我国缺血性脑卒中残疾情况及其影响因素分析

发布时间：2018-10-29 21:58

【摘要】：目的探讨我国缺血性脑卒中患者残疾情况及其影响因素。方法 2015年7—10月,利用2013年度全国脑卒中高危人群筛查与干预项目数据库数据,选取符合纳入与排除标准的脑卒中患者7 462例为研究对象。收集缺血性脑卒中患者的Rankin修订量表(MRS)评分与患者信息(人口学特征、既往病史、生活方式和脑卒中家族史情况)。利用MRS评分评估患者残疾情况,定义MRS评分2~5分为残疾,计算残疾率,并采用三水平Logistic回归分析缺血性脑卒中患者残疾情况的影响因素。结果 7 462例患者中残疾者1 211例,残疾率为16.23%。男性患者残疾率高于女性(P0.05);不同年龄段患者残疾率比较,差异有统计学意义(P0.05);高血压患者残疾率高于未患高血压患者(P0.05);糖尿病患者残疾率高于未患糖尿病患者(P0.05)。不同城乡来源、高血脂、心房颤动、吸烟率、饮酒率、脑卒中家族史患者残疾率比较,差异无统计学意义(P0.05)。经空模型检验后,数据在省级水平(P0.05)和筛查点水平(P0.05)层面存在聚集性,故采用三水平Logistic回归对残疾情况进行分析,结果显示,性别、年龄、高血压、糖尿病是缺血性脑卒中患者残疾情况的影响因素(P0.05)。结论我国缺血性脑卒中残疾情况应得到重视,男性、高龄、高血压及糖尿病患者是防控缺血性脑卒中后残疾的重点人群。
[Abstract]:Objective to investigate the disability of ischemic stroke patients in China and its influencing factors. Methods from July to October 2015, 7,462 stroke patients who met the criteria of inclusion and exclusion were selected by using the database data of screening and intervention projects for the high-risk population of cerebral apoplexy in 2013. To collect the Rankin revised scale (MRS) score and patient information (demographic characteristics, past medical history, lifestyle and family history of stroke) of ischemic stroke patients. The disability status of patients was evaluated by MRS score, and the disability rate was calculated by defining MRS score 2 or 5, and using three level Logistic regression analysis to analyze the factors influencing the disability status of ischemic stroke patients. Results among 7 462 patients, 1 211 cases were disabled, the disability rate was 16.23%. The disability rate of male patients was higher than that of women (P0.05); the disability rate of patients with hypertension was higher than that of patients without hypertension (P0.05). The disability rate of diabetic patients was higher than that of non-diabetic patients (P0.05). Different urban and rural sources, hyperlipidemia, atrial fibrillation, smoking rate, drinking rate, stroke family history patients disability rate, the difference was not statistically significant (P0.05). After the empty model test, the data were clustered at provincial level (P0.05) and screening point level (P0.05). Therefore, three levels of Logistic regression were used to analyze the disability. The results showed that sex, age, hypertension. Diabetes mellitus was an influential factor in the disability of ischemic stroke patients (P0.05). Conclusion attention should be paid to the disability of ischemic stroke in China. Male, elderly, hypertensive and diabetic patients are the key people to prevent and control the disability after ischemic stroke.
【作者单位】：中国医学科学院北京协和医学院公共卫生学院;首都医科大学宣武医院中医科;军事医学科学院卫生勤务与医学情报研究所;中国卒中数据中心;
【基金】：国家自然科学基金资助项目(71440017)
【分类号】：R743.33

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