牡丹江市脑卒中的危险因素及其人群归因危险度的分析

Analysis on risk factors and population attributable risk of apoplexy in Mudanjiang

目的探讨脑卒中的危险因素,为预防和控制脑卒中的发生提出干预对策。方法采用1∶1配比病例对照研究方法,初步估计并分析脑卒中的比值比、人群归因危险度和几种因素的综合人群归因危险度。结果高血压、吸烟、饮酒、喜食咸食是脑卒中的危险因素,OR值分为4.658、2.483、2.209、3.623,调整人群归因危险度(PAR s)分别0.4 698、0.1 776、0.1 078、0.2 271,综合的人群归因危险度(PAR)为0.6 835;常喝鲜奶和经常进行体育锻炼是脑卒中的保护性因素,OR值分为0.236和0.423。结论控制高血压,并对其生活行为方式和饮食习惯加以干预,可降低脑卒中的发生率。

Objective To explore the risk factors of apoplexy and provide scientific evidences for intervention and control it.Method Using 1∶1 matched case-control study and initial estimated and analyzed the apoplexy odds ratio,population attributable risk and combined population attributable risk of several factors.Results Hypertension,smoking,drinking,and eating too much salty were the risk factors of stroke,OR values were 4.658,2.483,2.209,and 3.623,respectively.Adjustment population attributable risk were 0.4 698,0.1 776,0.1 078,and 0.2 271,respectively.Integrated population attributable risk（PAR） was 0.6 835.Drinking milk and regular physical exercise were the protective factors,OR values were 0.236 and 0.423.Conclusions Controlling hypertension and intervening their living behavior and food habits,could reduce the incidence of apoplexy.