摘要
目的:观察缺血性脑卒中患者发病与生活事件的相关性,寻求干预的可能性。方法:137例缺血性脑卒中患者(脑梗死组),按相同年龄、性别、职业、文化程度及脑卒中危险因素与脑动脉硬化患者(对照组)1:1配对,并调查两组入选对象发病前1年遭遇的生活事件,并分别计算出生活事件频度和紧张值。结果:137例脑梗死组患者发病前1年有129例遭遇了不同的生活事件,遭遇率为94.2%,而对照组分别为45例和32.8%,前者遭遇例数和遭遇率明显高于后者(χ2=48.765,P<0.001)。脑梗死组发病前1年遭遇生活事件频度(4.26±1.02)件/年、正性生活事件频度(0.92±0.25)件/年、负性生活事件频度(3.68±0.94)件/年、生活事件紧张值(26.52±7.05)、正性生活事件紧张值(3.17±0.83)、负性生活事件紧张值(21.68±7.91),均明显高于对照组(t=2.519～4.272,P<0.05～0.01)。男性脑梗死患者遭遇的负性生活事件频度和负性生活事件紧张值均明显高于女性患者(t=2.379和2.031,P均<0.05),中年脑梗死患者(<60岁)遭遇生活事件频度和生活事件紧张值明显高于老年患者(t=1.971和2.105,P均<0.05)。结论:缺血性脑卒中发病与遭遇生活事件关系密切,采取有针对性的干预方法有可能降低前者发病的危险性。
AIM:To observe the correlation between the occurrence of cerebral ischemic st roke and life events(LE) for the possibility of intervention therapy. METHODS:A total of 137 patients with cerebral ischemic stroke(cerebral infarc tion group) were matched with 137 patients with cerebral arteriosclerosis(contro l group) in terms of age,sex,occupation,education background and risk factors fo r stroke at a ratio of 1 in 1.Life event scale(LES) reported by De-Sen Yang wa s performed to calculate frequency and intensity of meeting LE based on the LE a t 1 year before episode. RESULTS:Different LE occurred in 129 out of the 137 cases of cerebral infarct ion within 1 year until episode,with a 94.2% meeting rate,but only 45 cases in the control group met LE with a 32.8% meeting rate lower than the former(÷ 2 =48.765,P< 0.001).One year before stroke the frequency of meeting LE [(4.26)cases/year],the frequency of meeting adverse LE[(3.68) cases/year],the intensity of mee ting LE( 26.52± 7.05) ,the intensity of meeting positive LE( 3.17± 0.83) and the intensity of meeting adverse LE( 21.68± 7.91) in the cerebral infarct ion group were significantly higher than those in the control group(t=2.519-4. 272, all P< 0.05).But the frequency and intensity of meeting adverse LE in the m ale patients with cerebral infarction were significantly higher than those of th e female patients(t=2.379 and 2.031, both P< 0.05).The frequency and intensity o f meeting LE in the middle age(< 60 years old) with cerebral infarction were sig nificantly higher than those of the elders(t=1.971 and 2.105, both P< 0.05). CONCLUSION:Individual intervention can reduce the risk for cerebral ischemic stroke closely related with meeting LE.
出处
《中国临床康复》
CSCD
2004年第4期606-607,共2页
Chinese Journal of Clinical Rehabilitation
