Research of screening results in high-risk population of stroke in Hohhot
ZHU Run-xiu
YUAN Jun
CHANG Hong
LI Zi-ru
XIAO Mei
BAO Sa-Ru-La
GAO Rui-jiang
Abstract：Objective To survey the high-risk population of stroke and exposure scenarios of risk factors in Hohhot and provide scientific evidence for preventing and treating stroke.Methods The permanent residents (aged≥40,n=6018, male 2901 and female 3117) were chosen from 2 communities in Hohhot and screened by using cluster random sampling method, and then given questionnaire and physical examination. The screened high-risk population was further given detection of plasma homocysteine (Hcy) and carotid vessel color ultrasound examination.Results Among 6018 cases, 1272 were high-risk cases (9 of transient ischemic attack and 1263 with 3 or more stroke risk factors), and detection rate was 21.14% including 515 male and 757 female cases. According to age, 178 cases (10.61%) in 40-49 group, 387 (23.66%) in 50-59 group, 460 (31.10%) in 60-69 group, 217 (24.80%) in 70-79 group, 30 (8.57%) in aged≥80 group, and high-risk percentage was the highest in 60-69 group. Among 1272 cases of high-risk population, the exposure rates of risk factors were as follows in a descending order:overweight or obesity accounted for 59.04%, lack of exercise, 57.47%, hypertension, 50.39%, smoking, 46.38%, dyslipidemia, 20.20%, family history of stroke, 7.55%, diabetes, 5.42% and atrial fibrillation, 0.47%. The high-risk population (n=1272) was grouped one more time according to age, and the exposure rate of risk factors was the highest in 60~69 high-risk group. The results of carotid vessel color ultrasound examination showed that 551 (43.32%) with thickened carotid artery intima-media thickness, 483 (37.97%) with plaques, 33 with artery stenosis including 31 (2.44%) with mild stenosis and 2 (0.16%) with severe stenosis and occlusion, and 205 (16.11%) without stenosis. In screened 1272 high-risk cases, the percentage of high Hcy cases accounted for 54.17%, and 71.89%in 70~79 high-risk group.Conclusion The exposure level of risk factors is higher in stroke high-risk population in Hohhot. The positive measures should be taken, such as healthy life style and more exercises for controlling body weight, blood pressure and smoking.
Keywords：StrokeScreeningRisk factors
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1455-1457 )