上海市浦东新区脑梗死患者复发及影响因素分析

Analysis on recurrence of cerebral infarction and associated risk factors in Pudong New Area of Shanghai

摘要: 目的分析上海市浦东新区脑梗死患者复发情况及影响因素,探讨社区控制脑梗死复发的有效干预措施。方法在浦东新区监测点社区报病网络中,对辖区居民发生的脑梗死事件相关信息进行收集、登记及核实,以2012年新发脑梗死患者628例为队列,观察截至2014年年末时该人群的复发情况并分析复发的影响因素。结果脑梗死患者的再次复发率为9.08%。高血压(OR=4.797,P=0.001)、长期吸烟(OR=2.844,P=0.005)、腹部肥胖或超重(OR=2.421,P=0.041)和务农(OR=3.723,P<0.001)是脑梗死复发的独立危险因素。结论浦东新区居民脑梗死复发受多方面因素影响。

Abstract: Objective To investigate the risk factors for recurrence of cerebral infarction and to propose secondary prevention methods.Methods Data of 628 patients with cerebral infarction from Jan. 2012 to Dec.2014 were collected by the community reported network into a cohort study. The prevalence of recurrence and associated risk factors of cerebral infarction were investigated.Results Recurrence rate of cerebral infarction was 9.08%. History of hypertension(OR=4.797, P=0.001), long term of tobacco use(OR=2.844, P=0.005), abdominal obesity or overweight(OR=2.421, P=0.041) and farming(OR=3.723, P<0.001) were the independent risk factors for recurrence of cerebral infarction.Conclusion The recurrence rate of cerebral infraction is high, which is affected by various factors.