吐鲁番地区汉族和维吾尔族脑卒中危险因素分析

李永昌, 周琳, 傅可, 彭熠, 贺彩, 余翔

湖南师范大学学报医学版 ›› 2023, Vol. 20 ›› Issue (6) : 79-86.

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湖南师范大学学报医学版 ›› 2023, Vol. 20 ›› Issue (6) : 79-86.
临床医学

吐鲁番地区汉族和维吾尔族脑卒中危险因素分析

  • 李永昌, 周琳, 傅可, 彭熠, 贺彩, 余翔
作者信息 +

Analysis of stroke risk factors of Han and Uyghur in Turpan area

  • LI Yongchang, ZHOU Lin, FU Ke, PENG Yi, HE Cai, YU Xiang
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摘要

目的:统计分析吐鲁番地区汉族和维吾尔族普通人群中脑卒中高危因素分布特点。方法:选取2021年1月―2021年12月吐鲁番市人民医院体检中心数据库40岁及以上人群(汉族和维吾尔族共 3,269人)为研究对象,统计分析的数据包括一般资料、实验室检查结果及既往史等。结果:维吾尔族41~50岁男性组的高血压患病率低于汉族男性,而维吾尔族71~80岁男性组的高血压患病率高于汉族男性;维吾尔族51~60岁男性组的吸烟率高于汉族男性;维吾尔族71~80岁男性组中糖尿病患病率低于汉族男性;维吾尔族41~80岁男性组及女性组的超体质量率高于汉族人群组,而在各年龄亚组中只有41~50岁年龄组及51~60岁年龄组中有统计学差异;维吾尔族61~70岁组、71~80岁组中的男性饮酒率低于汉族男性。结论:吐鲁番地区汉族和维吾尔族人群中脑卒中危险因素分布存在差异,我们需要根据民族、性别等因素个体化地进行脑卒中高危因素的监测及干预。

Abstract

Objective To statistically analyze the distribution characteristics of stroke risk factors in Han and Uygur populations in Turpan area. Methods From January 2021 to December 2021,people aged 40 and above(3269 Han and Uyghur people in total)in the Physical examination center database of Turpan People's Hospital were selected as the research objects. The statistical analysis data included general information,laboratory test results and past history. Result The prevalence of hypertension in Uyghur Chinese nationality aged 41-50 years is significantly lower than that in Hannationality,while the prevalence of hypertension in Uyghur nationality aged 71-80 is significantly higher than that in Han nationality. The smoking rate of Uyghur nationality aged 51-60 is significantly higher than that of Han nationality;The prevalence of diabetes among Uyghur nationality aged 71-80 is lower than that of Han nationality;The overweight rate of Uyghur men and women aged 41-80 was significantly higher than that of Han nationality group,while there were statistical differences in the 41-50 age groups and 51-60 age groups. The drinking rate of Uyghur nationality aged 61-70 and 71-80 is significantly lower than that of Han nationality. Conclusion There are differences in the distribution of stroke risk factors among Han and Uygur Chinese nationalityin Turpan area,and we need to monitor and intervene on stroke risk factors according to ethnicity,gender and other factors.

关键词

危险因素 / 脑卒中 / 维吾尔族 / 汉族

Key words

risk factors / stroke / Uyghur Chinese nationality / Hannationality

引用本文

导出引用
李永昌, 周琳, 傅可, 彭熠, 贺彩, 余翔. 吐鲁番地区汉族和维吾尔族脑卒中危险因素分析[J]. 湖南师范大学学报医学版. 2023, 20(6): 79-86
LI Yongchang, ZHOU Lin, FU Ke, PENG Yi, HE Cai, YU Xiang. Analysis of stroke risk factors of Han and Uyghur in Turpan area[J]. Journal of Hunan Normal University(Medical Science). 2023, 20(6): 79-86
中图分类号: R743.3   

参考文献

[1] CHEN Y,WRIGHT N,GUO Y,et al.Mortality and recurrent vascular events after first incident stroke:a 9-year community-based study of 0·5 million Chinese adults[J]. Lancet Glob Health,2020,8(4):e580-e590.
[2] O’DONNELL M J,XAVIER D,LIU L,et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries(the INTERSTROKE study):a case-control study[J]. Lancet,2010,376(9735):112-123.
[3] COLLINS R,REITH C,EMBERSON J,et al.Interpretation of the evidence for the efficacy and safety of statin therapy[J]. Lancet,2016,388(10059):2532-2561.
[4] XIE X,ATKINS E,LV J,et al.Effects of intensive blood pressure lowering on cardiovascular and renal outcomes:updated systematic review and meta-analysis[J]. Lancet,2016,387(10017):435-443.
[5] PETERS S A E,HUXLEY R R,WOODWARD M. Diabetes as a risk factor for stroke in women compared with men:a systematic review and meta-analysis of 64 cohorts,including 775 385 individuals and 12 539 strokes[J]. Lancet,2014,383(9933):1973-1980.
[6] ZHANG C,QIN Y-Y,CHEN Q,et al.Alcohol intake and risk of stroke:A dose–response meta-analysis of prospective studies[J]. Int J Cardiol,2014,174(3):669-677.
[7] MONS U,MÜEZZINLER A,GELLERT C,et al. Impact of smoking and smoking cessation on cardiovascular events and mortality among older adults:meta-analysis of individual participant data from prospective cohort studies of the CHANCES consortium[J]. Bmj,2015,350:h1551.
[8] NATH M,SWARNKAR P,SHARMA R,et al.Association of modifiable risk factors with ischaemic stroke subtypes in Asian versus Caucasian populations:A systematic review and meta-analysis[J]. Eur J Clin Invest,2022,52(11):e13849.
[9] BOEHME A K,ESENWA C,ELKIND M S. Stroke Risk Factors,Genetics,and Prevention[J]. Circ Res,2017,120(3):472-495.
[10] LAW M R,MORRIS J K,WALD N J.Use of blood pressure lowering drugs in the prevention of cardiovascular disease:meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies[J]. Bmj,2009,338:b1665.
[11] NG M,FLEMING T,ROBINSON M,et al.Global,regional,and national prevalence of overweight and obesity in children and adults during 1980-2013:a systematic analysis for the Global Burden of Disease Study 2013[J]. Lancet,2014,384(9945):766-781.
[12] FLEGAL K M,CARROLL M D,OGDEN C L,et al.Prevalence and trends in obesity among US adults,1999-2008[J]. JAMA,2010,303(3):235-241.
[13] NING X,ZHAN C,YANG Y,et al.Secular trends in prevalence of overweight and obesity among adults in rural Tianjin,China from 1991 to 2011:a population-based study[J]. PLoS One,2014,9(12):e116019.
[14] FENG T,VEGARD M,STRAND L B,et al.Metabolically Healthy Obesity and Risk for Atrial Fibrillation:The HUNT Study[J]. Obesity(Silver Spring),2019,27(2):332-338.
[15] ECKEL N,LI Y,KUXHAUS O,et al.Transition from metabolic healthy to unhealthy phenotypes and association with cardiovascular disease risk across BMI categories in 90 257 women(the Nurses’ Health Study):30 year follow-up from a prospective cohort study[J]. Lancet Diabetes Endocrinol,2018,6(9):714-724.
[16] O’DONNELL M J,CHIN S L,RANGARAJAN S,et al. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries(INTERSTROKE):a case-control study[J]. Lancet,2016,388(10046):761-775.
[17] CAVENDER M A,SCIRICA B M,RAZ I,et al. Cardiovascular Outcomes of Patients in SAVOR-TIMI 53 by Baseline Hemoglobin A1c[J]. Am J Med,2016,129(3):340. e341-348.
[18] MAIDA C D,DAIDONE M,PACINELLA G,et al.Diabetes and Ischemic Stroke:An Old and New Relationship an Overview of the Close Interaction between These Diseases[J]. Int J Mol Sci,2022,23(4).
[19] FEIGIN V L,ROTH G A,NAGHAVI M,et al.Global burden of stroke and risk factors in 188 countries,during 1990-2013:a systematic analysis for the Global Burden of Disease Study 2013[J]. Lancet Neurol,2016,15(9):913-924.
[20] MARKIDAN J,COLE J W,CRONIN C A,et al.Smoking and Risk of Ischemic Stroke in Young Men[J]. Stroke,2018,49(5):1276-1278.
[21] THRIFT A G,THAYABARANATHAN T,HOWARD G,et al.Global stroke statistics[J]. Int J Stroke,2017,12(1):13-32.
[22] KWAN J,HORSFIELD G,BRYANT T,et al.IL-6 is a predictive biomarker for stroke associated infection and future mortality in the elderly after an ischemic stroke[J]. Exp Gerontol,2013,48(9):960-965.
[23] DI RAIMONDO D,TUTTOLOMONDO A,BUTTÀ C,et al.Effects of ACE-inhibitors and angiotensin receptor blockers on inflammation[J]. Curr Pharm Des,2012,18(28):4385-4413.
[24] CHEN J,LI S,ZHENG K,et al.Impact of Smoking Status on Stroke Recurrence[J]. J Am Heart Assoc,2019,8(8):e011696.
[25] GRISWOLD M G,FULLMAN N,HAWLEY C,et al.Alcohol use and burden for 195 countries and territories,1990–2016:a systematic analysis for the Global Burden of Disease Study 2016[J]. The Lancet,2018,392(10152):1015-1035.
[26] JEONG S M,LEE H R,HAN K,et al.Association of Change in Alcohol Consumption With Risk of Ischemic Stroke[J]. Stroke,2022,53(8):2488-2496.
[27] 张艳炜,张倩,李山山,等. 中国新疆地区维吾尔族人群缺血性卒中的危险因素[J]. 国际脑血管病杂志,2016,24(1):13-16.
[28] 蔡坚,张小宁,吐尔逊·沙比尔,等. 缺血性卒中危险因素的种族差异—— 中国新疆汉族与维吾尔族患者的回顾性比较[J]. 国际脑血管病杂志,2011,19(12):887-889.

基金

湖南省发展和改革委员会2021年创新研发课题项目“结合湖南援疆对不同民族脑血管病危险因素调查分析”(212-34)

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