CAJ | 학술논문

采用配比病例对照研究方法，对经颅脑CT确诊的 162例脑出血病人和158例脑梗塞病人分别配以同等数量的对照作1：1配比分析，探讨中老年人脑出血和脑梗塞发病的危险因素。多因素条件logistic回归分析结果表明，脑出血的主要危险因素为高血压、短暂脑缺血发作(TIA)、父母脑卒中病史及打鼾，相应的调整人群归因危险度(PARs)分别为0.7004、 0.1862、0.1357、0.2020；4个因素综合的人群归因危险度 (PAR)为0.8318。脑梗塞的主要危险因素为高血压、TIA、习惯性饮酒和打鼾，相应的PARs分别为0.7473、0.1229、 0.2403、0.4959；四因素综合的PAR为0.9137，经常参加体育锻炼对脑梗塞具有保护作用(OR为0.30)。
채용배비병례대조연구방법，대경로뇌CT학진적 162례뇌출혈병인화158례뇌경새병인분별배이동등수량적 대조작1：1배비분석，탐토중노년인뇌출혈화뇌경새발병적위 험인소。다인소조건logistic회귀분석결과표명，뇌출혈적주 요위험인소위고혈압、단잠뇌결혈발작(TIA)、부모뇌졸중병 사급타한，상응적조정인군귀인위험도(PARs)분별위0.7004、 0.1862、0.1357、0.2020；4개인소종합적인군귀인위험도 (PAR)위0.8318。뇌경새적주요위험인소위고혈압、TIA、습 관성음주화타한，상응적PARs분별위0.7473、0.1229、 0.2403、0.4959；사인소종합적PAR위0.9137，경상삼가체육 단련대뇌경새구유보호작용(OR위0.30)。
In order to investigate risk factors of cerebral hemorrhage and ischemic stroke. Mached case - control studies were conducted and multivariate conditional logistic regression analysis. Hypertention, transient ischemic attacks (TIA), stroke history of parents and snoring were major risk factors for cerebral hemorrhage. Their ad- justed population attributable risk (PARs)were 0. 7004, 0. 1862, 0. 1357, 0. 2020 respectively. The combined population at- tributable risk (PAR) for four factors was 0. 8381. Hypertenssion, TIA, alcohol consumption and snoring were major risk factors for ischemic stroke. Their PARs were 0. 7431, 0. 1229, 0. 2403, 0. 4959 respectively. PAR for four factros was 0. 9137. But habitu- al physical activity at leisure time was an independent protective factor. Major risk factors of cerebral hemorrhage and ischemic stroke were haply same, they are hypertention, TIA and snoring.