高原地区脑血管病患病率及危险因素分析

Investigation of Morbidity and the Risk Factors of Cerebrovasculat Disease at High Altitude

目的 :探索高原地区脑血管病的患病率及其危险因素。方法 :分析我院 1 998年— 2 0 0 3年间 1 876例脑卒中病人的临床资料 ,并利用SPSS统计软件包进行频数和logistic回归等项目分析。结果 :脑出血、蛛网膜下腔出血、脑梗塞和TIA的患病率分别为 32 .2 % ,4 .5 % ,4 1 .7%和2 1 .6 %。影响脑卒中发生的相关危险因素有 :高血压、年龄、性别、血红蛋白、红细胞压积、胆固醇和冠心病、糖尿病 (B =- 0 .6 6 0 ,B =0 .0 1 3,B =- 0 .4 6 2 ,B =- 0 .0 1 1 ,B =- 0 .2 86 ,B =- 0 .1 91 ,B =- 0 4 2 6 ,B =- 0 .30 7) ,其中血红蛋白和红细胞压积的水平都较平原地区的值高。结论 :高原地区脑血管病的患病率及其危险因素在主要指标方面与现有报道基本一致 ,但也有其高海拔的特点 。

Objective:To explore the morbidity and the risk factors of cerebrovascular disease at high a altitude.Methods:The clinical documents of 1 876in-patients with cerebrovascular disease in our hospital from 1998 to 2003 were reviesed retrospectively.The data was analyzed by SPSS software.Results:The morbidity of the brain bleed,subarachmoid hemorrhrage,brain infarction and TIA was 32.2%,4.3%,41.7% and 21.6%,respectively.The risk factors were as following;hypertension,age,sex,Hb,Hct,coronary disease,Diabetes mellitus and chlesterol(B=-0.660,B=-0.462,B=-0.286,B=-0.426,B=-0.307,B=0.191 respectively).Conclusion:The results in this investigation are generally as same as previous documents in others,But the level of Hb and Hct are higher than that in flatland.The ezpression showed that the level of Hb and Hb and Hct play an important role in the cerebral apoplexy at high altitude.