A型性格与脑出血关系的病例对照研究  

A Case control Study on Relationship Between Type A Behavior and Cerebral Hemorrhage

作　　者：徐卫历[1,2] 耿贯一[1,2] 汪培山 仇成轩[1,2] 

机构地区：[1]天津医科大学流行病学教研室 [2]济宁医学院卫生学教研室

出　　处：《中国慢性病预防与控制》1999年第4期163-164,共2页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：查了１４２例经颅脑ＣＴ扫描确诊的脑出血病人及相同数量对照的行为特征，以探讨Ａ型性格与脑出血的关系。结果表明，病例组ＴＨ、ＣＨ及ＴＨ＋ＣＨ计分均明显高于对照组（Ｐ＜０．００１）；且与脑出血的ＯＲ间呈明显的剂量反应关系；与Ｂ型性格相比，Ａ型性格的人患脑出血的ＯＲ为２．２８（９５％ＣＩ：１．３６～３．８２），但是按高血压病史调整后ＯＲ为１．４９（９５％ＣＩ：０．７０～３．２１）。提示Ａ型性格可能是借助于影响血压间接地增加了患脑出血的危险性。Objective:In order to investigate the relationship between type A behavior and cerebral hemorrhage.Methods:A matched case control study,with 142 patients with cerebral hemorrhage diagnosed by head CT scan and same amount of community controls,was conducted.Results:Univariate conditional Logistic regression analysis showed that a significant doseresponse relationship existed between total counts of TH+CH and odds ratio( OR )of cerebral hemorrhage.Comparing with type B behavior(B+B),the OR for type A behavior was 2.28(95% CI:1.36～3.82).After adjusting by the history of hypertension,the effects of type A behavior became non significant.Conclusion:So it was inferred that type A behavior probably increased the risk of cerebral hemorrhage by influencing blood pressure.

关 键 词：病例对照研究 脑出血 A型性格 回归分析 

分 类 号：R743.340.2[医药卫生—神经病学与精神病学]