成年脑卒中患者家属流行病学特征及危险因素研究

摘要

目的 探讨成年脑卒中患者家属流行病学特征及其危险因素.方法 对2014年1月-2015年1月新疆医科大学第一附属医院康复医学科住院后确诊为脑卒中的患者家属(亲生女儿)490名进行问卷调查研究,计算成年脑卒中患者家属患脑卒中的发病率,并对其发病的危险因素进行分析.结果 490名成年脑卒中患者家属的发病率为3.88％(19/490),单因素分析显示:患病人群和未患病人群年龄、高血压病史、糖尿病病史、经济收入、文化程度等因素差异有统计学意义(P<0.05);多因素Logistic回归分析显示:患者年龄≥50岁、经济收入<2 000元/月、文化程度高中及以下、高血压病病史、糖尿病病史均是脑卒中发病的独立危险因素(P<0.05).结论 成年脑卒中患者家属的发病率较高,应对此类高危人群普及脑卒中健康教育知识,提供科学合理的指导,从而降低脑卒中的发病率和致残率.%Objective To analyze the epidemiological characteristics and risk factors of family members of adult stroke patients.Methods A total of 490 families of adult stroke patients were enrolled from January 2014 to January 2015 at the department of rehabilitation medicine,the First Affiliated Hospital of Xinjiang Medical University.The incidence of the family members and the risk factor of adult stroke was analyzed and investigated.Results The incidence rate of family members of adult stroke patients was 3.88％(19/490),Single factor analysis(Age,hypertension history,diabetes history,income and education)showed that the difference between sufferers and non sufferers group was statistically significant(P<0.05);Multivariate Logistic regression analysis on the factors whose P value were less than 0.05 showed that the factors counted as Independent risk factors(P<0.05)for adult stroke under the conditions of: age ≥50,income <2 000 RMB/month,Education≤high school and below,hypertension history,diabetes history.Conclusion The incidence of family members of adult stroke patients was higher,thus,the knowledge about stroke should be popularized and provide scientific and reasonable guidance to the high-risk group of the family members of the adult stroke patients,reducing the incidence and disability rate of adult stroke.