Analysis Of Risk Factors Of High-risk Crowds For Stoke In Tianjin

Objective: Investigate and analyze the proportion of high-risk stroke populations and exposure rate of the risk factors of high-risk stroke populations in urban communities and rural communities in Tianjin,and compare the changes in blood lipid levels of high-risk stroke populations before and after screening in rural communities in order to formulate effective treatment plans and prevention measures to reduce Stroke incidence.Methods: From February 2016 to June 2016,according to the method of cluster random sampling,residents from one of the Tianjin rural communities who aged 40 years or older,were selected as the study objects to conduct questionnaires and physical examinations.From March 2017 to July 2017,according to the method of cluster random sampling,residents from one of the Tianjin rural communities and one of the Tianjin urban communities who aged 40 years or older,were selected as the study objects to conduct questionnaires and physical examinations.To compare the proportion of high-risk stroke among 3609 middle-aged and elderly people in urban and rural communities in 2017 and the exposure level of stroke risk factors in914 high-risk populations.At the same time,compare the screening of rural communities in Tianjin in 2017 and the screening of Tianjin in 2016,a total of 1,233 stroke high-risk populations,whose blood lipid levels changes and make a statistical analysis.Results: In 2017,3609 cases were initially screened,1,883 were in urban communities,351 were high-risk groups(18.6%),1726 were in rural communities,and 563(32.6%)were high-risk groups.There was a statistically significant difference between the two places(P<0.05).A total of 914 high-risk groups were identified in 2017,including 401 males(43.9%)and 513 females(56.1%).The male smoking rate(61.8%)was significantly higher than that of females(26.7%).The rate of dyslipidemia,lack of exercise or physical labor,transient ischemic attack(TIA)in females were higher than those in males,and the difference was statistically significant(P<0.05).In the high-risk stroke group(941 cases),the risk factor exposure rate was 75.4% for those who lacked exercise or light physical labor,61.1%for hypertension,54.5% for overweight or obese,48.0% for dyslipidemia,42.1% for smoking history,33.5% for stroke family history,19.7% for previous transientischemic attack(TIA),18.5% for diabetes,7.5% for previous stroke,and 4.3% for atrial fibrillation or valvular heart disease.Urban-rural rank difference.In the urban areas,high-risk population’s(351 cases)risk factor exposure rate of hypertension,dyslipidemia,diabetes,family history of stroke,was greater than that in rural areas(P<0.05).In the rural areas,high-risk population’s(563 cases)risk factor exposure rate of smoking,obviously overweight or obese,transient ischemic attack(TIA)was greater than that in urban areas,and the difference was statistically significant(P<0.05).In 2016,670 high-risk populations for screening and final analysis were included in rural communities,324(48.4%)were males and 346(51.6%)were females.In the year of 2017,563 high-risk groups were screened in rural communities that met the inclusion criteria and were finally included in the analysis.There were 242 males(43.0%)and 321 females(57.0%).In 2017,the total cholesterol and low-density lipoprotein-cholesterol level in high-risk stroke populations in rural communities was significantly lower than that in rural areas in2016(P<0.01).Conclusion: 1.In 2017,there were 914 urban and rural high-risk stroke populations detected.The detection rate was 25.3%,which was higher than previous reports,suggesting that Tianjin is one of the regions with high incidence of stroke.2.The risk factor exposure rate of high-risk stroke population in Tianjin was overall high.Lack of exercise or light physical laborers,high blood pressure,overweight or obesity,dyslipidemia ranked first.Urban-rural rankings were different.In urban,hypertension ranked first.Lack of sports and light laborers in rural areas ranked first.3.The survey showed that in 2017,the total cholesterol and low density lipoprotein-cholesterol level in high-risk stroke populations in rural communities was significantly lower than that in rural areas in 2016,which suggesting that stroke screening and intervention have achieved certain results.The Ministry of Health established the Stroke Screening and prevention Engineering Committee,that promotes the screening and prevention of stroke in China.4.Detection rate of high-risk stroke groups in rural communities is higher than urban.5.In summary,the screening project for high-risk stroke population is a major task of China’s medical and health industry.Actively conducting stroke screening work has important implications for not only strengthening people’s health awareness,but also reducingand delaying the occurrence of stroke.Screening high-risk stroke populations in Tianjin residents is an effective method for early prevention and treatment of stroke.