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探讨脑卒中高危人群颈动脉狭窄的发病率及危险因素预测

Investigation on the incidence and risk factors of carotid artery stenosis in high-risk population of cerebral apoplexy
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摘要 目的:探讨脑卒中高危人群颈动脉狭窄的发病率及危险因素。方法:选取2018年1月-2019年12月脑卒中高危体检者200例,统计颈动脉狭窄发生情况;分为观察组(发生颈动脉狭窄)和对照组(无颈动脉狭窄)。比较两组临床资料。结果:检出颈动脉狭窄57例(28.50%)。年龄≥60岁、体重指数(BMI)≥25 kg/m^2、收缩压≥140 mmHg、舒张压≥90 mmHg、空腹血糖≥6.1 mmol/L、甘油三酯≥2.26 mmol/L、血尿酸≥360μmol/L、吸烟史是脑卒中高危人群发生颈动脉狭窄的危险因素(P<0.05)。结论:脑卒中高危人群发生颈动脉狭窄的风险较高,主要与年龄、BMI、血压、空腹血糖、甘油三酯、血尿酸、吸烟史等危险因素有关,临床上应根据危险因素采取预防对策。 Objective:To investigate the incidence and risk factors of carotid artery stenosis in high risk population of stroke.Methods:From January 2018 to December 2019,200 patients with high risk of stroke were selected,and the incidence of carotid artery stenosis was counted.They were divided into the observation group(with carotid artery stenosis)and the control group(without carotid artery stenosis).The clinical data of the two groups were compared.Results:Carotid artery stenosis was detected in 57 cases(28.50%).Age≥60 years old,BMI≥25 kg/m^2,systolic blood pressure≥140 mmHg,diastolic blood pressure≥90 mmHg,fasting blood glucose≥6.1 mmol/L,triglyceride≥2.26 mmol/L,serum uric acid≥360μmol/L and smoking history were risk factors for carotid artery stenosis in high risk population of stroke.Conclusion:The high risk group of stroke has a higher risk of carotid artery stenosis,which is mainly related to age,BMI,blood pressure,fasting blood glucose,triglyceride,serum uric acid,smoking history and other risk factors.Clinical prevention measures should be taken according to their risk factors.
作者 彭玉桃 Peng Yutao(The First Affiliated Hospital of South China University,Hunan Hengyang 421000)
出处 《中国社区医师》 2020年第23期14-15,共2页 Chinese Community Doctors
关键词 脑卒中 高危人群 颈动脉狭窄 危险因素 Stroke High risk population Carotid artery Stenosis Risk factors
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