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目的分析上海市浦东新区脑梗死患者复发情况及影响因素,探讨社区控制脑梗死复发的有效干预措施。方法在浦东新区监测点社区报病网络中,对辖区居民发生的脑梗死事件相关信息进行收集、登记及核实,以2012年新发脑梗死患者628例为队列,观察截至2014年年末时该人群的复发情况并分析复发的影响因素。结果脑梗死患者的再次复发率为9.08%。高血压(OR=4.797,P=0.001)、长期吸烟(OR=2.844,P=0.005)、腹部肥胖或超重(OR=2.421,P=0.041)和务农(OR=3.723,P<0.001)是脑梗死复发的独立危险因素。结论浦东新区居民脑梗死复发受多方面因素影响。
Objective To analyze the recurrence and influencing factors of cerebral infarction in Pudong New Area, Shanghai, and to explore effective intervention measures for community control of recurrent cerebral infarction. Methods To collect, register and verify the information about the cerebral infarction incidents occurred in the residents in the monitoring area of Pudong New Area. 628 new-onset cerebral infarction patients were enrolled in 2012 as the cohort to observe the population as of the end of 2014 Recurrence and analyze the influencing factors of recurrence. Results The recurrence rate of patients with cerebral infarction was 9.08%. Long-term smoking (OR = 2.844, P = 0.005), abdominal obesity or overweight (OR = 2.421, P = 0.041) and farmer farming (OR = 3.723, Independent risk of recurrent infarction. Conclusion The recurrence of cerebral infarction in Pudong New Area is affected by many factors.