围绝经期女性脑血管疾病的危险因素及与腹型肥胖的相关性分析

Risk factors of cerebrovascular disease in perimenopausal women and the correlation with abdominal obesity

目的分析围绝经期女性脑血管疾病的危险因素及与腹型肥胖的相关性。方法随机选取2019年1月-2020年4月在该院体检的围绝经期女性284例为研究对象,采用多元线性回归分析围绝经期脑血管疾病的危险因素,将线性相关分析最显著的因素予以回归法确定入选最终回归方程,采用决定系数(R2)评价回归方程回归效果。结果单因素分析结果显示,吸烟酗酒史、高脂血症、糖尿病、高血压、腹型肥胖、BMI与围绝经期女性脑血管疾病有关,差异均有统计学意义(均P<0.05)。线性相关分析结果显示,围绝经期女性脑血管疾病与腹型肥胖相关性最为显著,与吸烟酗酒史、高脂血症、糖尿病、高血压和BMI具有一定相关性;多元线性回归分析结果显示,围绝经期女性患者脑血管疾病与腹型肥胖具有线性回归关系。结论围绝经期女性脑血管疾病危险因素较多,但与腹型肥胖关系更为密切,积极控制腹型肥胖是保证围绝经期女性健康的首要目标。

Objective To analyze the risk factors of cerebrovascular disease in perimenopausal women and the correlation with abdominal obesity.Methods A total of 284 perimenopausal women receiving physical examination in General Hospital of Tianjin Medical University from January 2019 to April 2020 were randomly selected,multiple linear regression analysis was used to analyze risk factors of cerebrovascular disease,the factors with statistical difference were analyzed by regression equation,determination coefficient(R2)was used to evaluate the effect of regression equation.Results Univariate analysis showed that history of smoking and drinking,hyperlipidemia,diabetes,hypertension,abdominal obesity,BMI were significantly correlated with cerebrovascular disease in perimenopausal women(P<0.05).Linear correlation analysis showed that cerebrovascular disease in perimenopausal women was significantly correlated with abdominal obesity,there were certain correlations between history of smoking and drinking,hyperlipidemia,diabetes,hypertension,BMI and cerebrovascular disease in perimenopausal women.Multiple linear regression analysis showed that there was a linear regression correlation between cerebrovascular disease in perimenopausal women and abdominal obesity.Conclusion There are many risk factors affecting cerebrovascular disease in perimenopausal women,the relationship between cerebrovascular disease in perimenopausal women and abdominal obesity is close.Controlling abdominal obesity actively is the primary goal to ensure health of perimenopausal women.