摘要
目的:通过对急性脑卒中患者971例基线资料分析,探讨急性脑血管病的危险因素。方法:上海交通大学附属第六人民医院神经内科1996-04/2002-03收住院的急性脑卒中患者971例,均经临床诊断并作头颅CT或MRI检查确诊,排除脑栓塞、蛛网膜下腔出血、短暂脑缺血发作;272例对照组人员系本院常规体检的上海地区居民。对971例急性脑卒中患者(532例脑梗死、439例脑出血)和对照组的基线资料(年龄、性别、体质量指数、收缩压、舒张压、心电图、空腹血糖、三酰甘油、胆固醇、高密度脂蛋白、低密度脂蛋白、高血压病史、冠心病史、糖尿病史、脑卒中复发、高血压病家族史、脑卒中家族史、肥胖家族史、冠心病家族史、糖尿病家族史)进行分析。结果:971例脑卒中患者和272例对照组均进入结果分析。①脑梗死组、脑出血组高血压病史(69.5%,72.9%),高血压病家族史(44.7%,49%),脑卒中家族史(27.1%,29.6%);明显高于其他危险因素(冠心病史20.6%,19.5%,糖尿病史11.5%,12.5%,脑卒中复发23.5%,18.2%,肥胖家族史15.8%,15.3%,冠心病家族史7.5%,11.4%,糖尿病家族史8.2%,9.1%)。②脑梗死组、脑出血组血压、血糖高于对照组[收舒压:(183.0±26.9)mmHg,(188.0±25.2)mmHg,(132.0±22.3)mmHg;舒张压:(108±16.3)mmHg,(111±15.2)mmHg,(85.0±13.6)mmHg;空腹血糖:(6.39±2.18)mmol/L,(6.61±2.73)mmol/L,(5.12±1.12)mmol/L]。结论:高血压病、高血压病家族史、糖尿病、冠心病史是急性脑卒中的重要危险因素。
AIM： Through the analysis on basic line data in 971 patients with acute stroke, to explore the risk factors of acute cerebrovascular disease. METHODS： 971 patients with acute stroke, who were taken hospitalization from Department of Neurology of Affiliated Sixth People＇s Hospital of Shanghai Jiaotong University from April 1996 to March 2002, were examined through clinical diagnosis and brain CT or MRI got final diagnosis. The patients with cerebral embolism, subarachnoid hemorrhage and transient ischemi attack （TIA） were excluded; The 272 cases in control group were the local Shanghai inhabitants who took normal health test in our hospital. Basic line data of the 971 patients with acute stroke （532 with cerebral infarction and 439 with cerebral hemorrhage） and that in control group were analyzed （age, sex, BMI, systolic pressure, diastolic pressure, electrocardiogram, plasma glucose, triglyceride , cholesterol, high density lipoprotein, low density lipoprotein, history of hypertension, history of coronary heart disease, history of diabetes, recurrence of stroke, family history of Hypertension, family history of stroke, family history of obesity, family history of coronary heart disease, and family history of diabetes）. RESULTS： 971 patients with stroke and 272 cases in control group were all involved in the result analysis. ① The history of hypertension （69.5%, 72.9% ）, family history of hypertension （44.7%, 49% ） and family history of stroke （27.1%, 29.6%） were significantly higher than other risk factors （history of coronary heart disease 20.6%, 19.5%, history of diabetes 11.5%, 12.5%, recurrence of stroke 23.5%, 18.2%, family history of obesity 15.8%, 15.3%, family history of coronary heart disease 7.5%, 11.4%, and family history of diabetes 8.2% ,9.1%）.② The blood pressure and blood sugar in cerebral infarction group and cerebral hemorrhage group were higher than that in control group [systolic pressure： （183.0 ±26.9）, （188.0±25.2）, （132.0±22.3） mm Hg; diastolic pressure：（108 ± 16.3）, （111 ± 15.2）, （ 85.0 ± 13.6 ） mm Hg; plasma glucose ： （6.39 ±2.18）, （6.61±2.73）, （5.12±1.12） mmol/L]. CONCLUSION： Hypertension, family history of hypertension, diabetes, and history of coronary heart disease are the main risk factors of acute stroke.
出处
《中国临床康复》
CSCD
北大核心
2005年第29期8-9,共2页
Chinese Journal of Clinical Rehabilitation
