焦作市脑梗死病人三高危险因素状况分析

Analysis of risk factors on "three-hyper" of cerebral infarction patients in Jiaozuo City

目的了解焦作市脑梗死病人发病年龄状况及高血压、高脂血症、糖尿病（三高）在脑梗死发病中的作用。方法依据2010年中国缺血性脑卒中诊疗指南中的诊断标准,回顾我院自2008-01~2011-04在神经内科住院的脑梗死病人646例,观察不同年龄段脑梗死发病情况,分析高血压、高脂血症、糖尿病在脑梗死发病中的作用。结果脑梗死发病年龄主要集中在50~79岁,40~50岁发病数量明显增加,75.08%的脑梗死病人有＂三高＂危险因素,在各年龄段中,均有超过50%的脑梗死病人患有＂三高＂,主要集中在40~79岁年龄段,高血压、高脂血症、糖尿病所占比例分别是56%、28%、16%。不足16%的病人对自己的＂三高＂知晓并能正规诊治。结论焦作市脑梗死病人仍以老年人为主,但发病有年轻化趋势,＂三高＂尤其高血压与脑梗死发病密切相关,且成为脑梗死发病的主要危险因素。人们对＂三高＂的认识亟待提高。

Objective To learn the age of cerebral infarction patients in Jiaozuo City and the effect of hypertension,hyperlipidemia and hyperglycemia（three-hyper） on the attack of cerebral infarction.Methods Total 646 cases of cerebral infarction admitted in the neurology department of our hospital from January 2008 to April 2011 were reviewed by study of the age of patients and analysis under the diagnostic standard of guideline for diagnosis and treatment of Chinese ischemic stroke edition 2010.Results The age of cerebral infarction patients was mainly between 50～70 years old,the amounts of patients aged between 40～50 years old were dramatically increased.About 75.08% patients suffered from ＂three-hyper＂,over 50% patients had ＂three-hyper＂ in each age period,mainly between 40～70 years old.The percentage of hypertension,hyperlipidemia and hyperglycemia was 56%,28%,16%,respectively.There were less than 16% patients who were aware of their ＂three-hyper＂ and accepted the regular treatment.Conclusion The principal patients of cerebral infarction are still consisted of old people,while young people who have cerebral infarction have the trend of growing in number.＂three-hyper＂,especially hypertension,has the close relationship with cerebral infarction,and becomes the major risk factor of cerebral infarction.People＇s knowledge of how to control ＂three-hyper＂ should be urgently improved.