脑出血与脑梗塞人群归因危险度的分析及比较  

Analysis of Population Attributable Risk of Cerebral Hemorrhage and Ischemic Stroke

作　　者：徐卫历[1] 仇成轩[2] 汪培山[1] 

机构地区：[1]天津医科大学流行病学教研室,300070 [2]济宁医学院卫生学教研室

出　　处：《中国公共卫生》2000年第11期990-991,共2页Chinese Journal of Public Health

摘　　要：采用配比病例对照研究方法 ,对经颅脑CT确诊的16 2例脑出血病人和 15 8例脑梗塞病人分别配以同等数量的对照作 1∶1配比分析 ,探讨中老年人脑出血和脑梗塞发病的危险因素。多因素条件logistic回归分析结果表明 ,脑出血的主要危险因素为高血压、短暂脑缺血发作 (TIA)、父母脑卒中病史及打鼾 ,相应的调整人群归因危险度 (PARs)分别为 0 70 0 4、0 186 2、0 135 7、0 2 0 2 0 ;4个因素综合的人群归因危险度(PAR)为 0 8318。脑梗塞的主要危险因素为高血压、TIA、习惯性饮酒和打鼾 ,相应的PARs分别为 0 7473、0 12 2 9、0 2 40 3、0 495 9;四因素综合的PAR为 0 9137,经常参加体育锻炼对脑梗塞具有保护作用 (OR为 0 30 )。In order to investigate risk factors of cerebral hemorrhage and ischemic stroke.Mached case-control studies were conducted and multivariate conditional logistic regression analysis.Hypertention,transient ischemic attacks(TIA),stroke history of parents and snoring were major risk factors for cerebral hemorrhage.Their adjusted population attributable risk (PARs)were 0.7004,0.1862,0.1357,0.2020 respectively.The combined population attributable risk (PAR) for four factors was 0.8381.Hypertenssion,TIA,alcohol consumption and snoring were major risk factors for ischemic stroke.Their PARs were 0.7431,0.1229,0.2403, 0.4959 respectively.PAR for four factros was 0.9137.But habitual physical activity at leisure time was an independent protective factor.Major risk factors of cerebral hemorrhage and ischemic stroke were haply same,they are hypertention,TIA and snoring.

关 键 词：脑出血 脑梗塞 人群归因危险度 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R743.33[医药卫生—临床医学]