内蒙古通辽市脑出血和冠心病危险因素的对比分析

Contrast analyse of risk factors on intracerebral hemorrhage and coronary heart disease in Tongliao city in Innermongolia

目的探讨内蒙古通辽市脑出血与冠心病患者危险因素的分布。方法随机抽取该地区3级和2级综合医院各3家病案室中2003-2005年诊断为脑出血、冠心病的患者病历资料共3867份,对其发病的相关危险因素进行调查和分析。结果内蒙古通辽市人群脑出血和冠心病的基线资料中所调查危险因素都有统计学意义;单因素回归分析发现,性别、年龄、民族、吸烟、饮酒、高血压、三酰甘油、血糖等10个因素均有统计学意义。对这10个变量进行多因素Logistic逐步回归分析,性别、年龄、吸烟、既往高血压史、既往糖尿病史、三酰甘油、血糖、高血压8个变量进入模型。结论与冠心病相比,年龄、吸烟、既往糖尿病史、三酰甘油对脑出血影响相对较小,而性别、既往高血压史、血糖、高血压对脑出血影响相对较大。

Objective To investigate the distribution of rick factors between intracerebral hemorrhage （ICH） and coronary heart disease （ CHD ） in Tongliao city in Innermogolia. Methods Medical records （ departments of medical neurology and cardiovascular internal medicine in 2003 - 2005 ） were randomly selected from 6 general hospitals above the second class in Tongliao city Innermogolia . All the risk factors of the cartain diseases were carryed on retrospective investigation analysis. Results All the survey index have significantly statistical difference in the basic data. Single-factor non-conditional Logistic regression analysis showed 10 risk factors including the gender, age, nation, smoking, hypertension, history of hypertension, alcohol drinking, glucose（ GLU）, history of diabetes and triglyceride （TG） have significantly statistical difference. These 10 risk factors were taken into muhifactor stepwise regression model. 8 risk factors（ gender, age, smoking, history of hypertension, history of diabetes,GLU, TG and hypertension） had significantly statistical difference. Conclusions Compared with CHD, the influence of age, smoking, history of diabetes and TG are lower, and the influence of the gender, the history of hypertension, GLU and hypertension are higher in ICH.