现患率及其影响因素暴露水平。方法整群抽取汉中市辖区的2个乡镇,对全体40周岁及以上人群进行脑卒中普查。按性别和年龄分组,对脑卒中现患率及其影响因素暴露率和人群分布特征进行分析和描述。结果中老年人群脑卒中患病率为1.38%,校正患病率1.58%;脑卒中危险因暴露水平由高到低分别为体育活动少(33.62%)、高血压病(26.35%)、血脂异常(23.66%)、肥胖(14.72%)、吸烟(14.63%)、糖尿病(6.08%)、TIA(5.89%)、脑卒中家族史(2.59%)、心脏病(2.37%);脑卒中暴露因素在性别、年龄组别间存在差异。结论两乡镇的中老年人群脑卒中现患率较全国水平低;体育活动少、高血压病、血脂异常、肥胖、吸烟为本地区中老年人脑卒中的主要影响因素,为本地区脑卒中干预的重点,同时不同年龄及性别干预侧重点亦不相同。
Objective To understand the current prevalence of stroke in the middle-aged and elderly population and its influencing factors. Methods The cluster was extracted from 2 towns and villages in Hanzhong City, and census was conducted for all 40-year-olds and above. Grouping by sex and age, the prevalence of stroke and its influencing factors of exposure and population distribution characteristics were analyzed and described. Results The prevalence of stroke was 1.38% and the corrected prevalence was 1.58% in middle-aged and elderly people. The risk of stroke was lower (33.62%), hypertension (26.35%), dyslipidemia (23.66%), obesity (14.72%), smoking (14.63%), diabetes (6.08%), TIA (5.89%), family history of stroke (2.59%) and heart disease There are differences between sexes and age groups. Conclusion The prevalence rate of stroke in the middle-aged and elderly population in the two towns is lower than that in the whole country. There is less physical activity, hypertension, dyslipidemia, obesity and smoking as the main influencing factors of stroke in the middle- Focus, at the same time different age and gender intervention focus is not the same.