摘要
目的了解脑卒中患者高血压及其相关因素的情况。方法利用FusionInsight Hadoop数据处理平台筛选出脑卒中住院患者28 523例[正常血压7908例,高血压20 615(男性16 366、女性12 157)例],分析其性别、年龄、血压、脉压以及同型半胱氨酸(Hcy)等指标。结果脑卒中患者年龄(54.6±16.8)岁;其中缺血性脑卒中19 222例,占67.4%,出血性脑卒中9301例,占32.6%。合并高血压的脑卒中患者比例高于正常血压的患者(缺血性脑卒中:67.3%比32.7%;出血性脑卒中:82.6%比17.4%;总人群:72.3%比27.7%);年龄分布以60~<80岁比例最高,其次是45~<60岁(47.9%比28.8%)。脉压超过正常值(≥40mm Hg)的脑卒中患者占86.1%(缺血性脑卒中占86.1%,出血性脑卒中占86.2%);Hcy超过正常值上限(≥10μmol/L)的脑卒中患者占92.7%(缺血性脑卒占92.8%,出血性脑卒中占92.4%)。Logistic回归分析结果显示,年龄、收缩压、脉压、血糖与脑卒中呈正相关(OR值分别为1.034、1.037、1.027和1.024),而舒张压与脑卒中呈负相关(OR值为0.983,均P<0.05)。结论脑卒中患者的血压、脉压、Hcy水平均升高。
Objective To investigate the prevalence of hypertension and its related factors in stroke inpatients. Methods A total of 28 523 stroke patients were selected in our hospital by Computer Platform of Fusionlnsight Hadoop （7908 cases with normal blood pressure and 20 615 cases with hypertension, 16 366 male and 12 157 female）. The genders, age, blood pressure, pulse pressure, homocysteine and other indicators were analyzed. Results The mean age of stroke patients was （54.6 ± 16.8） years. In the patients, 19 222 cases （67.4%） were isehemic stroke and 9301 （32.6%） were hemorrhagic stroke. The patients with hypertension were more than patients with normal blood pressure （67.3% vs 32.7% in isehemic stroke patients, 82.6% vs 17.4% in hemorrhagic stroke patients and 72.3% vs 27.7% in all patients）. The patients in the age range of 60-〈80 had the highest proportion and the age range of 45-〈60 ones was second （47.9% vs 28.8% ）. 86.1% stroke patients＇ pulse pressure （86.1% ischemic stroke patients and 86.2% hemorrhagic stroke patients） were higher than normal values （≥40 mm Hg）. And 92.7% stroke patients （92.8% ischemic stroke patients and 92.4% hemorrhagic stroke patients） had higher levels of homocysteine （≥10μmol/L）. Moreover, the age, systolic pressure, pulse pressure and blood glucose showed significant positive correlated with stroke （ the OR were 1. 034, 1. 037, 1. 027 and 1. 024 respectively, P〈0.05）. And the diastolic pressure was negatively associated with stroke （the OR was 0. 983, P〈 0.05 ）. Conclusions The stroke patients have higher levels of blood pressure, pulse pressure and homocysteine level.
作者
郭森
肖凡凱
杨帆
翟运开
王振博
武戈
赵洛沙
GUO Sen;XIAO Fan-kai;YANG Fan;ZHAI Yun-kai;WANG Zhen-bo;WU Ge;ZHAO Luo-sha(Department of Cardiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan 450052, Chin)
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2018年第3期253-257,共5页
Chinese Journal of Hypertension
