CAJ | 학술논문

目的：通过对牡丹江地区居民缺血性脑卒中发病危险因素及其交互作用的分析，探索引起牡丹江地区居民发生缺血性脑卒中可能的危险因素，为牡丹江地区居民缺血性脑卒中的预防及其治疗提供科学的可靠的参考依据。方法本研究采用病例—对照研究设计，筛选232例缺血性脑卒中患者及235例健康体检人群为研究对象。用SPSS18.0统计软件，采用Logistic回归分析模型对脑梗死的相关危险因素进行单因素和多因素的条件Logistic回归分析。应用相加效应模型分析脑卒中危险因素间的交互作用。结果高血压，糖尿病，吸烟史，饮酒，泡菜，文化水平，收入压力为缺血性脑卒中的危险因素，食用奶制品、豆制品为缺血性脑卒中的保护因素。高血压、糖尿病与吸烟史之间存在交互作用。结论高血压、糖尿病、吸烟史是该地区居民缺血性脑卒中的主要危险因素，而食用奶制品、豆制品是保护因素。根据该地区缺血性脑卒中的危险因素，有针对性地进行干预，才能积极有效地预防缺血性脑卒中的发生。
목적：통과대모단강지구거민결혈성뇌졸중발병위험인소급기교호작용적분석，탐색인기모단강지구거민발생결혈성뇌졸중가능적위험인소，위모단강지구거민결혈성뇌졸중적예방급기치료제공과학적가고적삼고의거。방법본연구채용병례—대조연구설계，사선232례결혈성뇌졸중환자급235례건강체검인군위연구대상。용SPSS18.0통계연건，채용Logistic회귀분석모형대뇌경사적상관위험인소진행단인소화다인소적조건Logistic회귀분석。응용상가효응모형분석뇌졸중위험인소간적교호작용。결과고혈압，당뇨병，흡연사，음주，포채，문화수평，수입압력위결혈성뇌졸중적위험인소，식용내제품、두제품위결혈성뇌졸중적보호인소。고혈압、당뇨병여흡연사지간존재교호작용。결론고혈압、당뇨병、흡연사시해지구거민결혈성뇌졸중적주요위험인소，이식용내제품、두제품시보호인소。근거해지구결혈성뇌졸중적위험인소，유침대성지진행간예，재능적겁유효지예방결혈성뇌졸중적발생。
Objective Through the investigation and Analysis factors of the risk of ischemic stroke in Mudanjiang residents and their interaction in order to explore the risk factors causing ischemic stroke which may occur in Mudanjiang residents ,and provide scien-tific and reliable evidence for the prevention and treatment of ischemic stroke among residents in Mudanjiang area .Methods This study used a case-control study design , selected 232 cases of patients with ischemic stroke and 232 cases of healthy people as the re-search object.Using SPSS18.0 statistical software and Logistic regression analysis ,we unalyzed related risk factors of cerebral infarction model of conditional Logistic regression analysis of single factor and multi factor.Additive effect model was used to analyze the interac-tion between risk factors of stroke.Results Hypertension, diabetes, smoking history, drinking, pickled cabbage, cultural level and income pressure of are risk factors ischemic stroke , consumption of dairy products and bean products are protective factors of ischemic stroke.There is interaction between hypertension , diabetes and smoking history.Conclusion Hypertension , diabetes , smoking are the main risk factors of ischemic stroke in the residents , while the consumption of dairy products and soy products were the protective factors.According to the area of ischemic stroke risk factors , targeted intervention can effectively prevent ischemic stroke.