脑卒中的独立危险因素之一——熬夜

发布时间：2018-05-31 07:20

本文选题：脑卒中 + 危险因素　；参考：《康复学报》2016年01期

【摘要】：目的:探讨熬夜是否为脑卒中的独立危险因素。方法:调查2013年1月至12月在湘雅博爱康复医院住院患者的临床资料,脑卒中组(包括缺血性及出血性卒中)234例,并按1∶1的比例设定对照组234例。以高血压、糖尿病、血脂异常、心脏病、吸烟、嗜酒及熬夜为自变量,进行多因素logistic回归分析,通过自变量的显著性水平对各个危险因素进行判断。结果:2组间高血压、糖尿病、血脂异常、心脏病、吸烟、嗜酒、熬夜、房颤或瓣膜性心脏病等比较均有统计学意义(P0.05);logistic回归分析显示,高血压OR值=4.385,糖尿病OR值=2.657,血脂异常OR值=2.727,吸烟OR值=2.299,嗜酒OR值=2.528,熬夜OR值=1.732,房颤或瓣膜性心脏病病史的OR值=9.070。结论:除了高血压、糖尿病、血脂异常、心脏病、吸烟、嗜酒等为脑卒中的独立危险因素外,熬夜为脑卒中的又一个独立危险因素。
[Abstract]:Objective: to explore whether staying up late is an independent risk factor for stroke. Methods: the clinical data of the inpatients in Xiangya Boai Rehabilitation Hospital from January to December 2013 were investigated. 234 cases of stroke group (including ischemic and hemorrhagic stroke) and 234 cases of control group were set at 1:1. Hypertension, diabetes, dyslipidemia, heart disease, smoking, alcoholism and staying up were used as independent variables. Multivariate logistic regression analysis was carried out to judge the risk factors by the significant level of independent variables. Results there were significant differences in hypertension, diabetes, dyslipidemia, heart disease, smoking, alcoholism, staying up late, atrial fibrillation or valvular heart disease between the two groups by logistic regression analysis. The OR value of hypertension was 4.385, the OR value of diabetes was 2.657, the OR value of dyslipidemia was 2.727, the OR value of smoking was 2.299, the OR value of alcoholism was 2.528, the OR value of staying up late was 1.732, the OR value of atrial fibrillation or valvular heart disease was 9.070. Conclusion: in addition to hypertension, diabetes, dyslipidemia, heart disease, smoking, alcoholism and other independent risk factors of stroke, staying up late is another independent risk factor of stroke.
【作者单位】：湘雅博爱康复医院神经康复中心;
【基金】：国家临床重点专科建设项目[国卫办医函(2013)544号]
【分类号】：R743.3

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