老年患者脑梗死的危险因素分析  

Risk factors analysis in elderly patients with cerebral infarction

作　　者：刘晓红[1] 吴玉芙[1] 臧婷臻[1] 王浩然[1] 

机构地区：[1]北京老年医院神经内科,100095

出　　处：《中国医药》2013年第8期1081-1082,共2页China Medicine

摘　　要：目的 探讨老年脑梗死患者发病的相关危险因素.方法 回顾性分析2010年10月至2012年3月北京老年医院收治的230例老年脑梗死患者临床资料,另选择150例老年非脑梗死患者作为对照组,采用多元Logistic回归模型分析其病因及危险因素.结果 非梗死组患者中颈动脉粥样硬化、高血压、高同型半胱氨酸血症、脂代谢异常和心房颤动所占比例明显低于脑梗死组患者[53.3％ （80/150）比92.2％ （212/230）,59.3％ （89/150）比74.3％ （171/230）,16.7％ （25/150）比28.3％ （65/230）,30.0％ （45/150）比41.7％（96/230）,39.3％ （59/150）比52.2％ （120/230）],差异均有统计学意义（均P＜0.05）.高血压病、心房颤动、颈动脉粥样硬化、糖尿病为老年脑梗死主要的危险因素（P ＜0.05或P＜0.01）.结论 高血压病、心房纤颤、颈动脉粥样硬化、糖尿病是引起老年脑梗死的危险因素.根据存在的危险因素制订防治方案可有效降低该病的发生.Objective To investigate the risk factors of elderly patients with cerebral infarction.Methods All 230 cases of elderly patients with cerebral infarction were analyzed from October 2010 to March 2012; and the causes and risk factors were analyzed using multiple Logistic regression model.Results The ratio of atherosclerosis,hypertension,high blood homocysteine,abnormal lipid metabolism and atrial fibrillation ratio in non-infarction group were lower than those in the cerebral infarction group [53.3 % （80/150） vs 92.2% （212/230）,59.3 % （89/150） vs 74.3 % （171/230）,16.7 % （25/150） vs 28.3 % （65/230）,30.0% （45/150） vs 41.7 % （96/230）,39.3 % （59/150） vs 52.2% （120/230）],the difference was statistically significant （P 〈 0.05）.Hypertension,atrial fibrillation,carotid atherosclerosis and diabetes were major risk factors （P 〈 0.05） ; the differences of other factors were not statistically significant （P 〉 0.05）.Conclusion Hypertension,atrial fibrillation,carotid atherosclerosis and diabetes are independent risk factors of cerebral infarction.

关 键 词：脑梗死 老年患者 危险因素 

分 类 号：R793.3[医药卫生—临床医学]