中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
14期
142-144
,共3页
不同民族%脑梗死%病因及危险因素
不同民族%腦梗死%病因及危險因素
불동민족%뇌경사%병인급위험인소
Different nationality%Cerebral infarction%Etiology and risk factor
目的：探讨高海拔地区不同民族脑梗死的病因及危险因素。方法收集并分析四川省阿坝藏族羌族自治州人民医院神经内科2012年3月~2014年3月所有诊断为脑梗死的患者资料，对藏族和汉族患者的危险因素及TOAST分型进行比较。结果藏族组的高脂血症、肥胖、嗜酒所占比例显著高于汉族组，差异有统计学意义(P<0.05)。汉族组的继发性红细胞增多症所占比例显著高于藏族组，差异有统计学意义(P<0.05)。两民族均以大动脉粥样硬化型及小动脉闭塞型为主，藏族组的大动脉粥样硬化所占比例显著高于汉族组，差异有统计学意义(P<0.05)。藏族组的未确定病因所占比例显著低于汉族组，差异有统计学意义(P<0.05)。结论阿坝地区藏族和汉族脑梗死的发病原因及危险因素有着明显不同。
目的：探討高海拔地區不同民族腦梗死的病因及危險因素。方法收集併分析四川省阿壩藏族羌族自治州人民醫院神經內科2012年3月~2014年3月所有診斷為腦梗死的患者資料，對藏族和漢族患者的危險因素及TOAST分型進行比較。結果藏族組的高脂血癥、肥胖、嗜酒所佔比例顯著高于漢族組，差異有統計學意義(P<0.05)。漢族組的繼髮性紅細胞增多癥所佔比例顯著高于藏族組，差異有統計學意義(P<0.05)。兩民族均以大動脈粥樣硬化型及小動脈閉塞型為主，藏族組的大動脈粥樣硬化所佔比例顯著高于漢族組，差異有統計學意義(P<0.05)。藏族組的未確定病因所佔比例顯著低于漢族組，差異有統計學意義(P<0.05)。結論阿壩地區藏族和漢族腦梗死的髮病原因及危險因素有著明顯不同。
목적：탐토고해발지구불동민족뇌경사적병인급위험인소。방법수집병분석사천성아패장족강족자치주인민의원신경내과2012년3월~2014년3월소유진단위뇌경사적환자자료，대장족화한족환자적위험인소급TOAST분형진행비교。결과장족조적고지혈증、비반、기주소점비례현저고우한족조，차이유통계학의의(P<0.05)。한족조적계발성홍세포증다증소점비례현저고우장족조，차이유통계학의의(P<0.05)。량민족균이대동맥죽양경화형급소동맥폐새형위주，장족조적대동맥죽양경화소점비례현저고우한족조，차이유통계학의의(P<0.05)。장족조적미학정병인소점비례현저저우한족조，차이유통계학의의(P<0.05)。결론아패지구장족화한족뇌경사적발병원인급위험인소유착명현불동。
Objective To explore the causes and risk factors of cerebral infarction by different nationality in high alti-tude locality. Methods Clinical data of patients diagnosed as cerebral infarction from March 2012 to March 2014 in neurology department of people’s hospital of Aba Tibetan & Qiang autonomous prefecture in Sichuan province were collected and analyzed.The risk factors and TOAST type in patients with Tibetan and Han nationality was comparatively compared. Results The proportion of hyperlipidaemia,obesity and alcoholomania in patients with Tibetan nationality was higher than that in patients with Han nationality,with significant difference(P<0.05).The proportion of secondary erythro-cytosis in patients with Han nationality was higher than that in patients with Tibetan nationality,with significant differ-ence(P<0.05).Large-artery atherosclerosis and small-artery occlusion were principal manifestations in two nationalities. The proportion of large-artery atherosclerosis in Tibetan patients was higher than that in Han nationality,with signifi-cant difference (P<0.05).The proportion of undetermined causes in Tibetan nationality was lower than that in Han na-tionality,with significant difference(P<0.05). Conclusion Etiology and risk factors of cerebral infarction in patients with Tibetan nationality in Aba locality greatly differs from that in Han nationality.
