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目的了解驻长沙军队男性老年人脑卒中患病率及其危险因素,为老年人制定脑卒中防治策略提供思路。方法采用整群抽样的调查方法,调查2012年3月至8月体检或住院的军队老年(60岁以上)干部4627例的脑卒中发生情况:采用Logistic回归进行相关危险因素分析。结果驻长沙军队老年干部脑卒中患病率为20.3%,共计939例,脑卒中的相关危险因素为高龄、肥胖、吸烟、糖尿病家族史、冠心病、高血压、高同型半胱氨酸(HCY)、基质金属蛋白酶-9(MMP-9)、颈动脉内中膜厚度(IMT)。腰围与脑卒中患病密切相关。结论驻长沙军队中老年干部脑卒中患病率较高,高龄、肥胖、吸烟、糖尿病家族史和高HCY、MMP-9是其危险因素。
Objective To understand the prevalence and risk factors of stroke in male elderly in Shasan military station in Changsha and to provide some ideas for the elderly to make strategies for prevention and treatment of stroke. Methods The cluster sampling method was used to investigate the incidence of stroke in 4627 elderly cadres (aged 60 years and older) who were examined or hospitalized from March to August 2012. Logistic regression was used to analyze the relevant risk factors. Results The prevalence of stroke in Changsha elderly was 20.3%, a total of 939 cases. The related risk factors of stroke were elderly, obesity, smoking, family history of diabetes, coronary heart disease, hypertension, homocysteine (HCY ), Matrix metalloproteinase-9 (MMP-9), carotid intima-media thickness (IMT). Waist circumference and stroke are closely related. Conclusion The prevalence of stroke in middle-aged and elderly cadres in Changsha army is high, and their risk factors are elderly, obesity, smoking, family history of diabetes and high HCY and MMP-9.