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目的探讨脑卒中与代谢综合征(MS)之间的关系,为脑卒中预防提供科学理论依据。方法随机抽取上海市金山区3个社区的现患脑卒中患者进行问卷调查,同时进行血压、身高、体重和腰围的测量以及血生化检查,运用χ2和F检验等方法对数据结果进行统计分析。结果农村脑卒中合并MS女性多于男性(χ2=9.478,P<0.01),主要集中在60~80岁年龄段,高血压和高血糖组合患者在脑卒中合并MS患者中所占比例最大(34.75%),在与非MS脑卒中患者的比较中发现,体重指数(BMI)、血压值、空腹血糖、甘油三酯、高密度脂蛋白、高血压、糖尿病等情况MS组与非MS组有明显的差异。结论 MS各组分都是影响脑卒中发病的重要因素,重视以肥胖为基础合并高血压、高血糖的代谢综合征,针对性地控制及治疗MS各组分代谢异常情况,从早期进行干预,可预防和减少心脑血管疾病的发生、发展。
Objective To explore the relationship between stroke and metabolic syndrome (MS) and provide a scientific basis for prevention of stroke. Methods Randomly selected stroke patients from 3 communities in Jinshan District of Shanghai were investigated by questionnaire. Blood pressure, height, weight and waist circumference were measured and blood biochemical tests were performed. The data were analyzed by χ2 and F test. Results There were more MS females than stroke males (χ2 = 9.478, P <0.01), mainly in the 60- to 80-year-old age group. The patients with hypertension and hyperglycemia accounted for the largest proportion of stroke patients with MS (34.75 %), Compared with non-MS stroke patients found that body mass index (BMI), blood pressure, fasting blood glucose, triglycerides, high-density lipoprotein, hypertension, diabetes MS group and non-MS group were significantly The difference. Conclusion Each component of MS is an important factor that affects the incidence of stroke. It emphasizes on the metabolic syndrome of hypertension and hyperglycemia based on obesity, and aims to control and treat the metabolic abnormalities of MS components in a targeted manner. From the early intervention, Can prevent and reduce the occurrence and development of cardiovascular and cerebrovascular diseases.