社区2型糖尿病合并脑卒中患病率及相关因素调查分析  

Prevalence and related risk factors of stroke in type 2 diabetes mellitus in community

作　　者：高薇[1] 刘开翔[1] 谢席胜[1] 占志朋 赵玉章[1] 冯胜刚[1] 刘涛[1] GAO Wei;LIU Kaixiang;XIK Xisheng;ZHAN Zhipeng;ZHAO Yuzhang;FENG Shenggang;LIU Tao(The Second Clinical Medical Institution of North Sichuan Medical College ,Nanchong Central Hospital, Nanchong 637000, Sichuan, China)

机构地区：[1]川北医学院第二临床医学院.南充市中心医院,四川南充637000

出　　处：《西部医学》2019年第4期540-543,共4页Medical Journal of West China

基　　金：国家自然科学基金(81170667)

摘　　要：目的调查社区2型糖尿病(T2DM)合并脑卒中的患病率并分析相关因素,为制定干预策略提供依据。方法整群抽取南充市顺庆城区社区45岁及以上(1967年12月1日以前出生)居民26103名为调查对象,筛选出其中T2DM患者,调查T2DM合并脑卒中的患病率和相关因素。对结果进行卡方或t检验以及多因素Logistic回归分析。结果共筛查T2DM患者2108例;T2DM合并脑卒中70例(3.3%),非T2DM合并脑卒中348例(1.6%),两组比较差异有统计学意义(P<0.01)。单因素分析显示,T2DM患者合并脑卒中与年龄、高血压病、冠心病、脑卒中家族史、豆制品食用、平均睡眠时间(min)、TC(mmol/L)相关;多因素Logistic分析结果显示,脑卒中家族史、冠心病、高血压病是脑卒中的独立危险因素,其中冠心病的危险程度最高。结论脑卒中家族史、冠心病和高血压病是T2DM人群合并脑卒中的独立危险因素;合并冠心病是T2DM人群合并脑卒中的关键危险因素。Objective To investigate the prevalence of stroke in the Type 2 Diabetes Mellitus (T2DM) population in community and provide the basis for the formulation of future intervention strategies.Methods 26,103 residents aged 45 and above with type 2 diabetes mellitus (T2DM)in the community of Shunqing, Nanchong were enrolled. The prevalence and associated factors of T2DM with stroke were analyzed.Results There were 70 subjects with T2DM combined with stroke, and 348 with non-T2DM combined with stroke. The difference between the two groups was statistically significant (P<0.01). Univariate analysis showed that T2DM patients with stroke were associated with age, hypertension, coronary heart disease, family history of stroke, sleep duration, TC. Multivariate logistic analysis showed that family history of stroke, coronary heart disease, and hypertension were independent risk factors for stroke. Among them, the highest risk was coronary heart disease.Conclusion Stroke family history, coronary heart disease and hypertension are independent risk factors for T2DM patients with stroke and coronary heart disease is a key risk factor for T2DM patients with stroke.

关 键 词：2型糖尿病 脑卒中 患病率 危险因素 

分 类 号：R587.2[医药卫生—内分泌]