佳木斯地区脑卒中高危人群颈动脉斑块与卒中危险因素的相关性研究  

Investigation Correlation between Risk Factors and Carotid Plaques in High Risk Groups of Stroke in Jiamusi Area

作　　者：郑越昌 王昆祥[1] 伊婷婷 时鹏帅 王复新[1] 

机构地区：[1]佳木斯大学,黑龙江佳木斯154006

出　　处：《湖北民族学院学报（医学版）》2018年第1期18-20,共3页Journal of Hubei Minzu University(Medical Edition)

摘　　要：目的探讨佳木斯地区中老年人高危人群颈动脉斑块与脑卒中危险因素的相关性,为当地脑卒中干预与治疗提供相关依据。方法以2014年佳木斯南岗办社区和江口镇6 110例筛查人群为研究对象,采取整群随机抽样的方法对其再次筛查3 711例,整理分析收集资料并进行统计分析。结果高血压、吸烟史、血脂异常、明显肥胖或超出标准体质量、运动缺乏、脑卒中家族史与颈动脉斑块形成存在相关性(P<0.05),糖尿病、房颤或瓣膜性心脏病、高Hcy血症与颈动脉斑块形成无相关性(P>0.05),Logistic回归分析结果显示高血压、血脂异常、缺乏运动、吸烟是颈动脉斑块形成的独立危险因素(P<0.05)。结论高血压、血脂异常、吸烟、缺乏运动是佳木斯地区脑卒中高危人群颈动脉斑块形成的重要危险因素。Objective To explore the correlation between risk factors and carotid plaque of stroke in high risk groups （middle and old people in Jiamusi area）, and to provide relevant evidence for local stroke intervention and treatment.Method A total of 6 110 cases were selected in Nan- gang community and Jiangkou town in Jiamusi in 2014 and 3711 cases were screening again by random.The data were collected and analyzed.Results There was a correlation between hyper- tension, smoking history, dyslipidemia, obesity or overweight, lack of exercise,family history of stroke and carotid plaque formation （P〈0.05）.There was not a correlation between diabetes, at- rial fibrillation or valvular heart disease,high Hcy hyperlipidemia and carotid plaque formation （P 〉0.05） .Logistic regression analysis showed that hypertension ,dyslipidemia, lack of exercise and smoking were independent risk factors for carotid plaque formation （P〈0.05）.Conclusion Hy- pertension,dyslipidemia, smoking and lack of exercise are important risk factors for carotid plaque formation in high risk groups of stroke in Jiamusi area.

关 键 词：脑卒中 颈动脉斑块 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]