CAJ | 학술논문

目的：探索中山地区脑卒中相关危险因素，为脑卒中防控措施提供科学依据。方法：采用多阶段分层随机抽样法对广东省中山市本地40岁以上的常住人口进行危险因素初筛、实验室检查和颈动脉超声检查，结合脑卒中相关危险因素调查，进行危险因素与颈动脉粥样硬化的单因素和多因素相关性分析。结果：颈部血管内膜中层增厚检出率为30.85％，颈动脉狭窄检出率为5.74％；颈动脉粥样硬化斑块检出率为33.18％；年龄、性别、吸烟情况、血脂异常、高血压病和脑卒中家族史与颈动脉粥样硬化具有相关性( P<0.05)。颈动脉粥样硬化斑块的相关因素为高血压病和脑卒中家族史。结论：针对颈动脉粥样硬化的危险因素，采取特异性的防控措施，有助于脑卒中的防治。
목적：탐색중산지구뇌졸중상관위험인소，위뇌졸중방공조시제공과학의거。방법：채용다계단분층수궤추양법대광동성중산시본지40세이상적상주인구진행위험인소초사、실험실검사화경동맥초성검사，결합뇌졸중상관위험인소조사，진행위험인소여경동맥죽양경화적단인소화다인소상관성분석。결과：경부혈관내막중층증후검출솔위30.85％，경동맥협착검출솔위5.74％；경동맥죽양경화반괴검출솔위33.18％；년령、성별、흡연정황、혈지이상、고혈압병화뇌졸중가족사여경동맥죽양경화구유상관성( P<0.05)。경동맥죽양경화반괴적상관인소위고혈압병화뇌졸중가족사。결론：침대경동맥죽양경화적위험인소，채취특이성적방공조시，유조우뇌졸중적방치。
Objective:To evaluate the stroke-related risk factors, thus providing scientific basis for stroke prevention and control measures. Methods:Based on multi-stage stratified random sampling,local residents aged over 40 years were screened for the risk factors of stroke, laboratory examination and carotid ultrasonography in Zhongshan,China. We further analyzed the risk factors of stroke and the association with carotid atherosclerosis via univariable and multivariable correlation analysis. Results:The neck vascular intima-media thickening,carotid artery stenosis and carotid atherosclerosis plaque was presented in 30. 85%, 5. 74% and 33. 18% of the cohort. The age, gender, smoking status, dyslipidemia, hypertension and the family history of stroke were significantly correlated with carotid atherosclerosis ( all P<0.05) . Hypertension and a family history of stroke were independently related to stroke. Conclusion: Targeting at the risk factors of carotid atherosclerosis and implementation of specific prevention and control measures would facilitate the prevention and treatment of stroke.