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门诊筛查高危因素暴露者与脑卒中发病风险关系的研究

  

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-07-25

Study the Relationship between High Risk Exposure Screend by Outpatient and Stroke Risk

  • Received:1900-01-01 Revised:1900-01-01 Online:2012-07-25

摘要: 目的:研究探讨脑卒中危险因素暴露者与卒中发病风险的关系,以更好地做到一级预防。方法:2005年1月~2008年1月军工医院门诊患者至少具有高血压病、糖尿病、心脏病、烟酒史、肥胖和卒中家族史等危险因素之一,并用多普勒探头和压力传感探头的脑血管血流动力学监测仪进行颈动脉脑血管血流动力学检测和危险因素的调查,按知情同意的原则,选择血流动力学积分值(CVHI)<75分共2000例,每一名患者自就诊之日起共随诊4年(最后一名患者随诊期限至2012年1月),终点事件脑卒中,脱落105例。结果:脑卒中的发病风险随CVHI分值的降低而明显增加(P<0.001),且CVHI分值越低出现脑卒中事件越早;高血压、糖尿病、心脏病、烟酒史与脑卒中关系密切(P<0.05),尤其以高血压为著(P<0.001)。结论:CVHI分值降低是卒中的独立危险因素;常见危险因素与脑卒中关系极为密切,尤其以高血压最为显著。

Abstract: Objective:Study and discussion on the relationship between high risk exposure and Stroke risk in order to achieve primary prevention.Methods:2005 January-2008 January,Jun Gong Hospital 2000 outpaiten-ts are selected voluntarily,who have at least one of Stroke risk factors,which are hypertension、diabetes、heart disease、tobacco and alcohol history and family history of stroke,whose CVHI should be less than 75 by doppler probe and the pressure sensing probe of cerebral vascular hemodynamic monitor to study carotid artery of cerebral vascular hemodynamic detection and risk factors.Each patient are followed up for 4 years since the date of treatment,the last of them is followed up to 2012 January.Endpoint is Stroke,during 4 years 105 patients are off.Results:Following the score of CVHI decreasing Stroke risk is increasing significan-tly,which is P<0.001,and Stroke events occur earlier with reducing of the score of CVHI;Their relationship are very close between hypertension、diabetes、heart disease、tobacco and alcohol history and stroke,which is P<0.05,especially hypertension,which is P<0.001.Conclusion:The score of CVHI decreased is an independent risk factor of stroke;Their relationship are very close between common risk factors and stroke,especially hypertensIon.