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常青, 何耀, 倪彬, 姜勇, 王洁, 李小鹰. 老年人吸烟、饮酒与脑卒中的流行病学研究[J]. 中国公共卫生, 2004, 20(5): 550-551. DOI: 10.11847/zgggws2004-20-05-22
引用本文: 常青, 何耀, 倪彬, 姜勇, 王洁, 李小鹰. 老年人吸烟、饮酒与脑卒中的流行病学研究[J]. 中国公共卫生, 2004, 20(5): 550-551. DOI: 10.11847/zgggws2004-20-05-22
CHANG Qing, HE Yao, NI Bin, . Cross-section study on effect of smoking, drinking and other risk factors on stroke and its subtypes in elders[J]. Chinese Journal of Public Health, 2004, 20(5): 550-551. DOI: 10.11847/zgggws2004-20-05-22
Citation: CHANG Qing, HE Yao, NI Bin, . Cross-section study on effect of smoking, drinking and other risk factors on stroke and its subtypes in elders[J]. Chinese Journal of Public Health, 2004, 20(5): 550-551. DOI: 10.11847/zgggws2004-20-05-22

老年人吸烟、饮酒与脑卒中的流行病学研究

Cross-section study on effect of smoking, drinking and other risk factors on stroke and its subtypes in elders

  • 摘要:
      目的   研究吸烟、饮酒及其他危险因素与脑卒中及其分型的关系。
      方法   对象为北京市万寿路地区60岁以上老年人群的分层随机抽样样本。共调查2096人, 分析吸烟、饮酒及其他危险因素与脑卒中的关系。
      结果   单因素分析时吸烟的OR值为1.17(95%CI: 1.01~1.35)。饮酒在男性脑卒中及脑梗塞的OR值(95%CI)分别是0.69(0.51~0.94)、0.71(0.52~0.98);调整其他主要因素后, 吸烟致脑卒中、脑出血的相对危险性OR值(95%CI)分别为1.19(1.02~1.39)、1.53(1.03~2.27);饮酒似为脑卒中的保护因素, OR值(95%CI)为0.78(0.61~0.99)。另外与脑卒中有显著相关的危险因素包括年龄、收缩压、高密度脂蛋白、高血压、冠心病、糖尿病、高血脂、脑卒中家族史。
      结论   吸烟是脑卒中的危险因素, 适量饮酒对其似有保护作用。

     

    Abstract:
      Objective   To study the relationship of smoking, drinking and other risk factors with stroke and its subtypes in elders in Beijing, China.
      Methods   The sutdy was a cross-section study including 2 096 old people in a community in Beijing by means of cluster sampling. Trained investigators finished the question-papers by face to face investigation and SPSS 1115 was used to analyze the data. There were 2 096 subjects.
      Results   In univariate analyses, age, hypertension, course of hypertension, smoking, coronary heart disease, diabetes mellitus, hyperglycemia、HDL and the family history of stroke were risk factors to strok (P < 0.05). Smoking increased the risk of total stroke, OR(95% CI)=1.17(1.01-1.35), while drinking decreased the risk of total stroke and ischemic stroke in the male, 0.69(0.51-0.94) and 0.71(0.52-0.98) respectively. Multivariate analyses showed after adjusting for potential confounders(body mass index, passive smoking, history of coronary heart disease, diabetes mellitus, hyperlipemia and heart disease etc), hypertension increased the risk of ischemic, hemorrhagic and total stroke and smoking increased the risk of total stroke and hemorrhagic stroke, 1.19(1.02-1.39)and 1.53 (1.03-2.27) respectively, while drinking still decreased the risk of total stroke (OR=0.78, 95% CI=0.61 to 0.99).
      Conclusion   Smoking was the risk factor to ischemic and total stroke, while moderate drinking reduced the risk.

     

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