中国全科医学2012,Vol.15Issue(34):3963-3967,5.DOI:10.3969/j.issn.1007-9572.2012.12.011
健康行为对原发性高血压患者脑卒中发病影响的病例对照研究
A Case-control Study on Impact of Health Behavioral Factors on Stroke in Primary Hypertensive Patients
摘要
Abstract
Objective To collect the histories of exposure to risk behavioral factors in patients with primary hypertension and hypertensive stroke, to measure the exposure proportions of case and control groups, in order to explore the behavioral factors associated with stroke in patients with primary hypertension, and to infer the risk behavioral factors of stroke so as to provide evidence for prevention and control of stroke. Methods The Health Promoting Profile Ⅱ ( HPLP Ⅱ ) was used for a questionnaire survey among patients with primary hypertension from two Third - Level Grade - A Hospitals in Guangzhou. The patients were divided as case -group and control group according to their ages, sexes and disease course. Unconditional Logistic regression model was used for statistical analysis. Results The risk factors for stroke onset entering the Logistic regression model were pulse pressure > 40 mm Hg, physical exercise, smoking, no medication of the prescribed dose, and irregular defecation, their OR values were respectively 0. 198 [ 95% CI (0. 092, 0. 426) ] , 7. 515 [ 95% CI (2. 117, 26. 683 )], 7. 588 [ 95% CI (2.124, 27.111)], 12.814 [95%CI (3.096, 53.040)], 4.446 (95%CI (1.282, 15.419)]. Conclusion The physical exercise is a protective factor to delay the stroke for primary hypertensive patients, while the pulse pressure > 40 mm Hg, smoking, no medication of the prescribed dose, and irregular defecation are the risk factors.关键词
原发性高血压/脑卒中/健康行为/病例对照研究Key words
Primary hypertension/ Stroke/ Health behavior/ Case - control study分类
医药卫生引用本文复制引用
赵洁,张小培,钟爱群,张懿,徐桂红,高玲玲,万丽红..健康行为对原发性高血压患者脑卒中发病影响的病例对照研究[J].中国全科医学,2012,15(34):3963-3967,5.基金项目
广东省医学科研基金立项课题(A2011158) (A2011158)