CAJ | 학술논문

目的探讨脑卒中与代谢综合征(MS)各组分之间的关系,为脑卒中及MS的预防提供科学理论依据.方法脑卒中合并MS患者500例,根据人院时患者MS的不同组分及代谢异常情况分型.测量并记录全部受试者的收缩压(SBP)、舒张压(DBP)、空腹血糖(FPG)、血清甘油三酯(TG)、血清总胆固醇(TC)、血清低密度脂蛋白胆固醇(LDL-C)、血清高密度脂蛋白胆固醇(HDL-C).结果脑卒中合并MS患者以60～69岁人居多(39.60%),且不存在性别差异(χ2=4.030,P=0.545);在MS各组分中,高血压与脑卒中的相关性最强;不同组分组合的MS与脑卒中的关系分析表明,高血糖+高血压+高血脂组合患者在脑卒中合并MS患者中所占比例更大(48.00%,240/500).结论 MS及其各组分都是影响脑卒中发病的重要因素,且MS组分在个体聚集越多的患者在脑卒中并发MS患者中所占比例越大.有针对性地干预MS各组分代谢异常情况对MS和脑卒中有重要防治作用.
목적 탐토뇌졸중여대사종합정(MS)각조분지간적관계,위뇌졸중급MS적예방제공과학이론의거.방법 뇌졸중합병MS환자500례,근거인원시환자MS적불동조분급대사이상정황분형.측량병기록전부수시자적수축압(SBP)、서장압(DBP)、공복혈당(FPG)、혈청감유삼지(TG)、혈청총담고순(TC)、혈청저밀도지단백담고순(LDL-C)、혈청고밀도지단백담고순(HDL-C).결과 뇌졸중합병MS환자이60～69세인거다(39.60%),차불존재성별차이(χ2=4.030,P=0.545);재MS각조분중,고혈압여뇌졸중적상관성최강;불동조분조합적MS여뇌졸중적관계분석표명,고혈당+고혈압+고혈지조합환자재뇌졸중합병MS환자중소점비례경대(48.00%,240/500).결론 MS급기각조분도시영향뇌졸중발병적중요인소,차MS조분재개체취집월다적환자재뇌졸중병발MS환자중소점비례월대.유침대성지간예MS각조분대사이상정황대MS화뇌졸중유중요방치작용.
Objective To explore the relation of stroke and metabolic syndrome (MS), and provide theoretical evidence for prevention of stroke and MS. Methods Five hundred stroke patients accompanied with MS were enrolled, and divided into different types according to the distribution of the components of metabolic syndrome and abnormal metabolic condition. The systolic blood pressure(SBP) ,diastolic blood pressure( DBP),fasting glycemia ( FPG ), triglycerides ( TG ), total cholesterol ( TC ), low density density lipoprotern-cholesterol (LDL-C), high density density lipoprotern-cholesterol (HDL-C)of each patient were detected and recorded. Results Among these stroke patients with MS, most patients were 60 - 69 years old ( 39.60% ), and there was no significant difference between two gender( P = 0. 545 ). Among each component of MS, hypertension was most related to MS;patients complicated with hypertension + hyperlipidemia + hyperglycemia were the most major proportion of stroke patients with MS(48. 00% ). Conclusion MS and its components are all risk factors for stroke,and the more complication the patients had,the more patients suffered from stroke with MS. Targeted interventions of different type of abnormal condition has important prevention effect on MS and stroke.