脑血管功能积分与脑卒中相关危险因素的关系研究  

Study on relationship between cerebral vascular function scores and stroke related risk factors

作　　者：梁莉[1] 许银霞[1] 薛妍 郎少磊[1] 史可欣 王斌[1] LIANG Li;XU Yin-xia;XUE Yan;LANG Shao-lei;SHI Ke-xin;WANG Bin(Department of Health Management Center,Sanmenxia Central Hospital,Sanmenxia,Henan 472000,China;Department of Center of Medical Data,Shanxi Provincial People's Hospital,Xi'an 710033,China)

机构地区：[1]三门峡市中心医院健康管理中心,河南三门峡472000 [2]陕西省人民医院医务处数据中心,西安710033

出　　处：《医药论坛杂志》2024年第11期1168-1171,1176,共5页Journal of Medical Forum

摘　　要：目的探讨脑血管功能检测积分和脑卒中各相关危险因素之间影响关系,以期早期预警脑卒中的发生,降低脑卒中发病的概率。方法收集2021年2月—2022年2月在三门峡市中心医院健康管理中心进行脑血管功能检测的体检者资料,选取50~80岁同时进行脑卒中相关指标检查和检测的体检患者1000例,随机抽取脑血管功能积分值<75分者500例体检者为高风险组,积分值≥75分者500例为低风险组。使用回顾性研究及logistic回归分析法分析各危险因素对脑血管功能积分的影响。结果高风险组与低风险组年龄和性别分布对比分析结果显示,高风险组的平均年龄较低风险组大,性别构成差异无统计学含义;高风险组和低风险组体检者的血压、血糖、甘油三酯、总胆固醇、高密度脂蛋白胆固醇、同型半胱氨酸指标均数比较,差异具有统计意义(P<0.05),低密度脂蛋白胆固醇均数比较,差异无统计学意义(P>0.05);脑血管功能积分与脑卒中各相关危险因素卡方检验结果显示,血压、血糖、甘油三酯、总胆固醇、高密度脂蛋白胆固醇、同型半胱氨酸两组之间比较差异有统计学意义(P<0.05),低密度脂蛋白胆固醇比较,差异无统计学意义(P>0.05);用二分类logistic回归分析,结果显示脑血管功能积分与脑卒中相关危险因素相关性与上述研究类似,除低密度脂蛋白胆固醇外的其他指标差异均有统计学意义(P<0.05),与低密度脂蛋白胆固醇差异无统计学意义(P>0.05)。结论本研究中高风险组平均年龄比低风险组大,性别比例无统计学意义;脑卒中各有关风险因素血压、血糖、甘油三酯、总胆固醇、高密度脂蛋白质胆固醇、同型半胱氨酸各指标均数比较,高风险组高于低风险组;高血压、高血糖、甘油三酯偏高、总胆固醇偏高、高密度脂蛋白胆固醇偏低、同型半胱氨酸血症都是危害脑血管功能分数的风险因素,而低密�Objective To explore and analyze the relationship between cerebrovascular function test score and various risk factors of stroke,so as to early warn the occurrence of stroke and reduce the risk of stroke.Methods The data of healthy physical examiners who underwent cerebrovascular function test in the health management center of Sanmenxia Central Hospital from February 2021 to February 2022 were collected,including 1000 healthy physical examiners aged 50-80 and who complete the examination of Correlation index.500 patients with cerebrovascular function score<75 points were randomly selected as the high-risk group,and 500 patients with cerebrovascular function score≥75 points were randomly selected as the low-risk group.Retrospective study and logistic regression analysis were used to analyze the influence of risk factors on cerebrovascular function score.Results Comparative analysis of age and gender distribution between the high-risk group and the low-risk group showed that the average age of the high-risk group was older than that of the low-risk group,and there was no statistically significant difference in gender composition.Comparative analysis of age and gender distribution between the high-risk group and the low-risk group showed that the average age of the high-risk group was older than that of the low-risk group,and there was no statistically significant difference in gender composition.There was significant difference in blood pressure,blood glucose,triglyceride,total cholesterol,high-density lipoprotein cholesterol and homocysteine between high-risk group and low-risk group(P<0.05),but there was no significant difference in low-density lipoprotein cholesterol(P>0.05).The results of chi square test showed that there were significant difference in the ratio of blood pressure,blood glucose,triglyceride,total cholesterol,high-density lipoprotein cholesterol and homocysteine between the two groups(P<0.05),but there was no significant difference in low-density lipoprotein cholesterol(P>0.05).Binary logistic

关 键 词：脑血管功能积分 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]