高血压性脑出血发病的相关因素分析  

Related factors influencing incidence of hypertensive cerebral hemorrhage

作　　者：李晓乾[1] 孔新兴 王宝艳[3] 王茜[4] 

机构地区：[1]渭南职业技术学院护理学院,渭南市714000 [2]陕西省渭南第一医院外三科,渭南市714000 [3]延安大学咸阳医院神经内科,咸阳市713500 [4]蚌埠医学院护理学系,蚌埠市233030

出　　处：《广西医学》2016年第1期43-46,49,共5页Guangxi Medical Journal

基　　金：陕西省咸阳市科技计划项目(2013k12-01)

摘　　要：目的探讨影响高血压性脑出血发病的相关因素。方法选取高血压性脑出血患者128例作为病例组，同期高血压非脑出血患者128例作为对照组，对两组进行问卷调查，比较两组的一般情况及发病前半年的特征，分析影响高血压性脑出血发病的相关因素。结果病例组60～〈75岁、≥75岁患者比例及男性比例均高于对照组（P〈0．05）；两组间发病半年前的血压、血脂、疲劳程度、体重、健康状况、吸烟及饮酒情况比较，差异有统计学意义（P〈0．05）；logistic回归分析显示食盐摄入、吸烟、糖尿病史、冠心病病史、患有高脂血症、经历过严重经济困难是高血压性脑出血的危险因素，最近半年健康状况是保护因素（P〈0．05）。结论高血压性脑出血患者中男性多于女性，年龄大于60岁者发生高血压性脑出血的可能性增大；发病土年前身体状况对高血压性脑出血的发生有着明显的影响；食盐摄入增多、吸烟、患有糖尿病、冠心病及高脂血症、经历过严重经济困难与高血压性脑出血的发生有关。Objective To explore the related factors influencing the incidence of hypertensive cerebral hemorrhage. Methods A total of 128 patients with hypertensive cerebral hemorrhage were enrolled as case group, and 128 patients diagnosed as hypertension but without cerebral hemorrhage during the same period were selected as control group. A questionnaire survey was conducted in both groups. The general situation and the characteristics before six months of onset were compared between two groups. And the related factors influencing hypertensive cerebral hemorrhage were analyzed. Results The proportions of the patients aged 60 - 〈 75 years or ≥75 years, and the male patients in the case group were higher than those in the control group（ P 〈 0.05 ）. There were significant differences in blood pressure, blood lipid, severity of fatigue, weight, health status, condition of smoking and drinking before six months of onset between two groups （ P 〈 0.05 ）. Logistic regression analysis showed that the risk factors of hypertension cerebral hemorrhage included salt intake, smoking, diabetes history, coronary heart disease history, suffering from hyperlipidemia and a serious economic hardship, but the health status before six months of onset was the protective factor（ P 〈 0.05 ）. Conclusion The male patients with hypertensive cerebral hemorrhage is more common than the female patients. The individuals alder than 60 years have higher incidence of hypertensive cerebral hemorrhage. The health status before six months of onset can affect the incidence of hypertensive cerebral hemorrhage remarkably. The incidence of hypertensive cerebral hemorrhage is related with the increased salt intake, smoking, diabetes history, coronary heart disease history, hyperlipidemia and suffering from a serious economic hardship.

关 键 词：高血压 脑出血 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]