CAJ | 학술논문

目的探讨与老年脑梗死发病相关的因素.方法对2007年9～12月在我科佩戴过24 h动态血压监测仪的205例>65岁的老年男性患者的临床资料进行回顾性分析.按WHO脑梗死的诊断标准将患者分为两组:脑梗死组(58例)和非脑梗死组(147例),进一步分析各因素与脑梗死发病的相关性.结果 ①用多因素逐步Logistic回归分析(a=0.05,β=0.01为准入标准)得出:腔梗、血尿酸水平对脑梗死发病的影响作用具有显著性.其中腔梗患者对于非腔梗患者,脑梗死发病的相对危险度为7.443;血尿酸水平每减少1μmol/L,脑梗死发病的相对危险度增加0.994.②血压各成分用两独立样本的t检验分析得出:脑梗死组的收缩压最高值(167.12±22.08)mm Hg、脉压最高值(88.03±20.81)mm Hg,与非脑梗死组相比显著增高.结论对于老年男性人群,脑梗死的发病与是否患有腔梗、血尿酸水平有着显著关联;在血压成分中与收缩压最高值和脉压最高值关系非常密切.
목적 탐토여노년뇌경사발병상관적인소.방법 대2007년9～12월재아과패대과24 h동태혈압감측의적205례>65세적노년남성환자적림상자료진행회고성분석.안WHO뇌경사적진단표준장환자분위량조:뇌경사조(58례)화비뇌경사조(147례),진일보분석각인소여뇌경사발병적상관성.결과 ①용다인소축보Logistic회귀분석(a=0.05,β=0.01위준입표준)득출:강경、혈뇨산수평대뇌경사발병적영향작용구유현저성.기중강경환자대우비강경환자,뇌경사발병적상대위험도위7.443;혈뇨산수평매감소1μmol/L,뇌경사발병적상대위험도증가0.994.②혈압각성분용량독립양본적t검험분석득출:뇌경사조적수축압최고치(167.12±22.08)mm Hg、맥압최고치(88.03±20.81)mm Hg,여비뇌경사조상비현저증고.결론 대우노년남성인군,뇌경사적발병여시부환유강경、혈뇨산수평유착현저관련;재혈압성분중여수축압최고치화맥압최고치관계비상밀절.
Objective To investigate the related risk factors of old cerebral infarction patient.Methods Tbe related data of 248 old male patients(>65)who weared the 24-h ambulatory blood pressure monitoring at our depanment from September of 2007 to December of 2007 were retrospectively analyzed.They were divided into two groups according to WHO diagnostic criteria for cerebral infarction:cerebral infarction group(n=58)and non-cere-bral infarction group(n=147).The correlation between related risk factors with cerebral infarction were further stud-ied.Results①The result of multiple factor logistic regression analysis(α=0.05,β=0.01 is the selected criteri-on) showed:cerebral Lacunar infarction and the level of blood uric acid had the significant impact on the occurrence of cerebral infarction.To compare with non-cerebral lacunar infarction,the relative risk of cerebral infarction morbili-ty was 7.443 in cerebral lacunar infarction.The level of blood uric acid decreasing l μmol/L,the relative risk of cer-ebral infarction morbility increased 0.994.②Every ingredient of blood pressure deploy independent-samples T test showed that the highest value of systolic blood pressure(167.12±22.08)and the highest value of pulse pressure (88.03±20.81)raised up obviously compared with non-cerebral infarction group.Conclusion In old male,the incidence rate of cerebral infarction is predominantly correlated with cerebral lacunar infarction and the level of blood uric acid,and is closely correlated with the highest value of systolic blood pressure and the higheat value of pulse pressure in all the ingredients of blood pressure.