生活行为模式在脑梗死发病中的意义

Study the role of life action model in incidence of cerebral infarction patients

目的探讨生活行为模式对脑梗死发病的重要作用。方法测定５７例脑梗死患者的血脂和血糖，并对其身高、体重、既往病史、生活行为进行回顾性问卷调查，然后将两者进行统计分析。结果（１）５７例患者中肥胖有２３例（约４０．３％），高血压者３６例（约６９．２３％）；患糖尿病者１４例（２４．５６％）。（２）体重指数（ＢＭＩ ）与总胆固醇（ＴＣ）正相关（Ｐ＜０．０５）；血糖与高密度脂蛋白（ＨＤＬ）负相关；（３）吸烟对血脂有显著性影响，饮酒对ＨＤＬ、低密度脂蛋白（ＬＤＬ）影响显著，饮食只对载脂蛋白－ＡＩ （Ａｐｏ －ＡＩ ）有影响（以上结果Ｐ＜０．０５）。结论肥胖、慢性病、生活行为模式（摄食高脂、高盐膳食，吸烟，饮酒）对脑梗死的发生具有重要意义。

Objective To investigate the role of life actio n model in incidence of cerebral infa rction patients.Method The concentrations of serum lipids and sugar of the 57patients were measured,their body heig ht,body weight,the history of diseases and life action were asked,then analysis them.Result(1)23(40.3%)patients were obesity,36(69.23%)were hypertension,and 14(24.5%)were diabetes.(2)A statistical analysis identified th at BMI was positive correlate with TC(r =0.3338,P<0.05).Sugar was correlate with serum lipi ds.(3)In the level of serum lipids,there were sig nificant difference between smokers and no smokers,drinkers and no drin kers,the people with reasonable diet and the ones with unreasonable d iet(P<0.05).Conclusion It is suggested that obesity,chroni c diseases and life action model may b e strongly factors for the incidence o f cerebral infarction.