高原藏区脑卒中危险因素的相关性分析

Correlation analysis of risk factors of stroke in Tibetan plateau area

目的探讨高原藏区脑卒中的发病危险因素,为其预防提供依据。方法 2002年8月至2010年6月因脑卒中住院患者200例(观察组),选择同期有一个或多个上述因素但无脑卒中患者203例(对照组),以高血压、糖尿病、高脂血症、高血红蛋白血症、心房纤颤、吸烟、酗酒、肥胖等多种因素进行多变量分析。结果 200例脑卒中患者中有高血压132例(66%)、高脂血症126例(63%)、糖尿病117例(58.5%)、高血红蛋白血症109(54.5%)。Logistic多元回归分析显示高血压、糖尿病、高脂血症、高血红蛋白、酗酒与脑卒中独立相关(P<0.05)。结论 在高原藏区高血压、糖尿病、高脂血症、高血红蛋白血症、酗酒为脑卒中的独立危险因素。

Objective To study about the reasons of stroke onset in Tibetan plateau area.Methods A total of 200 patients in our hospital from August 2002 to June 2010 were selected as observation group.Multivariable factors such as hypertension,diabetes,hyperlipidemia,high hemoglobin,atrial fibrillation,smoking,drinking and obesity were analyzed.Another 203 people with one or more of the above-mentioned factors but without stroke were selected as control group.Results There were 132（66%） cases of hypertension,126（63%） cases of hyperlipidemia,117（54.5%） cases of diabetes,and 109（54.5%） cases of hyperhemoglobinemia.Logistic multivariable regression analysis showed that hypertension,diabetes,hyperlipidemia,high hemoglobin and drinking were independently related to stroke（P0.05）.Conclusions In plateau area,hypertension,diabetes,hyperlipidemia,high hemoglobin and drinking are independent risk factors for stroke.