| Objective:To evaluate the risk factors of stroke among the people who participated in the screening in Zaoyuan community of Yan'an City in 2016 and 2018,taking the data of 2016 screening as the baseline,to understand the dynamic changes of stroke risk factors in the total population,the same population and the high-risk population of the community in 2018,and to evaluate the effect of intervention,so as to provide scientific basis for stroke prevention and targeted intervention in the community in the future.Methods:A cluster sampling method was used to select the population in 2016 and2018 from "China stroke data center" who participated in the screening and met the standards.The demographic information of the total population,the same population and the high-risk population were described.The detection rates of risk factors of the same gender stratif ication,age stratification and risk group stratification of the high-risk population and the dynamic changes of related laboratory data in the two years were compared,aiming to evaluate the intervention effect of high risk population of stroke.Results : 1.Based on the screening data in 2016,the proportion of low-risk distribution of the total population and the same population decreased significantly in2018,while the proportion of the middle-high-risk distribution increased(P < 0.05).2.The detection rate of hypertension,diabetes and lack of exercise in the total population in 2018 was higher than that in 2016,while the detection rate of overweight,obesity and smoking was decreased significantly(P < 0.05).There was no significant differ rence in the detection rate of lack of exercise in the same population between thetwo years(P > 0.05),and the change trend of detection rate of other risk factors was consistent with that of the total population.3.Demographic information of high-risk distribution group: In 2016,the proportion of women in high-risk distribution group was more than that of men(55.47% vs 44.53%);the proportion of people aged 60-69 was the most;In 2018,the proportion of men in high-risk distribution group was more than that of women(52.50% vs 47.50%);the proportion of people aged 50-59 was the most.In the past two years,most of the high-risk distribution population were primary school or below education,mainly engaged in agriculture,forestry,animal husbandry and fishery production,and the main type of medical insurance was new rural cooperative medical care.4.Combined with the data of two years,the top four risk factors affecting the high-risk distribution population in the community were hypertension,lack of exercise,obvious overweight and obesity,and dyslipidemia.5.In the male group,the detection rate of hypertension in 2018 was higher than that in 2016,while the detection rate of dyslipidemia,smoking history,family history of stroke and previous stroke decreased(p < 0.05).In the female group,the detection rate of hypertension in 2018 was higher than that in 2016,while the detection rate of dyslipidemia,family history of stroke and previous stroke decreased(p < 0.05).6.In the middle-aged group,the detection rate of hypertension in 2018 was higher than that in 2016,while the detection rate of family history of stroke and previous stroke decreased(p < 0.05).In the elderly group,the detection rate of hypertension in 2018 was higher than that in 2016,while the detection rate of dyslipidemia and previous stroke decreased(p < 0.05).7.The detection rate of risk factors such as dyslipidemia,obvious overweight and obesity,and lack of exercise in the group with risk factors ? 3 in 2016 was higher than that in TIA / stroke group(P < 0.05);In 2018,the detection rate of smoking,dyslipidemia,obvious overweight and obesity,lack of exercise in the group with risk factors ? 3 were higher than that in the TIA/ stroke group(p < 0.05).8.Among the group with risk factors ? 3 in 2018,the detection rate of dyslipidemia awas lower than that in 2016,and the detection rate of hypertension was higher than that in 2016(p<0.05).;Among the TIA/ stroke group in 2018,the detection rate of dyslipid emia and lack of exercise was lower than that in 2016,and the detection rate of hyper tension was higher than that in 2016(p < 0.05).9.In 2018,the mean blood pressure and HDL-C levels of the high-risk distribution population with risk factors ? 3 were higher than that in 2016,while the levels of TC and LDL-C were lower than that in 2016(P < 0.05);The BMI,mean blood pressure and HDL-levels of the high-risk distribution population of TIA / stroke group were higher than that in 2016,and the levels of TC and LDL-C were lower than that in 2016(P <0.05).10.There was no significant difference between the two years in the detection rate of cervical B-ultrasound abnormality in the high-risk distribution population with risk factors ? 3(52.22% vs 59.10%,P > 0.05);the detection rate of irregular?hypoechoic and mixed-echo plaque in the risk factors ? 3 group in 2018 were higher than that in 2016,while the detection rate of intima thickening,lumen stenosis,regular and hyperechoic plaque were lower than that in 2016(p<0.05).The abnormal detection rate of cervical B-ultrasound in the high-risk distribution population of TIA / stroke group in 2018 was higher than that in 2016(83.87% vs 65.67%,P < 0.05);In 2018,the detection rate of multiple,irregular,hypoechoic and mixed-echo plaques in the high-risk distribution population of TIA / stroke group were higher than that in 2016,and the detection rate of intimal thickening,non-plaque regular and hyperechoic plaques were lower than that in2016.Conclusion:1.The detection rate of hypertension is significantly increased,which has become the primary risk factor for the prevention and treatment of stroke in the high-risk population in this community,suggesting that the understanding and control of hypertension is poor.2.The detection rate of vulnerable plaques in cervical B-ultrasound of high-risk dist ribution population was increased,which indicates that the risk of stroke caused by vulnera ble plaque rupture and falling off was increased.3.The detection rate of dyslipidemia in high-risk population decreased,the levels of TC and LDL-C decreased,and the level of HDL-C increased,indicating that the intervention effect of bloodlipid control was significant.4.Compared with TIA / stroke high-risk distribution group,the high-risk distribution population with risk factors ? 3 paid less attention to healthy lifestyle intervention,and the whole population should continue to strengthen the prevention and treatment of stroke. |
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