中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
19期
34-36
,共3页
脑血管障碍%脑梗塞%脑出血%代谢紊乱
腦血管障礙%腦梗塞%腦齣血%代謝紊亂
뇌혈관장애%뇌경새%뇌출혈%대사문란
Cerebrovascular disorders%Brain infarction%Cerebral hemorrhage%Metabolic disorder
目的 探讨急性脑血管病的代谢紊乱特点并分析相关因素,为急性脑血管病的防治提供依据.方法 对621例急性脑血管病患者(脑梗死341例、脑出血280例)及202例健康体检者(健康对照组)的临床资料进行回顾性分析.621例急性脑血管病患者根据血压、血糖、血脂水平分为代谢综合征组(合并高血压+高血糖+血脂紊乱)、2种危险因素组(合并高血压+高血糖或高血压+血脂紊乱或高血糖+血脂紊乱)、1种危险因素组(合并高血糖或高血压或血脂紊乱)和无危险因素组.结果 341例脑梗死、280例脑出血患者中伴高血压者分别占93.8%(320/341)和92.5%(259/280);伴高血糖者分别占47.8%(163/341)和36.1%(101,280);伴高脂血症者分别占33.7%(115/341)和50.4%(141/280).急性脑血管病患者的基本临床特征为1种危险因素组、2种危险因素组和代谢综合征组收缩压(SBP)及舒张压(DBP)均显著高于健康对照组及无危险因素组,2种危险因素组体质指数(BMI)、空腹血糖(FPG)、三酰甘油(TG)和低密度脂蛋白胆固醇(LDL-C)均高于健康对照组及无危险因素组,代谢紊乱的程度可随代谢紊乱组分的增多而相对加重.相关因素分析表明,年龄、BMI、SBP、DBP、FIG、总胆固醇(TC)、TG、LDL-C、高密度脂蛋白胆固醇(HDL-C)为急性脑血管病的独立危险因素.结论 急性脑血管病患者多有代谢紊乱,有效控制各种危险因素有利于防治急性脑血管病.
目的 探討急性腦血管病的代謝紊亂特點併分析相關因素,為急性腦血管病的防治提供依據.方法 對621例急性腦血管病患者(腦梗死341例、腦齣血280例)及202例健康體檢者(健康對照組)的臨床資料進行迴顧性分析.621例急性腦血管病患者根據血壓、血糖、血脂水平分為代謝綜閤徵組(閤併高血壓+高血糖+血脂紊亂)、2種危險因素組(閤併高血壓+高血糖或高血壓+血脂紊亂或高血糖+血脂紊亂)、1種危險因素組(閤併高血糖或高血壓或血脂紊亂)和無危險因素組.結果 341例腦梗死、280例腦齣血患者中伴高血壓者分彆佔93.8%(320/341)和92.5%(259/280);伴高血糖者分彆佔47.8%(163/341)和36.1%(101,280);伴高脂血癥者分彆佔33.7%(115/341)和50.4%(141/280).急性腦血管病患者的基本臨床特徵為1種危險因素組、2種危險因素組和代謝綜閤徵組收縮壓(SBP)及舒張壓(DBP)均顯著高于健康對照組及無危險因素組,2種危險因素組體質指數(BMI)、空腹血糖(FPG)、三酰甘油(TG)和低密度脂蛋白膽固醇(LDL-C)均高于健康對照組及無危險因素組,代謝紊亂的程度可隨代謝紊亂組分的增多而相對加重.相關因素分析錶明,年齡、BMI、SBP、DBP、FIG、總膽固醇(TC)、TG、LDL-C、高密度脂蛋白膽固醇(HDL-C)為急性腦血管病的獨立危險因素.結論 急性腦血管病患者多有代謝紊亂,有效控製各種危險因素有利于防治急性腦血管病.
목적 탐토급성뇌혈관병적대사문란특점병분석상관인소,위급성뇌혈관병적방치제공의거.방법 대621례급성뇌혈관병환자(뇌경사341례、뇌출혈280례)급202례건강체검자(건강대조조)적림상자료진행회고성분석.621례급성뇌혈관병환자근거혈압、혈당、혈지수평분위대사종합정조(합병고혈압+고혈당+혈지문란)、2충위험인소조(합병고혈압+고혈당혹고혈압+혈지문란혹고혈당+혈지문란)、1충위험인소조(합병고혈당혹고혈압혹혈지문란)화무위험인소조.결과 341례뇌경사、280례뇌출혈환자중반고혈압자분별점93.8%(320/341)화92.5%(259/280);반고혈당자분별점47.8%(163/341)화36.1%(101,280);반고지혈증자분별점33.7%(115/341)화50.4%(141/280).급성뇌혈관병환자적기본림상특정위1충위험인소조、2충위험인소조화대사종합정조수축압(SBP)급서장압(DBP)균현저고우건강대조조급무위험인소조,2충위험인소조체질지수(BMI)、공복혈당(FPG)、삼선감유(TG)화저밀도지단백담고순(LDL-C)균고우건강대조조급무위험인소조,대사문란적정도가수대사문란조분적증다이상대가중.상관인소분석표명,년령、BMI、SBP、DBP、FIG、총담고순(TC)、TG、LDL-C、고밀도지단백담고순(HDL-C)위급성뇌혈관병적독립위험인소.결론 급성뇌혈관병환자다유대사문란,유효공제각충위험인소유리우방치급성뇌혈관병.
Objective To investigate the clinical characteristics and related factors of metabolic disorder in acute cerebrevascular disease (ACVD) and to provide clinical basis for intervention of ACVD.Methods The clinical data of 202 healthy individuals (control group) and 621 cases of ACVD (341patients with cerebral infarction and 280 patients with cerebral hemorrhage) was analysed retrospectively.Based on the level of blood pressure,blood glucose and blood fat, 621 cases of ACVD were divided into me tabolism syndrome( MS ) group (hypertension + hyperglycemia + hyperlipidemia),two kinds of risk fatorsgroup (hypertension + hyperglycemia or hypertension + hyperlipidemia or hyperglycemia + hyperlipidemia),one kind of risk factor group (hypertension or hyperglycemia or hyperlipidemia) and no risk fastor group.Results Of the patients with cerebral infarction and cerebral hemorrhage 320 eases(93.8%) and 259 cases (92.5%) had hypertention,163 cases (47.8%) and 101 cases (36.1%) had hyperglycemia, 115 cases (33.7%) and 141 cases (50.4%) had hyperlipidemia, respectively. The blood pressure in one kind of risk factor group, two kinds of risk factors group and MS group was significantly higher than those in control group and no risk factor group,the body mass index (BMI), fasting plasma glucose (FPG),total cholesterol(TG)and low density lipoprotein cholesterol (LDL-C) in two kinds of risk factors group were higher than those in control group and no risk factor group (P <0.05). The age,BMI,blood pressure,FPG,TC,TG,high density lipoprotein cholesterol(HDL-C) and LDL-C had obvious correlation with ACVD. Conclusion ACVD is often combined with various kinds of metabolic disorders risk factors, suggesting that an effective control of metabolic disorders is benefit to intervention of ACVD.
