河南省某三甲医院脑卒中住院患者合并糖尿病情况的临床分析

Stroke accompanying diabetes: analysis of patients in a top three hospital in Henan

摘要:

目的探讨脑卒中患者合并糖尿病患病比例与年龄及性别等之间相关性，为脑卒中合并糖尿病的治疗和预防提供依据。方法选取2015 年1 月-12 月在某三甲医院住院病案数据库，收集主要诊断为脑卒中或脑卒中相关并发症的患者病案首页资料进行分析。结果脑卒中病例7 088 例，脑卒中合并糖尿病的病例1 538例。其中，男性947 例，女性591 例；平均（61.57±11.05）岁。无论从总体还是性别，各年龄段患病比例随着患者年龄的增长而升高，比较差异有统计学意义（P <0.05）；Logistic 回归显示，按各因素优势比大小依次为高血压、婚姻状况、年龄及手术。结论脑卒中患者合并糖尿病受多种因素综合影响，年龄越大、患有高血压等容易导致合并糖尿病，应积极采取措施预防和治疗脑卒中合并症。

Abstract:

Objective To study the correlation among prevalence, age, gender and other factors in stroke patients complicated with diabetes. Methods Patients with stroke were selected from January 2015 to December 2015 in a top three hospital in Henan. The prevalence, age, gender and other factors in stroke patients complicated with diabetes were analyzed. Results A total of 7088 patients were included in this study, among which 1,538 patients (947 males and 591 females) with an average age of (61.57 ±11.05) years suffered from diabetes. The prevalence of stroke complicated with diabetes increased with age in male, female and collectivity, and the differences were statistically significant (P < 0.05). The pathway of payment, age,occupation, marital status, time in hospital, hypertension and surgery were correlated to stroke complicated with diabetes (P < 0.05). Logistic regression analysis showed that four factors, including hypertension, marital status, age, surgery (by odd ratio) were linked with diabetes. Conclusion Stroke complicated with diabetes is influenced by many factors. Patients who are older and suffering from hypertension are easy merged with diabetes. Prevention and treatment measures should be taken actively in patients of stroke with complications.