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军队老年人脑卒中相关危险因素的1比1配对病例对照研究 被引量:2

A 1 : 1 case-control study on the related risk factors for stroke in military male veterans
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摘要 目的探讨西安地区军队离退休干部中脑卒中相关危险因素。方法运用1:1配对病例对照研究的方法,对346例西安地区军队离退休干部的调查资料进行分析,将173例脑卒中患者作为病例组,173例非脑卒中者作为对照组,对照按年龄相差不到1岁、性别和职级相同匹配,采用多因素logistic回归模型分析相关危险因素。结果病例组患者腰臀比0.953±0.049,对照组0.926±0.060,差异有统计学意义(P〈0.05),与B型血比较,A型血、O型血和AB型血的OR=0.246(95%CI:0.129~0.467)、OR=0.355(95%CI:0.196~0.644)和OR=0.237(95%CI:0.116~0.481)。多因素logistic回归分析显示,在调整了收缩压、TC、TG、吸烟、饮酒等因素后,与腰臀比〈0.95者比较,≥0.95者的OR=2.667(95%CI:1.675~4.245),与B型血比较,A型血、O型血和AB型血的OR=0.221(95%CI:0.112~0.434)、OR=0.359(95%CI:0.193~0.670)和OR=0.217(95%CI:0.103~0.456)。结论在该调查人群中血型可能与脑卒中患病相关。 Objective To explore the related risk factors for stroke in a cohort of military retired veterans in Xi'an, China. Methods A 1 : 1 case-control study was used to analyze the relationship between stroke and risk factors in 346 retired veterans. Of them, 173 patients who suffered from stroke were included in case group, others were included in control group. The difference of ages between the two groups was within 1 year. Sex and rank were identical. Conditional logistic regression model was used for analyzing odd ratio(OR) and 95% CI. Results After adjusted for SBP,TC,TG,smoking status and drinking status, compared with blood type B,the OR (95% CI) of blood types A,O and AB were 0. 246 (0. 129-0. 467), 0. 355(0. 196-0. 644)and 0. 237 (0. 116-0. 481)respectively. The OR (95% CI) of the subjects with WHR≥0. 95 was 2. 667 (1. 675-4. 245) as compared with the group with WHR〈0.95. Conclusions Blood type might be related to stroke in the cohort surveyed.
出处 《中华老年心脑血管病杂志》 CAS 北大核心 2008年第12期917-919,共3页 Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词 脑血管意外 危险因素 病例对照研究 LOGISTIC模型 cerebrovascular accident risk factors case-control studies logistic models
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