吉林省德惠市40岁及以上人群高甘油三酯血症-腰围表型与缺血性脑卒中的关系  

Relationship between the hypertriglyceridemic-waist phenotype and ischemic stroke among residents aged 40 years and above in Dehui City,Jilin Province

作　　者：任远 邱子涵 张付良[3] 郭珍妮[3] 张鹏[3] 孙欣[3] 靳航[3] 李凤娥[4] REN Yuan;QIU Zihan;ZHANG Fuliang;GUO Zhenni;ZHANG Peng;SUN Xin;JIN Hang;LI Feng’e(Department of Postgraduate Students,Clinical Medical College,Beihua University,Jilin 132013,China;Department of Neurology,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China;Department of Neurology,The First Hospital of Jilin University,Changchun 130061,China;Department of Neurology,The Affiliated Hospital of Beihua University,Jilin 132011,China)

机构地区：[1]北华大学临床医学院研究生部,吉林吉林132013 [2]南方医科大学珠江医院神经内科,广州510282 [3]吉林大学第一医院神经内科,长春130061 [4]北华大学附属医院神经内科,吉林吉林132011

出　　处：《中国医科大学学报》2022年第10期909-912,918,共5页Journal of China Medical University

基　　金：吉林省教育厅科学技术研究项目(JJKH20210064KJ)。

摘　　要：目的探讨吉林省德惠市40岁及以上人群高甘油三酯血症-腰围表型(HTWP)与缺血性脑卒中的关系。方法采用多阶段分层随机整群抽样方法,于2016年1月至3月对吉林省德惠市40岁及以上的人群进行横断面调查。将HTWP定义为空腹血清甘油三酯(TG)≥1.7 mmol/L,男性腰围(WC)≥90 cm,女性WC≥80 cm。采用logistic回归模型分析该人群HTWP与缺血性脑卒中的相关性。结果吉林省德惠市40岁及以上人群HTWP检出率为33.98%。正常WC-正常TG组缺血性脑卒中患者56例(患病率5.02%),HTWP组缺血性脑卒中患者111例(患病率8.06%)。多因素logistic逐步回归分析显示,HTWP组缺血性脑卒中患病风险为正常WC-正常TG组的1.45倍(OR=1.45,95%CI:1.01~2.10,P<0.05)。结论吉林省德惠市40岁及以上人群HTWP与缺血性脑卒中存在相关关系。Objective To evaluate the relationship between the hypertriglyceridemic-waist phenotype(HTWP)and ischemic stroke in Dehui City,Jilin Province.Methods A cross-sectional survey was conducted among residents aged 40 years and above in Dehui City,Jilin Province,from January to March 2016.We used a multistage stratified,random cluster sampling method.The HTWP was defined by serum triglyceride(TG)levels≥1.7 mmol/L and waist circumference(WC)≥90 cm(in males)or≥80 cm(in females).Logistic regression analysis was conducted to assess the relationship between the HTWP and ischemic stroke.Results The prevalence of the HTWP was 33.98%among the participants.Fifty-six patients with ischemic stroke were in the normal WC-normal TG group(prevalence rate,5.02%),while 111 patients with ischemic stroke were in the HTWP group(prevalence rate,8.06%).Multivariate regression analyses revealed that the risk of ischemic stroke in the HTWP group was 1.45 times greater than that in the normal WC-normal TG group(OR=1.45,95%CI:1.01-2.10,P<0.05).Conclusion The HTWP correlated with ischemic stroke among residents aged 40 years and above in Dehui City,Jilin Province.

关 键 词：高甘油三酯血症 腰围 缺血性脑卒中 横断面研究 

分 类 号：R181.2[医药卫生—流行病学]