| 张燕,何荆贵.脑卒中的多中心筛查分析[J].中国临床保健杂志,2023,26(2):171-175. |
| 脑卒中的多中心筛查分析 |
| A multicenter screening analysis of stroke |
| 投稿时间：2023-03-06 |
| DOI：10.3969/J.issn.1672-6790.2023.02.007 |
| 中文关键词: 卒中 流行病学研究 多中心研究 危险因素 |
| 英文关键词: Stroke Epidemiologic studies Multicenter study Risk factors 〖FL |
| 基金项目:国家重点研发计划项目(2017YFC1307700) |
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| 中文摘要: |
| 目的 多中心人群关于脑卒中的筛查情况分析。方法 2018年1月至2020年6月对包括北京市、河南郑州市、河南新密市、山东高密市、贵州锦屏县5个地区医院及社区行“心脑血管疾病”筛查及随访,评估脑卒中及其他心脑血管病患病率和发病风险。结果 对总计10 276例纳入者进行分析,本研究队列中,既往有脑卒中病史者822例,占总人数的8.0%；有脑卒中史组与无脑卒中史组行组间比较,有脑卒中史组平均年龄、收缩压、舒张压明显高于后者,空腹血糖及各项血脂指标均明显低于无脑卒中史组,差异有统计学意义(P＜0.05)；在心脑血管疾病的患病率及疾病史方面,有脑卒中史组患高血压病、血脂异常、糖尿病均高于无脑卒中史组,差异有统计学意义(P＜0.05),在心房颤动或瓣膜性心脏病病史、冠心病或脑卒中家族史、既往有冠心病或心绞痛发作史这三方面也得到相同的结论。有脑卒中史组的吸烟史、运动缺乏史明显低于无脑卒中史组,结果均显示有统计学意义(P＜0.05),但2组的超重或肥胖的患病率差异无统计学意义(P＞0.05)。结论 脑卒中与血压、血脂、血糖等指标密切相关,与高血压病、血脂异常、糖尿病、心房颤动或瓣膜性心脏病病史、冠心病或脑卒中家族史、冠心病或心绞痛发作史等密切相关。 |
| 英文摘要: |
| Objective To analysis stroke in a multi-center research.Methods Five regional hospitals and communities including Beijing,Zhengzhou,Xinmi,Gaomi and Jinping were screened from January 2018 to June 2020 to evaluate the prevalence and risk of stroke and other cardiovascular and cerebrovascular diseases.Results A total of 10 276 participants were analyzed,and 822 participants (8.0%) with a history of stroke in this study cohort,accounting for 8.0% of the total.Compared with the group without stroke history,the average age,systolic blood pressure and diastolic blood pressure of the group with stroke history were higher,while the fasting blood glucose and blood lipid indexes were significantly lower than those in the group without stroke history,and the differences were statistically significant(P＜0.05).Hypertension,dyslipidemia,diabetes,the history of atrial fibrillation or valvular heart disease,family history of coronary heart disease or stroke,and previous history of coronary heart disease or angina attack were higher in the group with stroke history(P＜0.05).The history of smoking and lack of exercise in the group with stroke history was significantly lower than that in the group without stroke history,and the results showed that they were statistically significant(P＜0.05),but there was no significant difference in the prevalence of overweight or obesity between the two groups(P＞0.05).Conclusions The stroke is closely related to blood pressure,blood lipids,blood glucose and other indicators,and is closely related to hypertension,dyslipidemia,diabetes,atrial fibrillation or valvular heart disease,coronary heart disease or family history of stroke,coronary heart disease or angina attacks. |
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