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目的探讨西安地区H型高血压等相关因素与脑卒中的关系,为预防与控制措施提供理论依据。方法本研究采用病例对照的研究设计,连续收集西安市第九医院神经内科住院患者400例为研究对象,其中脑卒中患者作为病例组,非脑卒中患者作为对照组,对其一般人口学特征、家族史、吸烟史、饮酒史、高血压、H型高血压、既往病史、性格类型等与脑卒中之间的关系进行研究。数据通过SPSS18.0处理,主要采用单因素和调整因素的Logistic回归模型进行统计分析。结果单因素分析显示,高龄、男性、文化程度低、脑力劳动、吸烟、高血压、H型高血压、亲属脑卒中史、亲属心脏病史以及内向型性格等因素与西安地区脑卒中具有相关性,其中一级亲属的脑卒中和心脏病史的危险性均高于普通亲属;调整年龄性别的Logistic回归分析显示,高血压、H型高血压、一级亲属脑卒中史和心脏病史等因素与西安地区脑卒中具有相关性;在轻度脑卒中和中重度脑卒中的比较中,文化程度低、内向型性格、吸烟和高血压与中重度脑卒中具有相关性。结论高血压、H型高血压、一级亲属脑卒中史和心脏病史等因素与西安地区脑卒中的发生关系密切,高血压、文化程度低、内向型性格和吸烟与中重度脑卒中的发生相关。
Objective To explore the relationship between Hypertension and other related factors and stroke in Xi’an and to provide a theoretical basis for prevention and control measures. Methods In this study, case-control study design was used to continuously collect 400 inpatients with neurology in the Ninth Hospital of Xi’an. Among them, stroke patients were selected as the case group and non-stroke patients as the control group. Their general demographic characteristics, Family history, smoking history, drinking history, hypertension, Hypertension, past medical history, personality type and stroke. The data were processed by SPSS18.0, mainly using the single factor and adjustment factors Logistic regression model for statistical analysis. Results Univariate analysis showed that senior citizens, men with low education, mental labor, smoking, hypertension, Hypertension, relatives stroke history, relatives heart history and introverted personality and other factors have a correlation with stroke in Xi’an, The first-degree relatives had higher risk of stroke and heart disease than normal relatives. Logistic regression analysis showed that the factors such as hypertension, H-type hypertension, first-degree relatives’ stroke history and history of heart disease were similar to those in Xi’an Stroke was correlated. In mild stroke and moderate to severe stroke, low education, introverted personality, smoking and hypertension were associated with moderate-severe stroke. Conclusion Hypertension, Hypertension, history of first-degree relatives stroke and history of heart disease are closely related to the occurrence of stroke in Xi’an. Hypertension, low education, introverted personality and smoking are associated with the occurrence of moderate-severe stroke .