CAJ | 학술논문

目的：调查成都市心血管疾病患者脑卒中高危人群所占的比例，评价各项脑卒中高危因素在脑卒中的作用。方法纳入2011年11月~2012年11月四川省人民医院心血管疾病患者9174例，根据弗明翰（Framingham）卒中风险评估得分对所有患者进行评分，将男性≥10分和女性≥6分定义为脑卒中高危人群，统计高危人群在入组人群中所占比例，并统计各项脑卒中高危因素[包括高血压、脑血管疾病（包括卒中史）、糖尿病、左心室肥厚、房颤、吸烟]的发生率。结果脑卒中高危人群在入组患者中占比52.46%（4813/9174），其中男性较女性高危人群占比更高[69.99%（2831/4045）vs.38.64%（1982/5129）]，差异有统计学意义（P＜0.05）；在脑卒中的高危因素中，最常见的是脑血管疾病史（86.72%），其次是高血压（59.01%），所纳入的脑卒中危险因素中仅吸烟在男性的发生率高于女性，其他均是女性高于男性。结论成都市心血管疾病患者中脑卒中高危患者比例较高，而高危因素中又以脑血管病史和高血压最为主要。
목적：조사성도시심혈관질병환자뇌졸중고위인군소점적비례，평개각항뇌졸중고위인소재뇌졸중적작용。방법납입2011년11월~2012년11월사천성인민의원심혈관질병환자9174례，근거불명한（Framingham）졸중풍험평고득분대소유환자진행평분，장남성≥10분화녀성≥6분정의위뇌졸중고위인군，통계고위인군재입조인군중소점비례，병통계각항뇌졸중고위인소[포괄고혈압、뇌혈관질병（포괄졸중사）、당뇨병、좌심실비후、방전、흡연]적발생솔。결과뇌졸중고위인군재입조환자중점비52.46%（4813/9174），기중남성교녀성고위인군점비경고[69.99%（2831/4045）vs.38.64%（1982/5129）]，차이유통계학의의（P＜0.05）；재뇌졸중적고위인소중，최상견적시뇌혈관질병사（86.72%），기차시고혈압（59.01%），소납입적뇌졸중위험인소중부흡연재남성적발생솔고우녀성，기타균시녀성고우남성。결론성도시심혈관질병환자중뇌졸중고위환자비례교고，이고위인소중우이뇌혈관병사화고혈압최위주요。
Objective To investigate the proportion of high stroke-risk group in the patients with cardiovascular diseases in Chengdu City, and review the roles of high-risk factors in stroke attack.Methods The patients (n=9174) were chosen from the Sichuan Provincial People’s Hospital from Nov. 2011 to Nov. 2012. All patients were graded according to Framingham risk score of stroke. The male patients with scores≥10 and female ones with scores≥6 were defined high stroke-risk group. The proportion of high stroke-risk group in all patients and the incidences of high-risk factors of stroke (including hypertension, cerebrovascular diseases, diabetes, left ventricular ypertrophy, atrial fibrillation and smoking) were calculated.Results The proportion of high stroke-risk group was 52.46% (4813/9174), and the proportion of the male was higher than that of the female [69.99%(2831/4045)vs. 38.64% (1982/5129),P<0.05]. Among the high-risk factors of stroke, the most common one was cerebrovascular diseases (86.72%) and second one was hypertension (59.01%). In all high-risk factors of stroke, the incidence of only smoking was higher in the male, and others were higher in the female.Conclusion The proportion of high stroke-risk patients is higher in Chengdu City, and high-risk factors of stroke are mainly cerebrovascular diseases and hypertension.