广州市荔湾区208例脑梗塞患者危险因素调查分析  

Analysis on Risk Factor of Cerebral Infraction:a Report of 208 Cases

作　　者：余科[1] 冉燕雪[1] 陈莉[1] 蔡鸣凡[1] 何展鹏[1] 苏颖思[1] 赵东兴[1] 罗宏斌[1] 

机构地区：[1]广东省广州医学院荔湾医院神经内科,510170

出　　处：《中华全科医学》2009年第3期295-296,共2页Chinese Journal of General Practice

摘　　要：目的探讨脑梗塞的主要危险因素及神经内科预防措施。方法收集我院住院的208例脑梗塞患者病例相关资料,与对照组进行比较。结果合并高血压者达73.1%,合并糖尿病者达32.7%,而合并糖代谢异常者达到63.5%;吸烟率脑梗塞组明显高于对照组(P<0.05);脑梗塞组与对照组间收缩压、舒张压、总胆固醇、餐后2小时血糖、糖化血红蛋白、体重指数、血尿酸及C反应蛋白水平差异有统计学意义(P<0.05)。结论吸烟、高血压、高胆固醇血症、餐后高血糖、高糖化血红蛋白及体重指数增高是脑梗塞的主要危险因素;血尿酸及C反应蛋白水平可能为其强的预测指标。Objective To investigate the major risk factors of cerebral infraction and the preventive measures in the department of neurology. Methods The clinical data of 208 inpatients with cerebral infraction in LiWan hospital from 2005 to 2007 were analyzed and compared with control group. Results 78.0% of patients were complicated with hypertension, 32.7% with diabetes mellitus and 63.5% with abnormal glucose metabolism. The smoking rate of the infraction group was higher than that of the control group. The BMI, systolic pressure and diastolic pressure, plasma total cholesterol, P2hBS, HbA1 c, serum uric acid and CRP in patients with cerebral infraction were statistically significant from those in control group respectively. Conclusion Smoking, hypertension, hypercholesterolemia, postprandial hyperglycemia,increased blood HbAlc level and BMI are the major risk factors of cerebral infraction. Increased serum uric acid and the high level of CRP may be the most important predictors for cerebral infraction.

关 键 词：脑梗塞 危险因素 预防 

分 类 号：R743.33[医药卫生—神经病学与精神病学]