北京市门头沟区急性脑血管病患者危险因素分析

Analysis on risk factors in patients with acute cerebral vascular disease in Beijing Mentougou District

目的通过对门头沟区急性脑血管病住院患者的危险因素分析,为脑血管病预防和治疗提供依据。方法收集2011年4月至2012年9月在门头沟区医院神经内科住院的569例急性脑血管病患者的临床资料,根据年龄分为2组,青年组32例(18≤年龄≤45岁),中老年组547例(≥45岁)。分析脑血管病患者主要危险因素的合并比例。结果男性合并高血压247例(80.2%)、高脂血症147例(47.7%)、糖尿病100例(32.5%)、冠心病96例(31.2%)。女性合并高血压229例(87.7%)、高脂血症126例(48.3%)、糖尿病132例(50.6%)、冠心病109例(41.8%)。与男性比较,女性合并高血压(80.2%vs.87.7%)、糖尿病(32.5%vs.50.6%)、冠心病(31.2%vs.41.8%)比例升高,差异具有统计学意义(P均<0.05)。青年组合并高血压18例(80.2%)、高脂血症10例(47.7%)、糖尿病7例(32.5%)、冠心病7例(31.2%)。中老年组合并高血压479例(87.7%)、高脂血症264例(48.3%)、糖尿病277例(50.6%)、冠心病229例(41.8%)。与青年组比较,中老年组合并高血压(80.2%vs.87.7%)、糖尿病(32.5%vs.50.6%)、冠心病(31.2%vs.41.8%)比例升高,差异具有统计学意义(P均<0.05)。结论门头沟区脑血管病患者合并高血压比例最高,其次为高脂血症,糖尿病,冠心病。

Objective To provide the evidence for preventing and treating cerebral vascular disease through analyzing the risk factors in patients with acute cerebral vascular disease in Beijing Mentougou District. Methods The clinical data was collected from 569 patients from Apr. 2011 to Sept. 2012, and then according to age, all patients were divided into young group （n=32, 18≤age≤45） and middle-aged group （n=547, age≥45）. The percentage of major risk factors of cerebral vascular disease was analyzed. Results There were 247 cases （80.2%） with combined hypertension, 147 （47.7%） with hyperlipidemia, 100 （32.5%） with diabetes and 96 （31.2%） with coronary heart disease （CHD） in male patients. There were 229 cases （87.7%） with combined hypertension, 126 （48.3%） with hyperlipidemia, 132 （50.6%） with diabetes and 109 （41.8%） with CHD in female patients. Compared with male ones, the percentage of hypertension （80.2%vs. 87.7%）, diabetes （32.5%vs. 50.6%） and CHD （31.2%vs. 41.8%） increased in female patients （all P〈0.05）. There were 18 cases （80.2%） with combined hypertension, 10 （47.7%） with hyperlipidemia, 7 （32.5%） with diabetes and 7 （31.2%） with CHD in young group. There were 479 cases （87.7%） with combined hypertension, 264 （48.3%） with hyperlipidemia, 277 （50.6%） with diabetes and 229 （41.8%） with CHD in middle-aged group. Compared with young group, the percentage of hypertension （80.2%vs. 87.7%）, diabetes （32.5%vs. 50.6%） and CHD （31.2%vs. 41.8%） increased in middle-aged group （all P〈0.05）. Conclusion The percentage of combined hypertension is the highest, and hyperlipidemia, diabetes and CHD are secondary in the patients with cerebral vascular disease Beijing Mentougou District.