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凉山州彝汉民族急性缺血性脑卒中病因及易患因素的特点

  

  1. 凉山彝族自治州第二人民医院 神经内科,四川 西昌 615000
  • 出版日期:2020-08-20 发布日期:2020-06-24
  • 通讯作者: 胡建,Email:571723272@qq.com
  • 基金资助:
    四川省医学科研课题----凉山州彝汉两民族脑梗死的病因及危险因素分析(S17037)

Characteristics of etiology and predisposing factors of acute ischemic stroke in  Yi and Han nationalities of Liangshan Prefecture

  1. Department of Neurology,  the Second People's Hospital of Liangshan Yi  Autonomous Prefecture,  Xichang 615000,  China
  • Online:2020-08-20 Published:2020-06-24
  • Contact: Corresponding author: Hu Jian,Email: 571723272@qq.com

摘要: 目的  探讨凉山州彝汉两民族急性缺血性脑卒中的病因及易患因素的特点。 方法  收集凉山州第二人民医院神经内科2017年1月至2019年3月符合急性缺血性脑卒中诊断的全部患者资料,并对彝族和汉族患者的易患因素及TOAST 分型进行分析。 结果  与彝族组比较,汉族组的高血压病、冠心病史及卒中史所占比例高;风湿性心脏病、吸烟所占比例低(P<0.05);汉族组血糖、高密度脂蛋白胆固醇(HDLC)高,低密度脂蛋白胆固醇(LDLC)、体重指数(BMI)低(P<0.05)。在TOAST分型中:彝族组不明原因急性缺血性脑卒中所占比例高于汉族组,但两个民族均以大动脉粥样硬化型卒中及小动脉闭塞型卒中为主(P<0.05)。结论  凉山州彝族和汉族两民族急性缺血性脑卒中的发病原因及易患因素有明显不同。 

关键词: 卒中, 易患因素, 少数民族

Abstract: Objective  To explore the characteristics of etiology and predisposing factors of acute ischemic stroke in Yi and Han nationalities of Liangshan Prefecture. Methods  The data of all patients who met the diagnosis of acute ischemic stroke in the department of neurology of the Second People's Hospital of Liangshan Yi Autonomous Prefecture,  from January 2017 to March 2019 were collected. The predisposing factors and TOAST classification of Yi and Han patients were analyzed. Results  Compared with Yi group, Han group had a higher proportion of hypertension,  coronary heart disease and stroke,  lower proportion of rheumatic heart disease and cigarette addiction(P<0.05).Simultaneously,  Han group had higher levels of blood glucose,  HDLC and lower levels of LDLC,  BMI (P<0.05). According to TOAST classification: the proportion of unexplained acute ischemic stroke in Yi group was higher than that in Han group(P<0.05),  however,  aortic atherosclerotic stroke and arterial  lateral occlusion stroke were dominant in both groups(P<0.05). Conclusion  The etiology and predisposing factors of acute ischemic stroke were different between Yi and Han nationalities in Liangshan Prefecture.

Key words: stroke, susceptibility factors, minority groups