脑出血病因学探讨及预防对策  

AN ETIOLOGICAL STUDY AND PREVENTIVE STRATEGY ON CEREBRAL HEAMORRHAGE

作　　者：仇成轩[1] 阎中瑞 刘丽雪[1] 刘琥[1] 

机构地区：[1]山东济宁医学院卫生学教研究,济宁市第一人民医院神经科

出　　处：《中国慢性病预防与控制》1995年第1期23-25,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：采用以医院为基础的配比病例对照研究，对１３８例经颅脑ＣＴ扫描确诊的脑出血患者及其对照者进行了调查，以探讨脑出血的致病因素。条件Ｌｏｇｉｓｔｉｃ回归分析结果表明，高血压、饮酒、鼾症及父或／和母脑卒中史是脑出血独立危险因素；饮酒或吸烟与高血压在脑出血发病过程中均呈协同作用；脑出血归因于高血压、饮酒和吸烟的人群归因危险度（９５％ＣＩ）分别为６９．１％（５９．２％～７９．０％）、２６．０％（１１．６％～４０．４％）和２７．８％（１０．８％～４４．８％）。文中对脑出血预防的对策进引了讨论。n order to investigate the pathogenic factors of cere-bral heamorrhage,a hospital-based matched case-control study on 138 paired patients with cerebral heamorrhage and controls was conducted.Cerebral heamorrhage was diag- nosed by cranio-cerebral CT scanning.The results of condi-tional logstic regresson analysis showed that hypertension ,alcolhol drinking , snoring and stroke bistory of father orand mother were indepndent risk factors of cerebral heam-orrhage.In the development of cerebral heamorrhase alco-hol drinking or cigarette smoking was synergetic with hy-Dertension. The population attributable risk(95%confi-dence interval) of cerebral heamorrhage attributed to hy-pertension , alcohol drinking and cigarette smoking was 69.1%(59.2～79.0%,26.0%(11.6%～40.4%)and 27.8%(10.8～44.8%),respectively. The preventive strategy forcerebral heamorrhage was discussed.

关 键 词：病例对照研究 脑出血 危险因素 病因学 

分 类 号：R743.34[医药卫生—神经病学与精神病学]