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出血性与缺血性卒中危险因素的Logistic回归分析 被引量:7

Logistic Regressions of Risk Factors in Hemorrhagic Stroke and Ischemic Stroke
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摘要 目的进一步探索脑卒中的危险因素 ,为积极预防和控制脑卒中的发生提供依据。方法根据上海 4家社区医院脑卒中报病新发病例 ,按年龄、性别和相同里委配对要求 1∶ 1选取对照 ,开展病例对照研究 ,用条件 L o-gistic回归模型进行统计分析。结果出血性卒中组 ,高血压史、性格急躁、饮酒三项危险因素进入了多因素条件L ogistic回归模型 ,其 OR值分别为 12 2 .45、37.81和 11.6 3;缺血性卒中组 ,高血压史、常吃咸食、经常性紧张、性格急躁四项危险因素进入了多因素条件 L ogistic回归模型 ,其 OR值分别为 7.49、4.6 1、3.0 8和 2 .0 6。结论对于脑血管疾病的防治需采取综合干预措施 ,包括控制高血压 ,改变不良的生活方式和饮食习惯 ,以及保持良好的精神状态。 Objective To further explore the risk factors in stroke,especially the changeable ones, so as to prevent and control the occurrence of strode. Methods The 1∶1 matched case-control study was conducted and conditional Logistic regression model was used.The cases were new stroke patients from the registration of four community hospitals in Shanghai,and the controls were selected by the gender and neighborhood, and each pair's ages were permitted to differ within 5 years.Results Hypertension, preci-pitancy and drinking entered the multiple conditional Logistic regression equation for the hemorrhagic stroke, and their OR were 122.45, 37.81 and 11.63,respectively; while hypertension, more salt intake, precipitancy and excessive strain for the ischemic stroke, and their OR were 7.49, 4.61, 3.08 and 2.06, respectively.Conclusions It's necessary to implement a comprehensive prevention program, such as hypertension control, lifestyle and dietary habit modification, and good mentality maintenance.
出处 《中国慢性病预防与控制》 CAS 2001年第6期243-244,共2页 Chinese Journal of Prevention and Control of Chronic Diseases
基金 上海市医学发展基金重点研究课题项目 ( 98ZD0 0 1)
关键词 脑卒中 危险因素 病例对照研究 条件LOGISTIC回归 Stroke Risk factor Case-control study Conditional Logistic regression
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  • 1吴卫平 蒲传强 等.脑血管病的流行病学和脑血管病的危险因素.脑血管病学[M].北京:人民军医出版社,1999.157-177.
  • 2王文志 张国瑾 等.卒中流行病学与人群防治.国外脑血管疾病研究进展[M].北京:中国医药科技出版社,2000.177-207.
  • 3吴升平 李世绰 等.中国城乡四社区人群脑卒中类型分布[J].中华预防医学杂志,1998,32:27-29.

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