论文部分内容阅读
目的探讨影响广西自治区40岁以上人群脑卒中发病的影响因素。方法于1999年在1991年全国高血压调查的基础上,对广西自治区当时年龄≥40岁11818人进行了随访调查,取得其脑卒中发病资料并进行统计分析。结果脑卒中事件的发生与收缩压、舒张压、吸烟、体质指数、性别和有无脑卒中病史有关。COX回归分析表明,有脑卒中病史者,发生脑血管事件的相对危险度为3.49,脑卒中病史为脑卒中事件最强的预测因子;有心肌梗死史者的相对危险度为1.8;舒张压每增高10m m H g,脑卒中事件发生的相对危险度增加1.11;收缩压每增高10m m H g,脑卒中事件发生的相对危险度增加1.04;吸烟者的相对危险度为1.57;体质指数每增加1kgm/2,脑血管事件的相对危险度增加1.04。结论高血压、脑卒中病史、吸烟、高体质指数是脑卒中发病的危险因素。
Objective To explore the influencing factors of stroke in Guangxi people over 40 years old. Methods Based on the National Hypertension Survey in 1991, a total of 11,818 people aged over 40 in Guangxi Autonomous Region were surveyed and followed up for data on stroke incidence and statistical analysis. Results The incidence of stroke was related to systolic blood pressure, diastolic blood pressure, smoking, body mass index, gender and history of stroke. The COX regression analysis showed that the relative risk of cerebrovascular events was 3.49 and the history of stroke was the strongest predictor of stroke in those with history of stroke. The relative risk of patients with history of myocardial infarction was 1.8. The diastolic blood pressure Increased 10 m m Hg, the relative risk of stroke increased by 1.11; for each 10 m m Hg increase in systolic pressure, the relative risk of stroke increased by 1.04; the relative risk of smoker was 1.57; for each increase in body mass index 1kgm / 2, the relative risk of cerebrovascular events increased 1.04. Conclusion Hypertension, history of stroke, smoking, high body mass index are the risk factors of stroke.