内蒙古通辽市脑梗死和冠心病危险因素对比分析

Contrast study of isk factors between intracerebral hemorrhage and coronary heart disease in Inner Mongolian Tongliao City

目的探索内蒙古通辽市人群脑梗死与冠心病危险因素的分布差异。方法选择内蒙古通辽市2级以上综合医院共10家,抽取3级综合医院3家,2级综合医院3家。对所选医院2003年到2005年病案室神经内科和心血管内科所有符合调查的病历进行回顾性调查分析。结果当地人群脑梗死和冠心病的基线资料除既往糖尿病史没有统计学意义外,其它各项调查指标均有统计学意义。单因素Logistic回归分析结果,13个因素中性别、吸烟、饮酒、高血压、胆固醇等8个有统计学意义。对这8个变量进行多因素Logistic逐步回归分析,性别、民族、既往高血压史、胆固醇、吸烟、高血压6个变量具有统计学意义。结论有统计学意义的因素除吸烟外,其它5项对脑梗死的影响,相对于冠心病较大。

Objective To investigate the distribution difference of rick factors between cerebral infarction （CI） and coronary heart disease（CHD）in Inner Mogolia Province Tongliao City. Methods Selected 10 general hospital above 2 class in Inner Mogolia Province Tongliao City,and draw three 3-class and 2-class general hospitals respectively. Extracted all the medical records during 2003 to 2005 in Department of Neurology and Cardiovascular Internal Medicine to our investigative need,and carryed on retrospective investigation analysis on the data. Results All the survey index had significant statistical difference except history of diabetes mellitus in the basic data. Single-factor Non-conditional I.ogistic regression analysis shows 8 risk factors, ie ： gender, nation, smoking, alcohol drinking,history of hypertension,hypertension and cholesterol had significantly statistical difference. Those 8 factors were put into multifactor stepwise regression model, 6 risk factor ：gender nation,hypertension history ,cholesterol,smoking, hypertension had significantly statistical difference. Conclusion Compared to CHD, 5 risk factors except smoking in the 6 factors,have much more influence on CI.