河北任丘市老年居民脑梗死复发的相关因素分析

目的 探讨河北任丘市老年居民脑梗死复发的相关因素,为防治提供理论依据。方法 将随机抽取任丘市年龄60~70岁的常驻居民5 010例为筛查对象,其中有首次脑梗死病史且2年未失访的459例居民作为研究对象,2年中脑梗死复发53例。前瞻性分析任丘老年居民脑梗死复发的相关因素。结果 多因素Logistic回归分析显示:低密度脂蛋白胆固醇(LDL-C)(OR=1.502,95%CI=1.023~2.207)、颈动脉斑块(OR=2.298,95%CI=1.085~4.867)是任丘老年居民脑梗死复发的独立危险因素(P＜0.05)。结论 任丘老年居民脑梗死复发的主要危险因素是LDL-C、颈动脉斑块,对其进行充分认识并积极干预,对有效预防脑梗死复发有重要意义。

Analysis on risk factors of recurrence of cerebral infarction in elderly residents of Hebei Renqiu

Objective To investigate the related risk factors of the recurrence of cerebral infarction in elderly residents of Hebei Renqiu and to provide basis for its prevention and cure.Methods A cluster random sampling method was used for the age 60 to 70 years of Renqiu permanent residents as a screening object, including 5 010 cases, 459 cases of residents as the research object, They were screened in history of the first cerebral infarction,not losing after two years of follow-up. 53 cases of the cerebral infarction were recurrent. Prospective analysis was made on the related risk factors of the recurrence in cerebral infarction of the elderly community residents.Results Multivariate logistic regression analysis showed that LDL-C(OR=1.502,95%CI=1.023-2.207) and carotid artery plaque(OR=2.298,95%CI=1.085-4.867) were significantly related to the recurrence of cerebral infarction in Hebei Renqiu elderly residents(P<0.05).Conclusion LDL-C and carotid artery plaque are the primary risk factors of the recurrence of cerebral infarction in Hebei Renqiu elderly residents. Enough knowledge and active intervention on cerebral infarction have important significance in the effective prevention of recurrence.