出血性卒中与缺血性卒中危险因素比较

目的探讨不同危险因素对缺血性和出血性卒中发病的影响。方法收集3 102例脑卒中患者的个人疾病史、生活方式、临床检查及生化指标结果等资料,运用Epidata软件建立数据库,采用SAS 9.2进行统计分析。结果脑梗死组发病到入院时间、住院时间、高胆固醇血症、糖尿病史、心脏病史、房颤史、脑卒中史,吸烟的OR值分别是3.36、4.953、3.375、2.224、2.394、2.362、3.573、2.076、2.885。脑出血组呼吸、体温、心率、血压、高血糖、Tbil、高血压史OR值分别是0.824、0.390、0.673、0.425、0.594、0.598、0.934。结论发病到入院时间、住院时间、高胆固醇血症、糖尿病史、心脏病史、房颤史、脑卒中史、吸烟等对脑梗死的影响更大,而呼吸、体温、心率、高血压、高血糖、Tbil、高血压史对脑出血的影响更大。

Comparison of risk factors between hemorrhagic stroke and ischemic stroke

Objective To explore the effects of various risk factors on ischemic stroke and hemorrhagic stroke .Methods Clinical data from 3102 stroke cases including medical history ,lifestyle ,clinical examinations and biochemical indicators were recruited in our study .Epidata software was used to set up database and SAS9.2 was used to analyze the data .Results The OR values of time of admission ,hospitalization stays ,hypercholesteremia ,diabetes mellitus history ,heart disease history ,atrial fibrillation history ,cerebral stroke history and smoking were 3.36 ,4.953 ,3.375 ,2.224 ,2.394 ,2.362 ,3.573 ,2.076 and 2.885 ,respectively in ischemic stroke group .The OR values of respiration ,temperature ,heart rate ,hyperglycemia ,Tbil and hy‐pertension were 0.824 ,0.390 ,0.673 ,0.425 ,0.594 ,0.598 and 0.934 ,respectively in hemorrhagic stroke group .Conclusion Time of admission ,hospitalization stays ,hypercholesteremia ,diabetes mellitus history ,heart disease history ,atrial fibrillation history ,cerebral stroke history and smoking play more tremendous effects on ischemic stroke ,while respiration ,temperature , heart rate ,hyperglycemia ,Tbil and hypertension may exert greater influences on hemorrhagic stroke .