【摘要】：目的:調(diào)查烏魯木齊市體檢人群腦卒中危險因素分布現(xiàn)況,篩查腦卒中高危人群,為早期有效的干預(yù)提供依據(jù)。方法:利用《腦卒中高危人群風險初篩評估簡表》對新疆醫(yī)科大學健康管理中心2015年9月至2016年9月8956名自愿接受腦血管血流動力學檢測并且資料完整的體檢人群進行腦卒中高危人群篩查,調(diào)查分析體檢人群的腦卒中危險因素和危險因素家族聚集情況,通過腦血管血流動力學評價腦部供血情況。同時對篩查出的腦卒中高危人群進行生活方式和實驗室檢查結(jié)果的調(diào)查分析并分析腦血管受損程度。結(jié)果:1.烏魯木齊市體檢人群腦卒中高危人群的檢出率較高,其中男性和少數(shù)民族檢出率高,年齡越大腦卒中高危人群檢出率越高。2.血脂異常(82.6%)、超重或肥胖(72.1%)、運動缺乏(62.0%)以及高血壓(50.9%)是烏魯木齊市體檢人群的主要危險因素。男性主要的危險因素為血脂異常(54.7%)、超重或肥胖(43.9%)以及運動缺乏(41.7%);女性主要的危險因素為運動缺乏(44.1%)、血脂異常(33.0%)以及超重或肥胖(22.0%)。3.腦卒中高危人群存在高血壓家族聚集現(xiàn)象。4.吸煙(38.8%)、經(jīng)常大量飲酒(52.0%)以及口味偏咸(20.3%)偏油(19.0%)是腦卒中高危人群主要不健康生活方式。5.腦卒中高危人群的各項實驗室檢查結(jié)果以及心功能異常檢出率均高于健康人群,以上結(jié)果均有統(tǒng)計學差異(P0.01)。Logistic回歸分析顯示,蔬菜、水果攝入過少對腦卒中高危人群均有影響,差異均有統(tǒng)計學意義(P0.01)。6.腦卒中高危人群腦血管血流動力學異常的檢出率較高,腦血管功能受損情況更為嚴重,差異均有統(tǒng)計學意義(P0.05)。結(jié)論:血脂異常、超重或肥胖、運動缺乏以及高血壓是烏魯木齊市體檢人群的主要危險因素,吸煙、經(jīng)常大量飲酒以及口味偏咸偏油是腦卒中高危人群主要不健康生活方式,為腦卒中干預(yù)提供科學依據(jù)。
[Abstract]:Objective: to investigate the distribution of risk factors of stroke in physical examination population in Urumqi, and to screen high risk population for early effective intervention. Methods: a summary of risk assessment of high risk groups for stroke was used to study 8956 subjects who voluntarily received cerebrovascular hemodynamic tests from September 2015 to September 2016 in the Health Management Center of Xinjiang Medical University. A group of people at high risk of stroke is screened, The risk factors of stroke and the family aggregation of risk factors were investigated and the cerebral blood supply was evaluated by cerebrovascular hemodynamics. At the same time, the life style and laboratory results of the high risk population of stroke were investigated and the degree of cerebrovascular injury was analyzed. The result is 1: 1. In Urumqi, the detection rate of high risk population for stroke was higher, male and ethnic minorities were higher, the higher the age was, the higher the detection rate of cerebral apoplexy was. 2. 2. Dyslipidemia (82.6%), overweight or obesity (72.1%), lack of exercise (62.0%) and hypertension (50.9%) were the main risk factors of physical examination in Urumqi. The main risk factors of male were dyslipidemia (54.7%), overweight or obesity (43.9%) and lack of exercise (41.7%), while the main risk factors of female were lack of exercise (44.1%), dyslipidemia (33.0%) and overweight or obesity (22.0%). Hypertension family aggregation exists in high risk population of stroke. 4. 4. Smoking (38.8%), frequent heavy drinking (52.0%) and salty taste (20.3%) were the main unhealthy lifestyle in the high risk population of stroke (19.0%). The results of laboratory examination and heart function abnormality in the high risk group of stroke were higher than those in the healthy group. The above results were statistically different (P0.01). Logistic regression analysis showed that the low intake of vegetables and fruits had an effect on the high risk group of stroke. The difference was statistically significant (P0.01). The detection rate of cerebral vascular hemodynamic abnormality in high risk group of stroke was high, and the cerebral vascular function damage was more serious, the difference was statistically significant (P0.05). Conclusion: abnormal blood lipids, overweight or obesity, lack of exercise and hypertension are the main risk factors of physical examination population in Urumqi. Smoking, frequent drinking and salty oil taste are the main unhealthy lifestyle of people with high risk of cerebral apoplexy. To provide scientific basis for stroke intervention.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R743.3

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