中国全科医学2016，Vol.19Issue(32)：3923-3927,5.DOI:10.3969/j.issn.1007-9572.2016.32.006
脑血管血流动力学异常影响因素分析
Root Cause Analysis for the Population with Abnormality of Cerebrovascular Hemodynamics
摘要
Abstract
Objective To explore the influence factor for the population with abnormality of cerebrovascular hemodynamics, and provide effective evidence for the early intervention.Methods In this cross-sectional study, we selected 7 032 cases from the population of physical examination who took the cerebrovascular hemodynamics test in the Health Management Center of Xinjiang Medical University from January 2015 to January 2016, and recorded the general information, which included gender, age, nation, body mass index ( BMI ) , overweight or obesity, hypertension, lipid abnormality, diabetes mellitus, heart disease, smoking, alcohol consumption, family history of stroke, and past history of stroke. Abnormality of cerebrovascular hemodynamics index ( CVHI) was detected, CVHI≥75 was defined as normal case and CVHI<75 as abnormal case.Abnormal cases were divided into three groups by CVHI: low-risk group with CVHI of 50-74, moderate-risk group with CVHI of 25-49, and high-risk group with CVHI of 0-24.The root causes were analyzed by unconditional multivariate Logistic regression analysis.Results Among 7 032 cases, there were 5 830 cases (82.91%) with normal of cerebrovascular hemodynamics ( control group ) , 1 202 cases ( 17.09%) with abnormality of cerebrovascular hemodynamics:622 cases (8.84%) in the low-risk group, 331 cases (4.71%) in the moderate-risk group, and 249 cases (3.54%) in the high-risk group.The factors such as gender, age, nation, BMI, overweight or obesity, hypertension, lipid abnormality, diabetes mellitus, heart disease, smoking, alcohol consumption and past history of stroke were significantly different among four groups ( P<0.05) .Unconditional multivariate Logistic regression analysis indicated that there were causal relationships between abnormality of cerebrovascular hemodynamics and the factors such as gender, age, nation, overweight or obesity, hypertension, diabetes mellitus, heart disease, alcohol consumption and past history of stroke ( P <0.05 ) . Conclusion The main risk factors for the population with abnormality of cerebrovascular hemodynamics includ male, aged over 50, the Uyghur or Hui people, overweight or obesity, hypertension, diabetes mellitus, heart disease, alcohol consumption, and past history of stroke, which can provide important evidence and guide for the intervention in the future.关键词
卒中/血流动力学/影响因素分析Key words
Stroke/Hemodynamics/Root cause analysis分类
医药卫生引用本文复制引用
丁一,姚华,王育珊,王森路,江艳,高鹏程,李链,邵将,詹浩苏,徐越..脑血管血流动力学异常影响因素分析[J].中国全科医学,2016,19(32):3923-3927,5.基金项目
新疆维吾尔自治区科技计划资助项目(201517102） （）
