Abstract:Objective To learn the stroke occurrence status and the influencing factors of the patients with type 2 diabetes, and to provide the basis for the prevention of stroke. Methods Patients with type 2 diabetes which were reported in 2011 year from the system of chronic disease monitoring information management of Zhejiang Province were selected and followed-up until October in 2014. Stroke occurrence were recorded and the influencing factors were analyzed. Results The incidence rate was 5.22%(59/1 129), and the annual incidence was 1.56%. Fifty six cases (94.92%) were ischemic stroke. Logistic regression analysis showed that older than 65 and hypertension were risk factors for type 2 diabetes complicated with stroke. The group of 65- and 75- were associated with higher risk of stroke than 45-( OR=3.38,95%CI:1.39-8.24; OR=7.77,2.14-28.24). Hypertensionin were the influencing factors of stroke among patients with type 2 diabetes (OR=10.92,95%CI:5.94-20.09). Conclusion Older age and hypertension were risk factors for type 2 diabetes complicated with stroke. Therefore effective control blood pressure among older patients with type 2 diabetes should be strengthed to prevent stroke.
韩荣荣,唐爱奇,方杭燕,胡永勤. 2型糖尿病患者并发脑卒中的前瞻性研究[J]. 预防医学, 2017, 29(2): 139-141.
HAN Rong-rong, TANG Ai-qi, FANG Hang-yan, HU Yong-qin. A prospective observation for the patients with type 2diabetes mellitus complicated with stroke. Preventive Medicine, 2017, 29(2): 139-141.
CANOUI-POITRINE F,LUC G,BARD J M,et al.Relative contribution of lipids and apolipoproteins to incident coronary heart disease and ischemic stroke:the PRIME Study[J].Cerebrovasc Dis,2010,30(3):252-259.
[9]
YANG W Y,LU J M,WENG J P,et al.Prevalence of diabetes among men and women in China[J].N Engl J Med,2010,362(12):1090-1101.
LIU J,GRUNDY S M,WANG W,et al.Ten-year risk of cardiovascular incidence related to diabetes,prediabetes and the metabolic syndrome[J].Am Heart J,2007,153(4):552-558.