Wang Gui-qing, Huang Jiu-yi, Guo Ji-ping, Cao Yi-feng, Yang Yong-ju, Yu Xue-hai
Shanghai Institute of Cerebral Vascular Disease Prevention and Care, Shanghai 201318, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2006 Jan;27(1):12-4.
To present data from a baseline investigation on stroke-related cohort population in rural area of Shanghai.
A cross-sectional study was carried out in a cluster sampling population aged 40 years and over. General information and data on common risk factors in the population were gathered and cerebral vascular hemodynamic indexes were checked. Hemodynamic score was estimated according to single indexes by unified methods. 5335 persons who had met the inclusion criteria were enlisted in the study. Exposure level of risk factors, prevalence of stroke, and hemodynamic indexes were analyzed and distributional characteristics were described.
Exposure rate of hypertension, heart disease, diabetes, family history of hypertension, overweight or obesity in males were 31.74%, 6.09%, 1.16%, 3.22%, 17.64%, 29.68% and were 32.76%, 9.22%, 1.55%, 3.84%, 19.22%, 29.44% in female respectively. Standard prevalence of stroke was 1167.3/100000, which in male was significantly higher than that in female (P < 0.05). The change of cerebral vascular hemodynamic indexes was significantly associated with age. Hemodynamic score in 21.3% of the subjects was below 75 points.
Among population of 40 years old and over in rural areas, hypertension was the principal risk factor regarding the rate of stroke. Prevalence of stroke in males was significantly higher than that in females. Abnormal rate of hemodynamic score was about 20% in this population.
呈现上海农村地区卒中相关队列人群基线调查的数据。
对40岁及以上的整群抽样人群进行横断面研究。收集人群的一般信息和常见危险因素数据，并检查脑血管血液动力学指标。采用统一方法根据单项指标估算血液动力学评分。5335名符合纳入标准的人员被纳入研究。分析危险因素暴露水平、卒中患病率及血液动力学指标，并描述其分布特征。
男性高血压、心脏病、糖尿病、高血压家族史、超重或肥胖的暴露率分别为31.74%、6.09%、1.16%、3.22%、17.64%、29.68%，女性分别为32.76%、9.22%、1.55%、3.84%、19.22%、29.44%。卒中标准化患病率为1167.3/100000，男性显著高于女性（P<0.05）。脑血管血液动力学指标的变化与年龄显著相关。21.3%的受试者血液动力学评分低于75分。
在农村40岁及以上人群中，高血压是卒中发生率的主要危险因素。男性卒中患病率显著高于女性。该人群血液动力学评分异常率约为20%。
