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目的探讨影响台州市教师脑卒中的危险因素,为制订一级预防策略提供科学依据。方法收集2009年7月—2010年6月在浙江省台州医院体检中心体检的1982名教师的体检及治疗资料,采用多因素Logistic回归分析等方法对脑卒中的危险因素进行分析。结果台州市教师脑卒中的危险因素有血脂异常(TC、TG、HDL-C、LDL-C)、高血压、高血糖(糖尿病)、超重/肥胖、脂肪肝和高尿酸。男教师的危险因素分布比例明显高于女教师。而消瘦则为脑卒中的保护因素。LDL-C异常和高血压存在着明显的交互作用。结论针对性地展开脑卒中相关危险因素的预防策略,能降低脑卒中的发病风险。
Objective To explore the risk factors of stroke in Taizhou teachers and to provide a scientific basis for the development of a prevention strategy. Methods The physical examination and treatment data of 1982 teachers from July 2009 to June 2010 in physical examination center of Taizhou Hospital of Zhejiang Province were collected. Multivariate logistic regression analysis was used to analyze the risk factors of stroke. Results The risk factors of stroke in Taizhou teachers were dyslipidemia (TC, TG, HDL-C, LDL-C), hypertension, hyperglycemia (diabetes), overweight / obesity, fatty liver and hyperuricemia. The proportion of male teachers in the distribution of risk factors was significantly higher than that of female teachers. The weight loss is the protective factor of stroke. LDL-C abnormalities and hypertension there is a clear interaction. Conclusions Targeted strategies to prevent stroke-related risk factors can reduce the risk of stroke.