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目的研究高血压高发地区辽宁省彰武县农村脑梗死患病的影响因素。方法采用整群随机抽样方法对辽宁省彰武县6个乡11个村18岁以上人群5208人进行一般情况、常见脑梗死危险因素的调查,测量血压和检测血液生化指标。资料采用SPSS10.0软件进行分析。结果该地区脑梗死标化患病率为2.62%,性别间有显著差异,患病率随年龄增加而升高;多因素分析结果舒张压、LDL-C、HDL-C、年龄及性别与脑梗死发生密切相关,OR值分别为2.919(95%CI1.999~4.263)、1.560(95%CI1.088~2.238)、0.397(95%CI0.231~0.681)、1.100(95%CI1.083~1.118)、0.602(95%CI0.425~0.854)。结论高舒张压、LDL-C是彰武县农村脑梗死高发的主要危险因素,HDL-C是保护因素。
Objective To study the influencing factors of rural cerebral infarction in Zhangwu County, Liaoning Province, with high blood pressure. Methods The cluster random sampling method was used to investigate the general situation, common risk factors of cerebral infarction, blood pressure and blood biochemical parameters in 5208 people over 11 in 11 villages of 6 townships in Zhangwu County, Liaoning Province. Data using SPSS10.0 software for analysis. Results The prevalence of cerebral infarction in this area was 2.62%. There was a significant difference between the sexes. The prevalence increased with age. The results of multivariate analysis showed that diastolic blood pressure, LDL-C, HDL-C, age, gender and brain The incidence of infarction was closely related with OR of 2.919 (95% CI 1.994 ~ 4.263), 1.560 (95% CI1.088 ~ 2.238), 0.397 (95% CI0.231-0.681) and 1.100 1.118), 0.602 (95% CI 0.425-0.854). Conclusions High diastolic blood pressure and LDL-C are the main risk factors for high incidence of rural cerebral infarction in Zhangwu County. HDL-C is a protective factor.