CAJ | 학술논문

目的综合评价我国青年人群脑卒中发生的危险因素.方法应用Meta分析的方法对国内有关青年脑卒中发病危险因素的研究结果进行定量综合分析;运用Revman 4.2进行异质性检验以及合并OR值和95%可信区间的计算.结果高血压、高血脂、吸烟和饮酒与青年脑卒中关系的OR值分别为6.60(4.48,9.06)、4.86(3.40,6.96)、2.20(1.56,3.10)和2.51(1.43,4.42),合并结果稳定性较好;家族史的OR值为5.91(3.48,10.02),但结果稳定性较差;肥胖与青年脑卒中关系的OR值为1.48(0.97,2.27),尚不能确定肥胖与青年脑卒中的关系.结论现有的有限证据表明,高血压、高血脂、吸烟、饮酒和家族史是中国青年人群脑卒中发病的危险因素.
목적 종합평개아국청년인군뇌졸중발생적위험인소.방법 응용Meta분석적방법대국내유관청년뇌졸중발병위험인소적연구결과진행정량종합분석;운용Revman 4.2진행이질성검험이급합병OR치화95%가신구간적계산.결과 고혈압、고혈지、흡연화음주여청년뇌졸중관계적OR치분별위6.60(4.48,9.06)、4.86(3.40,6.96)、2.20(1.56,3.10)화2.51(1.43,4.42),합병결과은정성교호;가족사적OR치위5.91(3.48,10.02),단결과은정성교차;비반여청년뇌졸중관계적OR치위1.48(0.97,2.27),상불능학정비반여청년뇌졸중적관계.결론 현유적유한증거표명,고혈압、고혈지、흡연、음주화가족사시중국청년인군뇌졸중발병적위험인소.
Objective To evaluate stroke risk factors in young population in China.Methods A comprehensive quantitative analysis was conducted,by Meta analysis method,on the domestic research results of stroke risk factors of Chinese young population.Using RevMan 4.2,test for heterogeneity was performed,pooled OR value and 95% confidence interval calculated.Results The pooled OR-values of the relationship of hypertension,hyperlipidemia,smoking,drinking to stroke were 6.60(4.48～9.06),4.86(3.40～6.96),2.20(1.56～3.10),2.51(1.43～4.42),respectively,and the combined result was stable.The OR-value of family history was 5.91(3.48～10.02),but the result was not stable.The OR-value of obesity was 1.48(0.97～2.27),so the relationship between obesity and stroke of youth was not determined.Conclusion The limited available evidence suggests that hypertension,hyperlipidemia,smoking,drinking and family history are the risk factors of stroke in Chinese young population.