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目的探讨代谢综合征及相关因子在急性脑血管病人中的发生情况。方法收集急性住院脑梗塞、脑出血患者各200例及健康体检者80例并采集腰围、血压、血糖、血脂等资料。结果脑梗塞组分别和脑出血组、对照组比较代谢综合征发生率均有显著性差异(P<0.05);而脑出血和对照组比较无统计学意义(P>0.05)。脑梗塞相关的独立危险因素依次为:代谢综合征、高血压病、高血糖、甘油三酯增高、高密度脂蛋白降低;而脑出血仅为高血压病。结论代谢综合征是脑梗塞的独立危险因素,代谢紊乱程度越重,患脑梗塞的风险越大。代谢综合征与脑出血无明显相关。
Objective To investigate the occurrence of metabolic syndrome and related factors in patients with acute cerebrovascular disease. Methods Acute hospitalized cerebral infarction, cerebral hemorrhage were collected in 200 cases and 80 healthy subjects, and waist circumference, blood pressure, blood glucose, blood lipids and other data were collected. Results Compared with cerebral hemorrhage group and control group, the incidence of metabolic syndrome in cerebral infarction group was significantly different (P <0.05), but there was no significant difference between cerebral hemorrhage and control group (P> 0.05). Independent risk factors associated with cerebral infarction followed: metabolic syndrome, hypertension, hyperglycemia, increased triglycerides, decreased high-density lipoprotein; and cerebral hemorrhage only hypertensive disease. Conclusion Metabolic syndrome is an independent risk factor for cerebral infarction. The more metabolic disorder, the greater the risk of cerebral infarction. Metabolic syndrome and cerebral hemorrhage no significant correlation.