社区中老年高血压患者出现卒中症状的影响因素分析

Influencing factors of stroke symptoms in middle-aged and elderly patients with hypertensionin the community

目的了解社区中老年高血压患者出现卒中症状的影响因素,为脑卒中的预防控制提供参考依据。方法在武汉市2个行政区随机抽取410例在社区卫生服务中心(或卫生院)登记的中老年高血压患者进行统一问卷调查,采用χ2检验、方差分析和logistic回归分析影响高血压患者出现卒中症状的因素。结果31.83%的研究对象出现了卒中症状;分析结果显示,家庭人均月收入高、水果摄入量达标、饮食知识水平高是中老年高血压患者出现卒中症状的保护因素,而有高血压并发症、每年去医院复查、直系亲属有过卒中/心脏病是出现卒中症状的危险因素。结论提高中老年人群健康意识,大力推行健康教育,提高低收入群体的社会保障水平,可以降低中老年高血压患者发生脑卒中的风险。

Objective To understand the influencing factors of stroke symptoms in middle-aged and elderly patients with hypertension in the community,and to provide reference for the prevention and control of stroke.Methods A total of 410 cases of middle-aged and elderly hypertensive patients registered in community health service centers(or health centers)were randomly selected from 2 administrative regions of Wuhan to conduct a unified questionnaire survey.Chi-square test,analysis of variance and multivariate logistic regression were used to analyze the influencing factors of stroke symptoms in hypertensive patients.Results of 31.83%the study subjects had stroke symptoms.The analysis of the results showed that high monthly per capita household income,adequate fruit intake and high level of dietary knowledge were protective factors for stroke symptoms in middle-aged and elderly patients with hypertension.Hypertension complications,annual medical check-ups in the hospital and a history of stroke/heart disease in immediate family members were risk factors for stroke symptoms.Conclusion Improving the health awareness of middle-aged and elderly people,vigorously promoting health education and raising the level of social security for low-income groups can reduce the risk of stroke in middle-aged and elderly patients with hypertension.