军队离退休干部脑卒中患者危险因素调查

Comparison of Risk Factors and Cerebral Vascular Hemodynamic Indexes Between Hemorrhagic and Ischemic Strokes

目的了解军队离退休老干部脑卒中幸存者的危险因素暴露情况。方法对门诊和住院的477例脑卒中幸存者,进行危险因素调查。将研究对象以年龄分组,分析并描述脑卒中危险因素的暴露水平、血压水平及其年龄分布。结果脑卒中幸存者的原发性高血压史、心脏病、糖尿病、脑卒中家族史、原发性高血压家族史、肥胖、吸烟、饮酒的暴露率分别为62.9%、31.9%、13.0%、25.2%、31.7%、20.5%、41.9%和29.1%。各年龄组间体质指数(BM I)和舒张压水平有显著差异,随年龄增长而下降。收缩压水平≥140 mmHg者占71.9%,舒张压水平≥90 mmHg者占61%,各年龄组间舒张压水平的分布差异有统计学意义。结论军队离退休老干部脑卒中幸存者危险因素暴露处于较高水平,原发性高血压的控制率有待提高。

Objective To investigate the exposure of stroke risk factors in stroke patients of retired army men.Methods Participants were selected from both the in-and outpatients from our hospital.A total of 477 stroke patients meeting the enrolling criteria were enlisted into the investigation into risk factors of stroke.Participants were grouped by age.Risk factors,blood pressure levels and age distribution were analyzed.Results Exposure rates of hypertension,heart disease,diabetes,family history of stroke,obesity,cigarette smoking and alcohol drinking were 62.9%,31.9%,13.0%,25.2%,31.7%,20.5%,41.9% and 29.1%,respectively.There were significant differences between various age groups in body mass index（BMI） and diastolic blood pressure which decreased as aging.Proportion of systolic blood pressure higher than（or equal to） 140 mmHg was 71.9% and that of diastolic blood pressure higher than（or equal to） 90mm Hg was 61%.Distribution of diastolic blood pressure was significant between age groups.Conclusion The exposure rate of risk factors in the stroke patients retired from the army is quite high and we should pay more attention to the strength of hypertension control.