急性脑血管病危险因素Logistic回归分析.docVIP

急性脑血管病危险因素Logistic回归分析 　　[摘要] 目的 探讨急性脑血管病患者发病的危险因素，为急性脑血管病的预防提供理论依据。 方法 对我院急性脑血管病患者（观察组）125例进行问卷调查，记录年龄、性别、吸烟史、饮酒史、锻炼史、高血压病史、糖尿病史、高血脂病史、冠心病史、短暂性脑缺血发作史（TIA），测量体重指数（BMI），彩超检查颈动脉硬化斑块，实验室化验低密度脂蛋白（LDL-C）、糖化血红蛋白、血浆黏度、高敏C反应蛋白（hs-CRP）、血清半胱氨酸（Hcy）等。抽取同期门诊非脑血管病患者125例作为对照组采用同一调查表进行调查，并进行同样的体格检查及实验室检查，对数据进行统计学处理。 结果 观察组吸烟史、饮酒史、肥胖、颈动脉硬化斑块形成、高血压病、糖尿病、冠心病、TIA发作史、LDL-C升高、hs-CRP及Hcy升高患者显著高于对照组（P均0.05），而锻炼史显著低于对照组（P均0.05）。结论 急性脑血管病可能是多种危险因素共同作用的结果，肥胖、颈动脉硬化斑块形成、高血压病、糖尿病、冠心病、TIA发作史、LDL-C、hs-CRP及Hcy升高等可能是急性脑血管病的主要危险因素。 　　[关键词] 脑血管病；危险因素；C反应蛋白；半胱氨酸；Logistic回归分析 　　[中图分类号] R743.3 [文献标识码] B [文章编号] 1673-9701（2015）31-0080-04 　　Logistic regression analysis of acute cerebrovascular disease risk factorsGUO Hefu 　　Department of Internal Medicine， Zhongyuan Oilfield Third Community Administration Center Second Hospital， Puyang 457321，China 　　[Abstract] Objective To discuss the risk factors of acute cerebrovascular disease and to provide theoretical basis for prevention of acute cerebrovascular disease. Methods Questionnaire survey was carried out among 125 patients with acute cerebrovascular disease（observation group） in our hospital and the following items were recorded， age， gender， smoking history， drinking history， physical training history， and history of hypertension， diabetes， hyperlipidemia， coronary heart disease， and transient ischemic attack （TIA）； the patients BMI were measured； color Doppler ultrasound was conducted to examine carotid atherosclerotic plaques； and laboratory tests were carried out to test LDL-C， glycosylated hemoglobin， plasma viscosity， hs-CRP， and Hcy. Another 125 cases in same visiting time of non-cerebrovascular disease were selected as control group and were surveyed with the same questionnaire and tested by same physical and laboratory examinations. The results were processed by statistics. Results There were significantly more patients in the observation group than in the control group with history of smoking and drinking， obesity， carotid atherosclerotic