中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
6期
771-773
,共3页
脑血管意外%发病率%危险因素%生活方式
腦血管意外%髮病率%危險因素%生活方式
뇌혈관의외%발병솔%위험인소%생활방식
Cerebrovascular accident%Incidence%Risk factors%Life style
目的 评价淮南市脑卒中患者发病危险因素的构成情况.方法 选择连续登记住院的淮南市居民脑卒中患者471例,其中缺血性脑卒中362例,出血性脑卒中109例,对已知危险因素进行统计学分析.结果 在所有脑卒中患者中,高血压的患病率占首位(缺血性脑卒中为69.3%、出血性脑卒中为77.9%),是各类脑卒中最重要的危险因素.不同性别脑卒中患者危险因素构成情况有所不同,男性患者吸烟、饮酒问题较女性患者更突出(分别为51.1%、33.2%和5.1%、2.0%),差异均有统计学意义(x2=111.81、67.62,均P＜0.01).糖尿病、心脏疾病、房颤的患病率在女性患者较男性患者更高(分别为37.6%、31.9%、19.3%和22.3%、20.4%、8.8%),差异均有统计学意义(x2=13.12、8.09、11.12,均P＜0.01).高血压、糖尿病患者规律服药仅占40.8%,47.4%.房颤在出血性脑卒中患者中更多见.结论 控制血压、血糖仍是本地区脑卒中一级预防和二级预防的重点工作,对不同性别的人群应有针对性地进行个体化健康教育,重视提倡健康的生活方式,从而有效的预防脑卒中的发生.
目的 評價淮南市腦卒中患者髮病危險因素的構成情況.方法 選擇連續登記住院的淮南市居民腦卒中患者471例,其中缺血性腦卒中362例,齣血性腦卒中109例,對已知危險因素進行統計學分析.結果 在所有腦卒中患者中,高血壓的患病率佔首位(缺血性腦卒中為69.3%、齣血性腦卒中為77.9%),是各類腦卒中最重要的危險因素.不同性彆腦卒中患者危險因素構成情況有所不同,男性患者吸煙、飲酒問題較女性患者更突齣(分彆為51.1%、33.2%和5.1%、2.0%),差異均有統計學意義(x2=111.81、67.62,均P＜0.01).糖尿病、心髒疾病、房顫的患病率在女性患者較男性患者更高(分彆為37.6%、31.9%、19.3%和22.3%、20.4%、8.8%),差異均有統計學意義(x2=13.12、8.09、11.12,均P＜0.01).高血壓、糖尿病患者規律服藥僅佔40.8%,47.4%.房顫在齣血性腦卒中患者中更多見.結論 控製血壓、血糖仍是本地區腦卒中一級預防和二級預防的重點工作,對不同性彆的人群應有針對性地進行箇體化健康教育,重視提倡健康的生活方式,從而有效的預防腦卒中的髮生.
목적 평개회남시뇌졸중환자발병위험인소적구성정황.방법 선택련속등기주원적회남시거민뇌졸중환자471례,기중결혈성뇌졸중362례,출혈성뇌졸중109례,대이지위험인소진행통계학분석.결과 재소유뇌졸중환자중,고혈압적환병솔점수위(결혈성뇌졸중위69.3%、출혈성뇌졸중위77.9%),시각류뇌졸중최중요적위험인소.불동성별뇌졸중환자위험인소구성정황유소불동,남성환자흡연、음주문제교녀성환자경돌출(분별위51.1%、33.2%화5.1%、2.0%),차이균유통계학의의(x2=111.81、67.62,균P＜0.01).당뇨병、심장질병、방전적환병솔재녀성환자교남성환자경고(분별위37.6%、31.9%、19.3%화22.3%、20.4%、8.8%),차이균유통계학의의(x2=13.12、8.09、11.12,균P＜0.01).고혈압、당뇨병환자규률복약부점40.8%,47.4%.방전재출혈성뇌졸중환자중경다견.결론 공제혈압、혈당잉시본지구뇌졸중일급예방화이급예방적중점공작,대불동성별적인군응유침대성지진행개체화건강교육,중시제창건강적생활방식,종이유효적예방뇌졸중적발생.
Objective To explore the composition situation of the risk factors of patients with stroke in Huainan area. Methods 471 continuous registration and hospitalized patients with stroke in Huainan were selected,of which,362 cases were ischemic stroke,109 cases were hemorrhagic stroke,and the known risk factors were statistically analyzed. Results Of all patients,the incidence of hypertension was first(69. 3% was in ischemic stroke, 77. 9% was in hemorrhagic stroke) ,and hypertension was the most important risk factors. The composition of risk factors in stroke patients of different gender were different,and the smoking,drinking problem was more prominent in male patients (51.1% ,33.2%respectively)than that in female patients(5.1% ,2.0% respectively) (x2 =111-81,67.62, all P＜0.01) ;The incidence of diabetes, heart disease, atrial fibrillation was higher in female patients (37. 6% ,31. 9% ,19.3%respectively) than that in male patients (22.3% ,20.4% ,8.8% respectively) (x2 = 13. 12,8.09,11. 12,all P＜0.01). Hypertension,diabetes accounted for only 40.8% and 47.4% of patients taking regular medication. Atrial fibrillation was more common in patients with hemorrhagic stroke. Conclusion Controlling blood pressure and blood sugar was still important in the primary prevention and secondary prevention of stroke in the region. People of different gender should be targeted for individual health education, and promoting a healthy lifestyle should be paid attention, so as to the occurrence of stroke could be effectively prevented.
