| Objective: To investigate the demographic characteristics,risk factors and treatment status of hospitalized stroke patients in China.To study the gender,age and geographical differences of associated risk factors in hospitalized stroke patients and the status of medication.To control various risk factors for the early prevention of stroke,reduce the economic burden of stroke on family and society and the harm to human health.Methods: Data from "2016 annual cardio-cerebrovascular disease risk factors in patients with comprehensive intervention(the national major public health service project-in patients at high risk of stroke f0007 screening and intervention project is designed.the GN-2016)",the application of cross-sectional observation method,to collect demographic information,lifestyle,family history,medical history,history,blood pressure,blood sugar,blood fat,homocysteine,neck vascular ultrasound,antihypertensive drugs,antithrombotic drug application information,such as tianjin city meteorological factors from the tianjin meteorological bureau,the information application SPSS22.0 statistical software for analysis.Results: 1.General characteristics of hospitalized patients with stroke: males were more than females(58.9% VS 41.1%),and elderly patients were more than young and middle-aged patients(69.5% VS 30.5%),with the age ranging from 60-69 years at the highest,70-79 years at the second,and 18-39 years at the last.The northern region more than the southern.Ischemic stroke accounted for 86.7%,hemorrhagic stroke accounted for 10.9%,and other types of stroke accounted for 2.4%.2.Lifestyle differences among inpatients with stroke: the overall smoking rate was 27.6%,and the drinking rate was 15.7%.Lack of exercise accounted for 62.3%,high-salt diet 54.9%,and unbalanced diet 39.2%.Smoking and drinking rates: higher in urban areas,in the north,in men than,in young people.3.Differences in risk factors among hospitalized stroke patients: history of hypertension 54.5%,history of cerebrovascular disease 30.6%,history of diabetes 17.6%,history of coronary heart disease 14.4%,history of dyslipidemia 6.7%,and family history of stroke 6.4%.Urban areas are higher than rural areas;Men are higher than women;In addition to the history of hypertension and history of dyslipidemia,the above risk factors were higher in the north than in the south.4.37.7% of hospitalized stroke patients were accompanied by hyperhomocysteinemia,among which 74.6% were accompanied by hypertension.Among them,the older the patient was,the greater the proportion of hyperhomocysteemia.Men are higher than women;rural areas are higher than urban areas;the north is higher than the south.5.General characteristics of hospitalized elderly stroke patients: overall male was higher than female.Among the elderly patients,the rate of smoking and drinking was lower than that of young and middle-aged people,with less fruit intake.The history of the above diseases was higher.Nevertheless,the family history of stroke and the history of dyslipidemia were lower.6.Application of antithrombotic drugs in secondary prevention of stroke: 56% of patients received antiplatelet drugs,of which aspirin accounted for the highest proportion(77.1%),followed by clopidogrel(8.9%).Males were higher than females,northern regions were higher than southern regions,and urban areas were higher than rural area.7.General characteristics of hospitalized patients with stroke mortality : the older the patient is,the higher the stroke mortality rate is.There was no gender difference,higher in urban areas,southern areas.8.Seasonal differences in admission of hospitalized stroke patients: generally speaking,in spring(34.9%)> summer(31.9%)> winter(19.7%)> autumn(13.5%),there was no gender difference or age difference.According to the different subgroups,rural areas,southern regions,western regions and cerebral hemorrhage were mostly hospitalized in summer.9.The admission of stroke patients in the city of Tianjin was correlated with meteorological factors: the frequency of stroke patients admitted to hospital in different months in Tianjin was proportional to the monthly average air pressure and inversely proportional to the monthly average air temperature.However,Pearson’s linear correlation analysis showed no statistical significance(r=-0.613,P > 0.05).10.Seasonal differences in blood pressure of hospitalized stroke patients: the mean blood pressure :autumn >spring >winter >summer,the mean systolic blood pressure in the elderly was higher than that in young and middle-aged patients,and the mean diastolic blood pressure was lower than that in young and middle-aged patients.Conclusions: 1.On the whole,the male,the northern region,and the elderly were dominant.The age ranging from 60-69 years at the highest.Therefore,the prevention of stroke in this age group is crucial.2.In general,the northern region was higher than the southern region in the unhealthy lifestyles,such as smoking and drinking.The male,urban areas were higher,but high salt diet is more common in rural areas.The concomitant risk factors of were higher in males,the northern region,Older people and the urban areas.3.The history of hypertension in hospitalized stroke patients accounts for 54.5%,indicating that hypertension is the primary risk factor for stroke,mreover,the frequency of stroke in spring may be related to the large temperature change and subsequent fluctuation of blood pressure in this season.60-69 years were the most common age group,suggesting that blood pressure in middle and young adults should be better controlled to reduce the incidence of stroke in this group.4.37.7% of patients with stroke were accompanied by hyperhomocysteinemia,which was the second risk factor.Of which 74.6% were accompanied by hypertension,suggesting that both were involved in the process of atherosclerosis and promoted the occurrence of stroke.Hyperhomocysteinemia increased with age,suggesting that hyperhomocysteinemia is a more important risk factor for elderly stroke patients.5.The overall application rate of antithrombotic drugs for secondary prevention of stroke was low,and the application rate was slightly higher in urban areas,males and southern regions.The older patients were the higher mortality.Hemorrhagic stroke was higher than ischemic stroke.Patients with the history of cerebrovascular disease,coronary heart disease and diabetes had the higher risk of death.6.There were seasonal differences in the admission of stroke patients,spring>summer>winter>autumn,there was no gender difference or age difference.According to the different subgroups,rural areas,southern regions,western regions and hemorrhagic stroke were mostly hospitalized in summer.7.The frequency of stroke patients admitted to hospital in different months in Tianjin was proportional to the monthly average air pressure and inversely proportional to the monthly average air temperature.However,Pearson’s linear correlation analysis showed no statistical significance 8.The blood pressure of inpatients with cerebral apoplexy was characterized as "high in the north and low in the south".In the northern areas,rural areas,young and middle-aged people,males,hemorrhagic stroke,the blood pressure level was higher and there was blood pressure variability.It is suggested that the awareness rate and control rate of hypertension in China are relatively low,and the prevention and treatment knowledge of stroke and hypertension should be further popularized to reduce the incidence of stroke. |
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