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我院子1987年4-8月对该区1986年度3.1万余人口进行了脑血管病流行病学调查。调查结果表明:发病率为246/10万,男性发病率为234/10万,女性发病率为255/10万,两者之间无显著差异,患病率为527/10万该区脑血管病患病率显著地随龄的增长而增高。以70-79岁组最高,其次80-89岁组,再其次为60-69岁组。男性患病率为376/10万,女性为684/10万,两者有显著差异(P<0.01)该区脑出血患病率为79/10万, 男性患病率为92/10万,女性64/10万,两者无显著差异(P>0.05),脑血栓形成患病率为319/10万,男性患病率为240/10万,女性400/10万,有显著差异(P<0.05),女性多于男性。各种职业,各民族患病率无显著差异。死亡率为149/10万, 男性死亡率为177/10万, 女性122/10万,两者无显著差异(P>0.05),用队列分析法分析出生于1901-1910年死亡率4146/10万,出生1911-1920年死亡率1474/10万,1921-1930年死亡率447/10万,可看出出生较早的队列死亡率高于出生较迟的队列。脑血管病的危险因素与高龄,遗传,高血压有关。不肯定因素如吸烟,喝茶,喜咸食,喜肥肉,喝酒,喜刺激性食物等。全部病例中43%病例能参加一般家务劳动,22%病例生活自理,35%病例生活需家人协助或卧床不起。这不仅影响劳动力而且对家庭带来沉重的负担。随着脑血管病流行病学研究,必能找到具有特异性的人群预防治疗措施。
From January to August in 1987, our hospital conducted a survey of cerebrovascular disease epidemiology of 31,000 people in the area in 1986. The survey results showed that the incidence rate was 246 / 100,000, the incidence of male was 234 / 100,000, the incidence of female was 255 / 100,000, no significant difference between the two, the prevalence was 527/100000 cerebrovascular The prevalence of the disease significantly increased with age. The highest in the 70-79 age group, followed by the 80-89 age group, followed by the 60-69 age group. The prevalence of males was 376/10 million and that of females was 684/10 million, with significant difference (P <0.01). The prevalence of cerebral hemorrhage in this area was 79/10 million, the prevalence of males was 92/10, There was no significant difference between the two groups (P> 0.05). The prevalence of cerebral thrombosis was 319/100000, the prevalence was 240/10 in males and 400/100 in females, there was a significant difference (P <0.05), more women than men. There was no significant difference in prevalence among various occupations and ethnic groups. The mortality rate was 149/10 million with a mortality rate of 177/10 million for males and 122.10 for females. There was no significant difference between the two (P> 0.05). Cohort analysis was used to analyze the mortality rate of 4146/10 born in 1901-1910 The deaths from 1911-1920 were 1474/10 million and the mortality from 1921-1930 was 447/10 million. It can be seen that the earlier births had higher cohort mortality than the later births. Risk factors for cerebrovascular disease and aging, genetic, high blood pressure. Unsure factors such as smoking, drinking tea, hi salty food, hi fat, drinking, hi spicy food. Forty-three percent of all cases were able to attend general housework, 22% were living on their own, and 35% were in need of family support or bed rest. This not only affects the workforce but also places a heavy burden on the family. With the epidemiological study of cerebrovascular disease, will be able to find a specific population preventive treatment.