上海市某社区老年人脑血管功能影响因素分析

Analysis of Influencing Factors of Cerebrovascular Function of the Elderly in a Community of Shanghai

目的研究社区老年人群脑血管功能的影响因素,为脑卒中风险评估及预防提供依据。方法整群抽取某社区≥60岁的5447名体检人群作为研究对象,进行脑血管功能检测,获得脑血管功能积分,同时进行脑卒中危险因素的调查、测量和检测。将研究对象分成脑血管功能正常组和异常组,分析各危险因素暴露与脑血管功能的关系。结果单因素分析显示,女性、房颤、高尿酸血症,以及收缩压、舒张压、空腹血糖、甘油三酯、体质指数(BMI)升高等危险因素暴露与脑血管功能积分异常有显著的相关性(P<0.05)。多因素logistic回归分析显示,脑血管功能积分异常主要受收缩压、舒张压、空腹血糖、甘油三酯、BMI等因素影响。结论脑血管功能是否异常与血压、空腹血糖、甘油三酯、BMI等危险因素暴露密切相关,并且是危险因素综合作用的结果。

Objective To study the influencing factors of cerebrovascular function in the elderly in the community,and to provide the evidence for stroke risk assessment and prevention.Methods A total of 5 447 people aged 60 and over in the community were selected as the study subjects,and the cerebrovascular function test was performed to obtain the cerebrovascular function score.At the same time,the risk factors of stroke were investigated,measured and detected.The subjects were divided into normal cerebrovascular function group and abnormal function group,and the relationship between exposure of various risk factors and cerebrovascular function was analyzed.Results Univariate analysis showed that there was a significant correlation between the exposure of female,atrial fibrillation,hyperuricemia,systolic blood pressure,diastolic blood pressure,fasting blood glucose,triglyceride,BMI and other risk factors and whether the cerebrovascular function was abnormal(P<0.05).Multivariate logistic regression analysis showed that the abnormal cerebrovascular function was mainly affected by factors such as systolic blood pressure,diastolic blood pressure,fasting blood glucose,triglycerides,and BMI.Conclusion The abnormality of cerebrovascular function is closely related to the exposure of risk factors such as blood pressure,fasting blood glucose,triglyceride,BMI,and is the result of the comprehensive effect of risk factors.