社区老年居民患脑血管病危险因素的病例对照研究

The Case-Control Study of Cerebrovascular Disease Risk Factors on the Senior Residents in Community

目的了解社区居民患脑血管病者的主要危险因素,为从病因上采取预防和干预措施提供依据。方法选取患脑血管病的社区老年居民128例为病例组,同时选取同社区非脑血管病的老年居民194例为对照组,采用问卷调查法研究其基本情况和可能导致脑血管病的危险因素,并对其危险因素进行Logistic回归分析。结果社区老年居民患脑血管病的危险因素有高血压、高脂血症、冠心病和吸烟,其比值比（OR）和95%的可信区间（95%CI）分别为7.271（4.448-11.547）、3.194（1.974-7.167）、5.683（2.935-9.752）、1.859（0.858-4.425）。结论社区老年居民患脑血管病受多种危险因素影响,针对主要危险因素采取预防性干预是消灭脑血管病的根本措施。

Objective For finding the evidences of the prevention of the cerebrovascular disease to study the cerebrovascular disease＇s main risk factors on the senior residents in communities.Methods 128 elderly residents in one community suffering from the cerebrovascular disease were selected as the case group,and 194 elderly residents in the same community without the cerebrovascular disease were selected as the control group.Then their basic information and the risk factors associated with the cerebrovascular disease were investigated by questionnaires and Logistic regression analysis.Results Logistic regression analysis showed that hypertension,hyperlipidemia,coronary artery disease and smoking were associated with the cerebrovascular diseases（P≤0.05）.The Odds Ratios（OR）and Confidence Intervals（CI）for the above factors were 7.271（4.448-11.547）,3.194（1.974-7.167）,5.683（2.935-9.752）,1.859（0.858-4.425）respectively.Conclusion The senior residents in communities suffering from the cerebrovascular disease were affected by many factors and radical measures of eliminating the cerebrovascular disease are to prevent the major risk factors.