中青年脑血管病高危因素调查分析

Analysis of high risk factors on cerebrovascular disease in the middle-young patients

目的探讨影响中青年脑血管病的高危因素及各危险因素之间的关系。方法总结１９９２年５月～１９９７年１０月间２８２例中青年脑血管病病人的有关资料，应用Ｌｏｇｉｓｔｉｃ回归模型分析各种危险因素在中青年脑血管病发病中的作用及相互关系。结果单因素分析显示，高血压、酗酒、心脏病史、脑血管病家族史、高血脂、糖尿病、超体重、脑动脉炎、先天性血管畸形以及职业、性别均有统计学意义。但多因素分析显示，位于前三位的危险因素是高血压、酗酒和脑血管病家族史，累积贡献率达８０．１％。且各危险因素之间相互影响，甚至互为因果。结论高血压、酗酒是引起中青年脑血管病的最大危险因素。

Objective To probe the high risk factors of cerebrovascular disease(CVD) in the middle-aged and young patients,and the relationship among the risk factors.Methods The concerned data of 282 middle-aged and young CVD patients who had been treated in our hospital from May,1992 to Oct,1997.With the help of Logistic regression model,various risk factors and their mutual relation were analyzed.Results Single factor analysis suggested statistical significance in the patients with hypertension,excessive driking,heart disease history,hyperlipemia,diabetes,overweight,cerebroarteritis,congenital blood vessel deformity,as well as occupation and sex.But the analysis of more factors suggested the first three high risk factors were hypertension,excessive drinking and CVD family history,which occupied 80.1% of the total.These risk factor interacted each other,even being the cause or effect of the others.Conclusion Hypertension and excessive drinking are the lightest risk factor that may cause CVD among the middle-aged and the young people.