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1、营口地区居民脑卒中危险因素筛查结果分析与干预策略刘艳华滕国治王治魯东李莹莹张月明张颖楠(营口市中心医院神经内一科辽宁营口115003)目的:分析营U地区居民脑卒中危险因素并釆取相对应的干预措施。方法:以营口地区的40岁以上的常住居民为筛查对象,对其高血压病、口味偏咸、缺乏体育锻炼、吸烟、高脂血症、颈动脉斑块、脑卒中家族史、颈动脉内中膜增厚、超重、糖尿病、冠心病、大量饮酒,房颤或心脏瓣膜疾病等因素进行筛查结果:木研究共筛查出高危人员3369例,其中高血压病、口味偏咸、缺乏体育锻炼、吸烟、高脂血症、颈动脉斑块、脑卒中家族史、颈动脉内中膜增
2、厚、超重、糖尿病、冠心病、大量饮酒,房颤或心脏瓣膜疾病在高危人群中所占比例分别为70.79%,56.22%,49.9%,46.87%,34.31%,33.66%,32.68%,30.31%,30.28%,26.68%,26.0%,12.03%,0.42%。结论:本研究暴露出营口地区脑卒中的危险因素,在以后的工作中对其加以积极干预和控制,尤其重视对高危人群的宣传教育,对于降低我地IX脑卒中的发病率、病死率和致残率有重要的参考价值和指导意义。【关键词】脑卒中;危险因素;筛查;干预R742A2095-1752(2016)07-0035-02
3、AnalysisandinterventionstrategyofriskfactorsforstrokeinYingkouareaLiuYanhua,TengGuozhi,WangYe,LuDong,LiYingying,ZhangYueming,ZhangYingnan.TheCentralHospitalofYingkouCity,LiaoningProvince,Yingkou115003,China【Abstract】ObjectiveToanalysethestrokeriskfactorsofYingkouareares
4、identsandtakecorrespondinginterventionmeasures.Methodswechoosedtheresidentsaged≥40yearsold.screeningtheriskfactorsashypertension,saltytastejackofphysicalexercise,cigarettesmoking,hyperlipemia,Carotidarteryplaque,familyhistoryofstroke,Carotidarteryintima-mediathicknes
5、s,overweight,diabetes,coronaryheartdisease,excessivedrinking,AtrialfibrillationorHeartvalvedisease.Results3369high-riskpersonswerefound,53.5%inwhichweremale,and46.5%werefemale.Exposurerateofhypertension,saltytastejackofphysicalexercise,cigarettesmoking,hyperlipemia,Caro
6、tidarteryplaque,familyhistoryofstroke,Carotidarteryintima-mediathickness'overweight,diabetes,coronaryheartdisease,excessivedrinking,AtrialfibrillationorHeartvalvediseasewere70.79%,56.22%,49.9%,46.87%,34.31%,33.66%,32.68%,30.31%,30.28%,26.68%,26.0%,12.03%,0.42%.Conclusio
7、nsInthisstudy,theriskfactorsofstrokeinYingkouareawereexposed,andwewouldtaketheactiveinterventionandcontrolinthefuturework,especiallypayattentiontothehighriskpopulation.Thishadimportantreferencevalueandguidancetoreducetheincidence,mortalityanddisabilityrateofstroke.【Keyw
8、ords】Stroke;Riskfactors;Screening;Intervention2008年卫生部的第3次居民死亡原因调查显示,脑卒中的病死率为22.45%,超过恶性肿瘤的22.32%,成为我国居民的第一位死亡