[中国三个城区脑卒中类型的分布特征]
[Distribution characteristics of types of stroke in three urban area in China].
作者信息
Yang Qidong, Zhou Yanhong, Wang Wenzhi, Wu Shengping, Hong Zhen, Huang Maosheng, Liu Yunhai, Xu Hongwei
机构信息
Institute of Neurology, Xiangya Hospital, Central South University, Changsha 410008,China.
出版信息
Zhonghua Yi Xue Za Zhi. 2002 Jul;82(13):875-8.
OBJECTIVE
To analyze the distribution characteristics of types of stroke in china.
METHODS
A prospective study and comprehensive prevention were conducted in urban communities with 300 000 people in Changsha, Beijing and Shanghai, and 2 570 case of stroke at their first occurance were selected with established typing diagnosis (r).
RESULTS
Hemmorrhagic, ischemic, and unclassified stroke accounted for 37.1%, 62.3%, and 0.6% respectively. The proportion of hemmorrhagic stroke was more than 50 percent among persons under 50. The average yearly incidence of stroke was 142.3/100 thousand in the intervention areas and was 187.0/100 thousand in the control areas.
CONCLUSION
Prevention should be focused on hemorrhagic stroke for those aged over 50 and on ischemic stroke for those aged less than 50. The average incidence rates of hemmorrhagic and of ischemic stroke were lower in the intervention area than in the control area.
目的
分析中国脑卒中类型的分布特征。
方法
在长沙、北京和上海的城市社区对30万人进行前瞻性研究和综合预防，选取2570例首次发生且已确诊分型（r）的脑卒中病例。
结果
出血性、缺血性和未分类脑卒中分别占37.1%、62.3%和0.6%。50岁以下人群中出血性脑卒中的比例超过50%。干预地区脑卒中的年平均发病率为142.3/10万，对照地区为187.0/10万。
结论
50岁以上人群应重点预防出血性脑卒中，50岁以下人群应重点预防缺血性脑卒中。干预地区出血性和缺血性脑卒中的平均发病率低于对照地区。
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