缺血性卒中危险因素的种族差异——中国新疆汉族与维吾尔族患者的回顾性比较  

Ethnic disparity of risk factors for ischemic stroke a retrospective comparison between Han and Uygur patients in Xinjiang, China

作　　者：蔡坚[1] 张小宁[1] 吐尔逊·沙比尔[1] 马建华[1] 罗东辉[1] 郝晨光[1] 张向阳[1] 

机构地区：[1]新疆医科大学第一附属医院神经内科,乌鲁木齐830054

出　　处：《国际脑血管病杂志》2011年第12期887-889,共3页International Journal of Cerebrovascular Diseases

基　　金：国家自然科学基金项目（81060097）

摘　　要：目的 探讨新疆汉族和维吾尔族缺血性卒中危险因素的差异.方法 收集2007至2009年新疆维吾尔自治区5家医院589例卒中患者（汉族294例,维吾尔族295例）的人口统计学、血管危险因素、生活方式以及入院时血压、血糖、血脂等资料,对两个民族患者缺血性卒中危险因素的暴露水平或比例进行比较.结果 汉族患者吸烟（18.0％对11.5％,x2=4.945,P=0.026）和饮酒（37.8％对21.5％,x2=9.884,P=0.002）比例均显著高于维吾尔族患者,而维吾尔族缺血性卒中患者的体质量指数显著高于汉族患者（25.168 kg/m2对24.443 kg/m2,t=2.515,P=0.012）.结论 新疆汉族人缺血性卒中的发病可能更多与吸烟和饮酒暴露相关,而维吾尔族人更多与高脂肪和高能量摄入引起的肥胖有关.Objective To investigate the differences of risk factors for ischemic stroke between the Han and Uygur nationalities in Xinjiang China.Methods The data of demography,vascular risk factors,lifestyle as well as blood pressure,blood glucose and blood lipids on admission of 589 patients with stroke （Han 294 cases and Uygur 295 cases） in 5 hospitals from 2007 to 2009 in Xinjiang,China were collected.The exposure levels or the proportion of the risk factors for ischemic stroke between the 2 nationalities were compared.Results The proportions of smoking （18.0% vs.11.5%,x2 =4.945,P =0.026） and alcohol consumption （37.8% vs.21.5%,x2 =9.884,P =0.002） in the Han patients were significantly higher than those in the Uygur patients,while the body mass index in the Uygur patients with ischemic stroke was significantly higher than that in the Han patients with ischemic stroke （25.168 kg/m2 vs.24.443 kg/m2,t =2.515,P =0.012）.Conclusions The onset of ischemic stroke of the Han people in Xinjiang China may be more associated with the exposure of smoking and alcohol consumption,while the Uighur people may be more associated with the high-fat and high energy intake caused obesity.

关 键 词：卒中 脑缺血 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]