CAJ | 학술논문

目的了解东莞市社区居民脑梗塞(cerebral infarction,CI)发病的影响因素,为预防和控制CI的发生提供科学依据.方法采用1∶1配对病例-对照研究方法,在东莞市社区中收集CI病例和对照各150例,调查既往病史、家族史、环境因素等流行病学方面的资料.采用SPSS13.0软件对CI发病的相关因素进行分析.结果多因素Logistic回归分析显示体育锻炼、高血压史、经济压力、甘油三酯为影响CI发病的影响因素,其中体育锻炼(OR=0.050)为CI保护性因素,高血压史(OR=4.336)、经济压力(OR=3.516)、甘油三酯(OR=3.787)为危险因素.结论东莞市社区居民脑梗塞的危险因素主要为高血压史、经济压力和甘油三酯,通过积极预防和治疗原发病,养成良好的生活方式可以有效预防脑梗塞的发生.
목적 료해동완시사구거민뇌경새(cerebral infarction,CI)발병적영향인소,위예방화공제CI적발생제공과학의거.방법 채용1∶1배대병례-대조연구방법,재동완시사구중수집CI병례화대조각150례,조사기왕병사、가족사、배경인소등류행병학방면적자료.채용SPSS13.0연건대CI발병적상관인소진행분석.결과 다인소Logistic회귀분석현시체육단련、고혈압사、경제압력、감유삼지위영향CI발병적영향인소,기중체육단련(OR=0.050)위CI보호성인소,고혈압사(OR=4.336)、경제압력(OR=3.516)、감유삼지(OR=3.787)위위험인소.결론 동완시사구거민뇌경새적위험인소주요위고혈압사、경제압력화감유삼지,통과적겁예방화치료원발병,양성량호적생활방식가이유효예방뇌경새적발생.
Objective To explore the influential factors for cerebral infarction and provide scientific support for the prevention and control of cerebral infarction (CI). Methods A case-control study on 150 pairs was conducted. The investigation included medical history, family history, and environmental factors. All the data were analyzed by the SPSS 13.0. Results Logistic regression analysis showed physical exercise, history of hypertension, financial burden, and high triglyceride levels were the influential factors for CI. Physical exercise (OR = 0.050) was a protective factor for cerebral infarction while history of hypertension (OR = 4.336), financial burden (OR = 3.516), and high triglyceride levels (OR = 3.787) were the risk factors for CI. Conclu- sions History of hypertension, financial burden, and high triglyceride levels were the risk factors for CI among community residents in Dongguan city, and CI can be prevented by aggressive prevention and treatment of hypertension and by development of a healthy lifestyle.