|本期目录/Table of Contents|

[1]张律.卒中高危人群颈动脉超声筛查结果分析[J].慢性病学杂志,2020,21(09):1310-1313.
　ZHANGLv.Analysis of carotid ultrasound screening results in high risk population of stroke in community[J].,2020,21(09):1310-1313.
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卒中高危人群颈动脉超声筛查结果分析

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
21
期数:
2020年09期
页码:
1310-1313
栏目:
论　著
出版日期:
2020-09-28

文章信息/Info

Title:
Analysis of carotid ultrasound screening results in high risk population of stroke in community
作者:
张律
将台社区卫生服务中心健康管理部，北京 100016
Author(s):
ZHANGLv
HealthManagementDepartmentofJiangtaiCommunityHealth ServiceCenter,Beijing100016,China Correspondingauthor:ZHANG Lv,E-mail:mhmm2010@126.com
关键词:
卒中; 颈动脉超声; 高危人群; 颈动脉病变
Keywords:
Stroke;  Carotid ultrasound;  High-risk groups;  Carotid artery disease
分类号:
R743.3
DOI:
-
摘要:
目的 了解社区卒中高危人群颈动脉超声检查结果，分析颈动脉硬化性疾病的危险因素，为制订该人群 的干预措施提供依据。方法 采取整群抽样的方法，对2017年1月至12月将台地区国家卒中筛查工作中筛选出 的423例卒中高危人群进行问卷调查、体格检查与颈动脉超声检查，采用logistic回归对影响颈动脉内膜增厚及颈 动脉狭窄的因素进行分析。结果 卒中高危人群中，男性206例（48.70%），女性217例（51.30%）。卒中危险 因素在目标人群中频次较高的前6位依次是：高血压（82.51%）、血脂异常（61.23%）、明显超重和肥胖 （52.25%）、缺乏运动（41.61%）、肉类摄入较多（39.24%）、吸烟（39.01%），不同性别间吸烟、缺乏运动、明显 超重或肥胖、肉类摄入较多，差异有统计学意义（P<0.05）。超声结果表明，所有目标人群的颈部血管超声检查 结果均提示颈部血管至少有一个部位存在异常，其中，颈总动脉内膜增厚的患病率为74.70%；所有目标人群都出 现颈部斑块，斑块的数量均值为（2.69±0.46）个。多因素logistic回归结果显示，60岁以上是颈动脉内膜增厚的 独立危险因素，女性是颈动脉狭窄的独立危险因素，差异均有统计学意义（P<0.05）。结论 将台地区卒中高危 人群颈部血管均有异常，斑块阳性率100%，颈总动脉内膜增厚发病率很高。应加强颈动脉粥样硬化性疾病的健 康教育，积极治疗高危疾病，倡导合理膳食、适当运动、戒烟的健康生活方式，以减少或延缓卒中的发生，提高 社区居民的健康水平。
Abstract:
Objective To investigate the carotid ultrasound results in community at high risk of stroke and analyze the risk factors of carotid atherosclerosis disease, providing references for developing strate-gies for the high-risk population. Methods A clustering sampling was conducted in2017 in Jiangtai community, 423 cases with high-risk of stroke were selected by questionnaire survey. Physical exami-nation and carotid ultrasonic examination were conducted in all high-risk population. Logistic regression analysis was performed to determine the risk factors of carotid intima thickening and carotid artery ste-nosis. Results A total of423 high risk participants were investigated, including 206 males（48.70%） and 217 females（51.30%）. The top six-stroke risk factors in the target population were hypertension （82.51%）, dyslipidemia（61.23%）, significantly overweight and obese（52.25%）, inactivity（41.61%）, high meat intake（39.24%）, and smoking（39.01%）. There were significantly differences in smoking, lack of exercise, soverweight or obese, more meat intake between men and women （P<0.05）. The ultrasound results showed that there was an abnormality in at least one part of neck vessels, among which the prevalence of intimal thickening of the common carotid artery was74.70%. The mean num-ber of neck plaques was 2.69±0.46 in all the target population. Multivariate logistic regression resultsshowed that over 60 years old was an independent risk factor for carotid intima thickening, while fe-male was an independent risk factor for carotid artery stenosis.Conclusion In this community, all the high-risk patients with stroke had abnormal neck blood vessels, the plaque positive rate was 100%, and the incidence of intimal thickening of a common carotid artery（74.7%）was very high. It is neces-sary to strengthen the health education of carotid atherosclerotic diseases, treat high-risk diseases ac-tively, advocate the healthy lifestyle of reasonable diet, appropriate exercise and quitting smoking, to reduce or delay the occurrence of stroke and improve the health level of community residents.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介：张律，大学本科，主管护师，研究方向：慢性病的健康教育和干预，社区慢病护理和宣教 通信作者：张律，E-mail: mhmm2010@126.com
更新日期/Last Update: 2020-09-28