Epidemiology Of Cerebrovascular Disease In Jilin Province

Objective:1.To evaluate the distribution of cerebrovascular disease in Jilin Province；2. To understand the risk factors and secondary prevention of cerebrovascular disease inJilin Province.Method: The total sample size of this survey was600thousand based on stratifiedsampling and calculated by formula. There are157sites in the whole nation. Eachselected site should investigated the village where there are no less than4500residentsand inquire3800person who are all age group inhabitants at least. The survey included19147individuals（9515men and9632women）.The five regions are changchun（n=3700）,dehui(n=3841),jilin(n=3891),longjing(n=3906),jian(n=3809). The chi-squaretest was used to compare the rate.Result:1.Prevalence of cerebrovascular disease was1.9%in Jilin Province; prevalence ofthe five regions respectively was1.1%in changchun,2.1%in jilin,1.2%in dehui,2.2%inlongjing, which shown significant differences among the five places(P<0.05).prevalenceof the town and rural places was1.5%and2.5%respectively, which displayed thesignificant difference(P<0.05).2.Prevalence of the two sexs was2.25%(men) and1.58%(women).the former was33%higher than the latter.3.The proportion of the SAH,ICH,CI and TIA was0.8%,14.2%,79.7%and5.1%inJilin province,which shown no significant difference among the five regions; theproportion of the SAH,ICH and CI revealed no significant differences between the townand rural places, but the proportion of the TIA was8.6%and2.0%,which shownsignificant difference. The prevalence of the TIA shown no significant difference.4.the rate of the hypertention, diabetes, dyslipidemia was67.2%,28.4%and37.7%in the cerebrovascular disease patients in Jilin Province; in nanguan it was60.9%,34.1%and53.6;in jilin it was59.0%,43.3%and32.5%；in dehui it was67.3%,18.3%and 36.7%;in jian it was72.7%,25.0%and17.0%;in longjing it was71.4%,21.9%and53.3%;in town it was61.8%,34.1%and38.7%；in rural places it was72.0%,23.3%and36.7%.5. Secondary prevention status quo:There are three main therapies to control thecerebrovascular disease risk factors：diet control, exercise, medicine. The rate of thediet control, exercise, medicine was71.5%,58.5%and86.9%for hypertention inJilin province(among five regions and between town and rural places, P>0.05);the ratewas69.2%,50.9%and50.9%for diabetes(among five regions and between town and ruralplaces, P>0.05);the rate was52.1%,43.4%and49.2%(among five regions, P>0.05;between town rural places, P<0.05).Conclusion:1. Prevalence of cerebrovascular disease was1.9%in Jilin Province, which is higherthan oher places in the whole nation. Prevalence in five places we have surveyed isdifferent, the highest in longjing, the lowest in nanguan; rural places is higher than town;men is higher than women.2. Among subtypes of the cerebrovasculr disease,ischemic subtype is the highestone.3. The proportion of the TIA show significant differences among the five places，butthe comparison between the town and the rural places display significant difference.4. Among the rate of the hypertention, diabetes, dyslipidemia, the first one is thehighest.5. Secondary prevention: for hypertention,results show that medicine is the mainmethod; however,for diabetes diet control is the main way; for dyslipidemia,the fiveplaces show different situations and it is well in town than in the rural places. Above allthe diet control is the main method for dyslipidemia. Among the three risk factors,thetherapeutic rate for hypertention is the highest.