CAJ | 학술논문

目的：使用流行病学和统计学的方法分析心理应激、A 型行为与急性脑卒中的关系。方法采用生活事件量表（LES）、A 型行为问卷（TABQ）对急性脑出血患者（n＝100），急性脑缺血患者（n＝150）和正常对照者（ n ＝135）分别进行分析。结果脑梗死组和对照组 A 型行为构成比较差异无统计学意义（P＞0．05）；脑出血组和对照组 A 型行为构成比较，P＜0．05；脑梗死组和对照组患者正性生活事件强度间比较， P＜0．05；而脑出血组和对照组患者正性生活事件强度比较差异有统计学意义（P＞0．05）；脑梗死组和对照组患者负性生活事件强度和总生活事件强度间比较，P＜0．05，而脑出血组和对照组患者负性生活事件强度总生活事件强度比较 P＞0．05；而且 A 型行为与出血性脑卒中发生存在剂量依赖反应关系。结论A 型行为与急性出血性脑卒中的发生可能有关联；心理应激与急性缺血性脑卒中的发生可能有关联。
목적：사용류행병학화통계학적방법분석심리응격、A 형행위여급성뇌졸중적관계。방법채용생활사건량표（LES）、A 형행위문권（TABQ）대급성뇌출혈환자（n＝100），급성뇌결혈환자（n＝150）화정상대조자（ n ＝135）분별진행분석。결과뇌경사조화대조조 A 형행위구성비교차이무통계학의의（P＞0．05）；뇌출혈조화대조조 A 형행위구성비교，P＜0．05；뇌경사조화대조조환자정성생활사건강도간비교， P＜0．05；이뇌출혈조화대조조환자정성생활사건강도비교차이유통계학의의（P＞0．05）；뇌경사조화대조조환자부성생활사건강도화총생활사건강도간비교，P＜0．05，이뇌출혈조화대조조환자부성생활사건강도총생활사건강도비교 P＞0．05；이차 A 형행위여출혈성뇌졸중발생존재제량의뢰반응관계。결론A 형행위여급성출혈성뇌졸중적발생가능유관련；심리응격여급성결혈성뇌졸중적발생가능유관련。
Objective To use the epidemiological and statistical methods to analyze the psychological stress, the relationship between type A behavior and acute brain stroke; Methods life event scale (LES), type A behavior questionnaire (TABQ) (n=100), in patients with acute cerebral hemorrhage patients with acute cerebral ischemia (n=150) and normal controls (n =135) were analyzed; Results the cerebral infarction group and the control group no significant meaning between type A behavior constitute A comparison; Cerebral hemorrhage group and the control group between type A behavior constitute A more significant meaning; In patients with cerebral infarction group and the control group were between the intensity of life events (LCU) have significant difference (P<0.05), and the intensity of patients with cerebral hemorrhage group and the control group is life events there was no significant difference significance ( P >0.05); Patients with cerebral infarction group and the control group the intensity of negative life events and total intensity of life events (significant difference between (P<0.05), and the intensity of negative life events in patients with cerebral hemorrhage group and the control group total intensity of life events there was no significant difference significance (P>0.05); and type A behavior and hemorrhagic stroke in A dose-dependent response relationship; Conclusion ①Type A behavior and the occurrence of acute hemorrhagic stroke may have associated; ② Psychological stress may be associated with the incidence of acute ischemic stroke.