摘要
目的 研究吸烟、饮酒及其他危险因素与脑卒中及其分型的关系。方法 对象为北京市万寿路地区 6 0岁以上老年人群的分层随机抽样样本。共调查 2 0 96人 ,分析吸烟、饮酒及其他危险因素与脑卒中的关系。结果 单因素分析时吸烟的OR值为 1 17(95 %CI:1 0 1~ 1 35 )。饮酒在男性脑卒中及脑梗塞的OR值 (95 %CI)分别是 0 6 9(0 5 1~ 0 94 )、0 71(0 5 2~ 0 98) ;调整其他主要因素后 ,吸烟致脑卒中、脑出血的相对危险性OR值 (95 %CI)分别为1 19(1 0 2~ 1 39)、1 5 3(1 0 3~ 2 2 7) ;饮酒似为脑卒中的保护因素 ,OR值 (95 %CI)为 0 78(0 6 1~ 0 99)。另外与脑卒中有显著相关的危险因素包括年龄、收缩压、高密度脂蛋白、高血压、冠心病、糖尿病、高血脂、脑卒中家族史。结论 吸烟是脑卒中的危险因素 ,适量饮酒对其似有保护作用。
Objective To study the relationship of smoking,drinking and other risk factors with stroke and its subtypes in elders in Beijing,China.Methods The sutdy was a cross-section study including 2?096 old people in a community in Beijing by means of cluster sampling.Trained investigators finished the question-papers by face to face investigation and SPSS 11 5 was used to analyze the data.There were 2?096 subjects.Results In univariate analyses,age,hypertension,course of hypertension,smoking,coronary heart disease,diabetes mellitus,hyperglycemia、HDL and the family history of stroke were risk factors to strok( P <0 05).Smoking increased the risk of total stroke, OR (95% CI )=1 17(1 01-1 35),while drinking decreased the risk of total stroke and ischemic stroke in the male,0 69(0 51-0 94) and 0 71(0 52-0 98)respectively.Multivariate analyses showed after adjusting for potential confounders (body mass index,passive smoking,history of coronary heart disease,diabetes mellitus,hyperlipemia and heart disease etc),hypertension increased the risk of ischemic,hemorrhagic and total stroke and smoking increased the risk of total stroke and hemorrhagic stroke,1 19(1 02-1 39) and 1 53(1 03-2 27) respectively,while drinking still decreased the risk of total stroke ( OR =0 78,95% CI =0 61 to 0 99).Conclusion Smoking was the risk factor to ischemic and total stroke,while moderate drinking reduced the risk.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2004年第5期550-551,共2页
Chinese Journal of Public Health
关键词
脑卒中
分型
吸烟
饮酒
stroke
sub-type
smoking
drinking