ObjectiveTo investigate the occurrence and risk factors of stroke of community residents in Fuyang city in order to formulate effective guidance programs and prevention and treatment measures.

MethodsA cluster random sampling method was used to investigate the population of 6 000 residents ≥ 40 years old in Yingxi and West Lake communities in Fuyang.The high-, medium- and low-risk stroke populations were screened, and the homocysteine level and carotid duplex ultrasound examination in high-risk population were performed.

ResultsAmong the 5 924 cases, 1 078 cases were the high-risk population(18.2%), and the detection rate of the male high-risk population(5.9%)was lower than that in female high-risk population(20.2%)(P < 0.01).The hypertension, smoking and exercise insufficiency were the most common risk factors of stroke(P < 0.01), and the rates of dyslipidemia, smoking and obesity/overweight exposure in male high-risk population were higher than those in female high-risk population(P < 0.01).The homocysteine and carotid artery color doppler ultrasound in 1 078 high-risk population were performed, the abnormal rate of cervical blood vessel color doppler ultrasound was 25.8%(278/1 078), and the rates of intimal thickening and vascular stenosis in male were higher than those in female(P < 0.01 and P < 0.05).The increasing rate of homocysteine in male(67.2%)was higher than that in female(38.1%)(P < 0.01).

ConclusionsThe main risk factors in community residents can be understood through screening, and the targeted prevention and control and intervention can effectively control the incidence of stroke.