出血性卒中与缺血性卒中危险因素比较  

Comparison of risk factors between hemorrhagic stroke and ischemic stroke

作　　者：谷新医[1] 梁金[1] 刘文博[1] 马强[1] 佟伟军[2] 

机构地区：[1]大连大学附属中山医院神经2科,大连116001 [2]苏州大学医学部公共卫生学院流行病与卫生统计学教研室,苏州215123

出　　处：《中国实用神经疾病杂志》2017年第2期17-20,共4页Chinese Journal of Practical Nervous Diseases

基　　金：国家自然科学基金(872760)

摘　　要：目的探讨不同危险因素对缺血性和出血性卒中发病的影响。方法收集3 102例脑卒中患者的个人疾病史、生活方式、临床检查及生化指标结果等资料,运用Epidata软件建立数据库,采用SAS 9.2进行统计分析。结果脑梗死组发病到入院时间、住院时间、高胆固醇血症、糖尿病史、心脏病史、房颤史、脑卒中史,吸烟的OR值分别是3.36、4.953、3.375、2.224、2.394、2.362、3.573、2.076、2.885。脑出血组呼吸、体温、心率、血压、高血糖、Tbil、高血压史OR值分别是0.824、0.390、0.673、0.425、0.594、0.598、0.934。结论发病到入院时间、住院时间、高胆固醇血症、糖尿病史、心脏病史、房颤史、脑卒中史、吸烟等对脑梗死的影响更大,而呼吸、体温、心率、高血压、高血糖、Tbil、高血压史对脑出血的影响更大。Objective To explore the effects of various risk factors on ischemic stroke and hemorrhagic stroke.Methods Clinical data from 3102 stroke cases including medical history,lifestyle,clinical examinations and biochemical indicators were recruited in our study.Epidata software was used to set up database and SAS9.2was used to analyze the data.Results The ORvalues of time of admission,hospitalization stays,hypercholesteremia,diabetes mellitus history,heart disease history,atrial fibrillation history,cerebral stroke history and smoking were 3.36,4.953,3.375,2.224,2.394,2.362,3.573,2.076and2.885,respectively in ischemic stroke group.The ORvalues of respiration,temperature,heart rate,hyperglycemia,Tbil and hypertension were 0.824,0.390,0.673,0.425,0.594,0.598 and 0.934,respectively in hemorrhagic stroke group.ConclusionTime of admission,hospitalization stays,hypercholesteremia,diabetes mellitus history,heart disease history,atrial fibrillation history,cerebral stroke history and smoking play more tremendous effects on ischemic stroke,while respiration,temperature,heart rate,hyperglycemia,Tbil and hypertension may exert greater influences on hemorrhagic stroke.

关 键 词：脑卒中 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]