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| Investigation and analysis of epidemiological characteristics and correlative risk factors of stroke in rural and urban communities of Hainan Province |
| MA Fei1 CHEN Tao2 LIU Yanhui2 PENG Xia3 ZHENG Yingying3 XIAO Jianhong3 SHENG Qing3 DENG Yidong2 |
1.Department of Rehabilitation Medicine, People′s Hospital of Hainan Province, Hainan Province, Haikou 570311, China;
2.Department of Neurology, People′s Hospital of Hainan Province, Hainan Province, Haikou 570311, China;
3.Stroke Screening and Prevention Base Office, People′s Hospital of Hainan Province, Hainan Province, Haikou 570311, China |
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Abstract Objective To investigate the epidemic characterization and risk factors of elderly residents with stroke in rural and urban communities of Hainan Province, in order to provide scientific basis for formulating prevention and intervention measures for stroke. Methods Cluster random sampling was used to investigate 18 000 residents over 40 years old in 3 urban communitis and 3 rural communitis in Hainan Province. The demographic characteristics were recorded. Stroke incidence and the stroke risk factors were analyzed. Results The prevalence rate of strok among the 18 000 individuals was 0.72%, the prevalence of stroke in urban communities was significantly higher than that that in rural communities (0.87% vs 0.56%), and the high risk population of stroke in urban communities was significantly higher than that in rural communities (10.32% vs 6.58%). Compared with the residents in rural community, there were much more residents got systemic treatment for stroke, transient ischemic attack, hypertension, hyperlipidemia, diabetes mellitus and atrial fibrillation in urban communities, the differences were highly statistically significant (P < 0.01). The rate of self-care after acute stroke of rural residents was far lower than that of urban residents (43.18% vs 75.00%), the difference was highly statistically significant (P < 0.01). Conclusion The prevalence of stroke of middle-aged and old residents in Hainan Province is significantly lower than the national averaging. The prevalence of stroke and risk factors of urban residents in Hainan are significantly higher than those in rural areas. The prognosis of stroke patients in rural areas is relatively poor, and the disability rate is higher than that in urban community patients. The most rural residents in Hainan Province are highly short of the knowledge of prevention and treatment of stroke. It is suggested that awareness of risk factors and correlated knowledge of stroke and regular physical examination should be popularized to prevent stroke in rural population.
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[1] 马爱娟，董忠，李刚.北京市50～79岁人群脑卒中患病率和危险因素调查[J].中华流行病学杂志，2012，33（7）：645-648.
[2] 赵宗权，吴贻红，汤振源，等.苏州市50岁以上人群脑卒中危险因素调查分析[J].川北医学院学报，2017，32（4）：613-615.
[3] Aquiles S，Juan R，Guillermina P，et al. The contribution of chronic diseases to the prevalence of dependence among older people in Latin America， China and India： a 10/66 Dementia Research Group population-based survey [J]. BMC Geriatr，2010，10（1）：53.
[4] 国家卫生计生委脑卒中筛查与防治工程委员会.脑卒中筛查与防治指导规范[J].中国医学前沿杂志：电子版，2013，5（9）：44-50.
[5] 中华医学会神经病学分会脑血管病学组“卒中一级预防指南”撰写组.中国卒中一级预防指南2010[J].中华神经科杂志，2011，44（4）：282-287.
[6] 庞慧，付强，黄宜杰，等.高血压患者十年脑卒中风险概率分析[J].中华脑血管病杂志：电子版，2012，6（5）：261-265.
[7] 曹承兰，余年，林兴建，等.脑卒中高危人群的相关危险因素[J].临床神经病学杂志，2014，27（5）：335-337.
[8] 李志超，伍佳，黄鹤.成都市中心城区居民血脂异常合并心血管危险因素的流行病学现状研究[J].华西医学，2015， 30（10）：1845-1848.
[9] 张薇，范宇威，高静，等.脑卒中流行病学调查相关文献复习[J].中国临床神经科学，2014，22（6）：699-703.
[10] 蔡金乐，刘改芬，宋彦丽，等.全球脑卒中流行情况及其危险因素研究回顾[J].中国综合临床，2014，30（4）：437-439.
[11] 王俊俊，李雅国，刘小利.后循环短暂性脑缺血发作患者临床特征及脑卒中危险因素分析[J].中华老年病研究电子杂志，2015，（1）：32-34.
[12] 翟屹，王文志，赵文华.我国35岁以上居民脑卒中患病情况和发病年龄[J].中华预防医学杂志，2009，43（12）：1069-1072．
[13] 刘植蕊，姚淑红，尹雪梅.高血压病的发生发展与合并症相关性的研究进展[J].中国医药导报，2012，9（7）：8-10.
[14] 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志2011，39（7）：579-616.
[15] Goulart AC，Fernandes TG，Santos IS，et al. Predictors of long-term survival among first-ever ischemic and hemorrhagic stroke in a Brazilian stroke cohort [J]. BMC Neurol，2013，13（1）：1-7.
[16] Hu D，Yu D，Howard BV，et al. Epidemiology of cardiovascular isease in Asian women [J]. Nutrition，Metabolism & Cardiovascular Diseases，2010，20（6）：394-404.
[17] 贾蓓，张志辰，张允岭.北京市丰台区部分社区脑卒中高危人群高血压患者血压达标现状及影响因素分析[J].中国心血管杂志，2015，20（4）：295-298.
[18] Touze E，Rothwell PM. Heritability of ischaemic stroke in women compared with men：a genetic epidemiological study [J]. Lancet Neurol，2007，6（2）：125-133.
[19] Lund HL，Holme I，Hjermann I，et al. Risk-factor profile for the incidence of subarachnoid and intracerebral haemorrhage，cerebral infarction，and unspecified stroke during 21 years' follow-up in men [J]. Scand J Public Health， 2006， 34（6）：589-597.
[20] 李涛，张允岭，赵晖，等.吸烟与脑卒中高危人群颈动脉粥样硬化发生的相关性分析[J].中西医结合心脑血管病杂志，2015，13（2）：175-178.
[21] 鹿丙荣.早期康复护理指导对脑卒中偏瘫患者作用的临床研究[J].中国医药科学，2016，6（24）：113-115，121.DOI：10.3969/j.issn.2095-0616.2016.24.036.
[22] 张雯雯，张毅，李宁华，等.北京社区人群脑卒中疾病监测及流行病学特点分析[J].中华临床医师杂志：电子版，2011，5（24）：7045-7047.
[23] 李秋泉，王晓鸣，李韶江，等.急诊脑卒中识别评分量表在社区脑卒中患者早期识别与转诊中的应用价值[J].中国医药科学，2016，6（24）：187-189.DOI：10.3969/j.issn.2095-0616.2016.24.060. |
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