摘要
目的探究汉中市40岁以上中老年人脑卒中的影响因素,为该地区制订中老年人脑卒中的干预措施提供科学指导。方法对整群抽取2乡镇开展普查,脑卒中283人,非脑卒中20 242人,对脑卒中影响因素进行单因素和多因素Logistic逐步回归分析。结果单因素分析结果表明:年龄、性别、体育活动少、高血压、血脂异常、肥胖、吸烟、脑卒中家族史、心脏病等均与脑卒中相关(P<0.05);多因素分析结果表明:脑卒中家族史OR=7.177、肥胖OR=4.389、高血压OR=3.647、体育活动少OR=2.041、年龄OR=1.342、性别OR=0.565,均与脑卒中密切相关(P<0.01)。结论脑卒中家族史为本地区最严重的脑卒中影响因素;肥胖、高血压、体育活动少为中老年人脑卒中的可控影响因素,是本地区脑卒中防治工作干预重点。
Objective To explore the influence factors of stroke among people aged 40 years or older, and to provide guidance for the prevention and intervention of this disease. Methods People aged 40 years or older were investigated through cluster sampling in two towns in Qin-ba mountain region. A total of 282 stroke patients and 20242 non-stroke people were enrolled, and the influencing factors of cerebral apoplexy were analyzed by single factor and multiple factors logistic stepwise regression analysis. Results Single factor analysis showed stroke was significantly associated with age, sex, lack of physical exercise, hypertension, lipid abnormality,obesity,smoking,heart disease and family history of stroke （all P〈0.05 ）. Multivariate logistic regression analysis with stepwise selection indicated that family history of stroke （ OR = 7.177 ）, obesity （ OR = 4. 389）, hypertension （ OR = 3. 647 ） , lack of physical exercise （ OR = 2.041 ） , age （ OR = 1. 342 ） and sex （ OR = 0.565 ） were related to the occurrence of stroke （ all P〈0.01 ）. Conclusion Family history of stroke is the most important influence factor of stroke. Obesity, hypertension and lack of physical exercise were controllable factors, which were the major intervention target for the prevention of stroke in Qin-ba mountain region.
出处
《解放军预防医学杂志》
CAS
2016年第3期335-337,341,共4页
Journal of Preventive Medicine of Chinese People's Liberation Army
