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深圳市大鹏新区脑卒中风险筛查人群的慢性病共病情况分析
Analysis of comorbidity of chronic diseases in the population undergoing stroke risk screening in Dapeng New District, Shenzhen

内科 202419卷04期 页码:402-406

作者机构:1 广西中医药大学,南宁市 530000;2 广东省深圳市第二人民医院,深圳市 518000;3 广州医科大学护理学院, 广东省广州市 510000;4 广东省深圳市大鹏新区葵涌人民医院,葵涌街道 518119;5 安徽医科大学护理学院,合肥市 230000;6 湖南省南华大学护理学院,衡阳市 421200

基金信息:通信作者:谢小华

DOI:10.16121/j.cnki.cn45⁃1347/r.2024.04.10

  • 中文简介
  • 英文简介
  • 参考文献

目的 了解深圳市大鹏新区脑卒中风险筛查人群的慢性病共病现状,分析该人群的慢性病共病特征,为社区脑卒中的防治提供参考依据。方法 选取321名在大鹏新区葵涌、三溪高源社区健康服务中心建立健康档案进行脑卒中风险筛查的居民作为研究对象,收集居民的一般特征、慢性病和慢性病共病患病情况,并分析慢性病之间的相关性。结果 321名深圳市大鹏新区脑卒中风险筛查居民中,脑卒中风险等级低危44人(13.7%),中危39人(12.1%),高危238人(74.1%);男性高同型半胱氨酸血症的患病率高于女性;年龄<60岁者糖尿病患病率低于年龄≥60岁者,血脂异常、肥胖患病率高于年龄≥60岁者;慢性病共病的患病率为74.45%,其中男性慢性病共病患病率高于女性,腹型肥胖者慢性病共病患病率高于非腹型肥胖者(均P<0.05)。列联表卡方检验结果显示高血压与血脂异常存在相关性(P<0.01)。结论 脑卒中风险筛查人群的慢性病共病的患病率高,建议应用多病共管的模式,提高慢性病管理效果,并针对可改变的危险因素进行干预,以降低脑卒中的发病率。


Objective To investigate the current status of comorbidity of chronic diseases in the population undergoing stroke risk screening in Dapeng New District, Shenzhen, and to analyze the characteristics of comorbidity of chronic diseases in this population, so as to provide a reference for the prevention and treatment of stroke in the community. Methods A total of 321 residents who established health records and underwent stroke risk screening at Kuichong and Sanxi Gaoyuan Community Health Service Centers in Dapeng New District were selected as the research subjects, their general characteristics, chronic diseases, and comorbidity of chronic diseases were collected, and the correlations between chronic diseases were analyzed. Results Among the 321 residents who underwent stroke risk screening in Dapeng New District, Shenzhen, 44 (13.7%) had a lower risk, 39 (12.1%) had a moderate risk, and 238 (74.1%) had a higher risk for stroke; the prevalence rate of hyperhomocysteinemia was higher in men than in women; the prevalence rate of diabetes mellitus was lower in people aged <60 years than in people aged ≥ 60 years, and the prevalence rates of dyslipidemia and obesity were higher in people aged <60 years than in people aged ≥ 60 years; the prevalence rate of comorbidity of chronic diseases was 74.45%, the prevalence rate of comorbidity of chronic diseases was higher in men than in women, and the prevalence rate of comorbidity of chronic diseases was higher in people with abdominal obesity than in people without abdominal obesity (all P<0.05). The contingency table's chi-square test results showed that hypertension was correlated with dyslipidemia (P<0.01). Conclusion The prevalence rate of comorbidity of chronic diseases is high among the population undergoing stroke risk screening, and it is recommended to apply the multi-disease co-management model to improve the management effect of chronic diseases and intervene for modifiable risk factors to reduce the incidence of stroke.

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