摘要
目的:探讨熬夜是否为脑卒中的独立危险因素。方法:调查2013年1月至12月在湘雅博爱康复医院住院患者的临床资料,脑卒中组(包括缺血性及出血性卒中)234例,并按1∶1的比例设定对照组234例。以高血压、糖尿病、血脂异常、心脏病、吸烟、嗜酒及熬夜为自变量,进行多因素logistic回归分析,通过自变量的显著性水平对各个危险因素进行判断。结果:2组间高血压、糖尿病、血脂异常、心脏病、吸烟、嗜酒、熬夜、房颤或瓣膜性心脏病等比较均有统计学意义(P<0.05);logistic回归分析显示,高血压OR值=4.385,糖尿病OR值=2.657,血脂异常OR值=2.727,吸烟OR值=2.299,嗜酒OR值=2.528,熬夜OR值=1.732,房颤或瓣膜性心脏病病史的OR值=9.070。结论:除了高血压、糖尿病、血脂异常、心脏病、吸烟、嗜酒等为脑卒中的独立危险因素外,熬夜为脑卒中的又一个独立危险因素。
Objective：To study whether or not staying up late is an independent risk factor for stroke. Methods：From January2013 to December 2013,patient data were recorded in Xiangya Boai Rehabilitation Hospital to analyze independent risks for stroke.The stroke group of 234 cases（including ischemic and hemorrhagic stroke） and the control group of 234 cases were included in 1∶1ratio. The independent variables to be included were： hypertension,diabellitus mellitus,blood lipid disorder,cardiac diseases,smoking,drinking and staying up late,and the significance level of the independent variables was analyzed by multiple logistic regression analysis to determine the risk factors. Results：Differences in hypertension,diabetes,dyslipidemia,smoking,drinking,staying up late,and so on were statistically significant between the two groups（P〈0.05）. Conditional logistic regression analysis showed that hyper tension（OR=4.385）,diabetes（OR=2.657）,dyslipidemia（OR=2.727）,smoking（OR=2.299）,drinking（OR=2.528）,staying up late（OR=1.732）,atrial fibrillation or valvular heart disease（OR=9.070） were the risk factors for stroke. Conclusion：In addition to hypertension,diabetes,dyslipidemia,heart disease,smoking,addicted to alcohol and other main risk factors,staying up late is another independent risk factor for stroke.
出处
《康复学报》
2016年第1期47-49,共3页
Rehabilitation Medicine
基金
国家临床重点专科建设项目[国卫办医函(2013)544号]
关键词
脑卒中
危险因素
熬夜
stroke
risk factor
staying up late
