Fuh J L, Wang S J, Larson E B, Liu H C
Neurological Institute, Veterans General Hospital-Taipei, Taiwan.
Stroke. 1996 Aug;27(8):1338-41. doi: 10.1161/01.str.27.8.1338.
Stroke is the second most common cause of death in Taiwan. We studied its prevalence, risk factors, and mortality in a rural Chinese population.
A door-to-door survey of stroke was conducted in two Kinmen Island townships with a total population of 26105 people. Our target population (n = 5061) consisted of all the registered residents in these townships who were aged > or = 50 years on August 1, 1993. All participants were given a standardized neurological examination and a questionnaire.
The participation rate was 77.4% (n = 3915). Ninety-six cases of completed stroke were identified. Eighty-nine patients had one, 6 patients had two, and 1 patient had three episodes of stroke. The prevalence of stroke in persons aged > or = 50 years was 24.5 per 1000 (95% confidence interval, 19.7 to 29.3 per 1000). Prevalence increased with age. Statistically significant risk factors associated with stroke included hypertension, diabetes mellitus, and irregular heartbeats. Of the stroke survivors, 59% were independent in activities of daily living and 71% could walk independently.
Compared with other countries, Taiwan has a moderately high prevalence of stroke. The risk factors for stroke in this rural region of a developing country are similar to those in developed countries. Most stroke survivors here perform their daily activities independently without outside assistance.
中风是台湾第二大常见死因。我们研究了中国农村人群中中风的患病率、危险因素及死亡率。
在金门岛两个乡镇对中风进行了挨家挨户的调查，总人口为26105人。我们的目标人群（n = 5061）包括1993年8月1日年龄≥50岁的这些乡镇所有登记居民。所有参与者均接受了标准化的神经学检查及问卷调查。
参与率为77.4%（n = 3915）。共识别出96例完全性中风病例。89例患者有1次中风发作，6例患者有2次中风发作，1例患者有3次中风发作。年龄≥50岁人群中风患病率为每1000人24.5例（95%可信区间为每1000人19.7至29.3例）。患病率随年龄增长而增加。与中风相关的具有统计学意义的危险因素包括高血压、糖尿病和心律失常。中风幸存者中，59%日常生活活动能够自理，71%能够独立行走。
与其他国家相比，台湾中风患病率处于中等偏高水平。在这个发展中国家的农村地区，中风的危险因素与发达国家相似。这里的大多数中风幸存者在无需外界帮助的情况下能够独立进行日常活动。
