乌鲁木齐市体检人群脑卒中危险因素调查分析

发布时间：2018-10-10 16:54

【摘要】：目的:调查乌鲁木齐市体检人群脑卒中危险因素分布现况,筛查脑卒中高危人群,为早期有效的干预提供依据。方法:利用《脑卒中高危人群风险初筛评估简表》对新疆医科大学健康管理中心2015年9月至2016年9月8956名自愿接受脑血管血流动力学检测并且资料完整的体检人群进行脑卒中高危人群筛查,调查分析体检人群的脑卒中危险因素和危险因素家族聚集情况,通过脑血管血流动力学评价脑部供血情况。同时对筛查出的脑卒中高危人群进行生活方式和实验室检查结果的调查分析并分析脑血管受损程度。结果:1.乌鲁木齐市体检人群脑卒中高危人群的检出率较高,其中男性和少数民族检出率高,年龄越大脑卒中高危人群检出率越高。2.血脂异常(82.6%)、超重或肥胖(72.1%)、运动缺乏(62.0%)以及高血压(50.9%)是乌鲁木齐市体检人群的主要危险因素。男性主要的危险因素为血脂异常(54.7%)、超重或肥胖(43.9%)以及运动缺乏(41.7%);女性主要的危险因素为运动缺乏(44.1%)、血脂异常(33.0%)以及超重或肥胖(22.0%)。3.脑卒中高危人群存在高血压家族聚集现象。4.吸烟(38.8%)、经常大量饮酒(52.0%)以及口味偏咸(20.3%)偏油(19.0%)是脑卒中高危人群主要不健康生活方式。5.脑卒中高危人群的各项实验室检查结果以及心功能异常检出率均高于健康人群,以上结果均有统计学差异(P0.01)。Logistic回归分析显示,蔬菜、水果摄入过少对脑卒中高危人群均有影响,差异均有统计学意义(P0.01)。6.脑卒中高危人群脑血管血流动力学异常的检出率较高,脑血管功能受损情况更为严重,差异均有统计学意义(P0.05)。结论:血脂异常、超重或肥胖、运动缺乏以及高血压是乌鲁木齐市体检人群的主要危险因素,吸烟、经常大量饮酒以及口味偏咸偏油是脑卒中高危人群主要不健康生活方式,为脑卒中干预提供科学依据。
[Abstract]:Objective: to investigate the distribution of risk factors of stroke in physical examination population in Urumqi, and to screen high risk population for early effective intervention. Methods: a summary of risk assessment of high risk groups for stroke was used to study 8956 subjects who voluntarily received cerebrovascular hemodynamic tests from September 2015 to September 2016 in the Health Management Center of Xinjiang Medical University. A group of people at high risk of stroke is screened, The risk factors of stroke and the family aggregation of risk factors were investigated and the cerebral blood supply was evaluated by cerebrovascular hemodynamics. At the same time, the life style and laboratory results of the high risk population of stroke were investigated and the degree of cerebrovascular injury was analyzed. The result is 1: 1. In Urumqi, the detection rate of high risk population for stroke was higher, male and ethnic minorities were higher, the higher the age was, the higher the detection rate of cerebral apoplexy was. 2. 2. Dyslipidemia (82.6%), overweight or obesity (72.1%), lack of exercise (62.0%) and hypertension (50.9%) were the main risk factors of physical examination in Urumqi. The main risk factors of male were dyslipidemia (54.7%), overweight or obesity (43.9%) and lack of exercise (41.7%), while the main risk factors of female were lack of exercise (44.1%), dyslipidemia (33.0%) and overweight or obesity (22.0%). Hypertension family aggregation exists in high risk population of stroke. 4. 4. Smoking (38.8%), frequent heavy drinking (52.0%) and salty taste (20.3%) were the main unhealthy lifestyle in the high risk population of stroke (19.0%). The results of laboratory examination and heart function abnormality in the high risk group of stroke were higher than those in the healthy group. The above results were statistically different (P0.01). Logistic regression analysis showed that the low intake of vegetables and fruits had an effect on the high risk group of stroke. The difference was statistically significant (P0.01). The detection rate of cerebral vascular hemodynamic abnormality in high risk group of stroke was high, and the cerebral vascular function damage was more serious, the difference was statistically significant (P0.05). Conclusion: abnormal blood lipids, overweight or obesity, lack of exercise and hypertension are the main risk factors of physical examination population in Urumqi. Smoking, frequent drinking and salty oil taste are the main unhealthy lifestyle of people with high risk of cerebral apoplexy. To provide scientific basis for stroke intervention.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3

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