Smirnov V E, Varakin Iu Ia, Gornostaeva G V, Manvelov L S, Amoashiĭ M S
Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(1):49-52.
As a result of screening of males born in 1922-1931 (n = 2435) a group with a high risk for stroke development (n = 620) was identified. A total of 430 of these patients were followed up for 2 years. At the final stage the authors collected data on 80% of the patients who had undergone the primary examination and carried out a new screening of age-matched males. The morbidity rate related to cerebral stroke was 2.59% in the high risk group and 1.48% in the remaining population. The incidence of myocardial infarction in the above two groups was 5.01% and 1.80% respectively. At the same time 55.9% of new cases of cerebral stroke and 44.2% of myocardial infarction occurred in individuals who were not included into the high risk group and had an "intermediate" risk of the development of these diseases. It is concluded that the problem of combating cerebral stroke cannot be solved by putting emphasis exclusively on prevention in high risk groups and that it should be combined with wide-scale prophylactic work among the population.
对1922年至1931年出生的男性（n = 2435）进行筛查后，确定了一组中风发病高危人群（n = 620）。其中共有430名患者接受了2年的随访。在最后阶段，作者收集了80%接受过初步检查的患者的数据，并对年龄匹配的男性进行了新一轮筛查。高危组的脑卒中发病率为2.59%，其余人群为1.48%。上述两组的心肌梗死发病率分别为5.01%和1.80%。同时，55.9%的新发脑卒中病例和44.2%的心肌梗死病例发生在未被纳入高危组但具有这些疾病“中度”发病风险的个体中。结论是，防治脑卒中的问题不能仅靠着重对高危人群进行预防来解决，还应与针对全体人群的广泛预防工作相结合。
