叙利亚中风可修改的风险因素:全国性的多中心病例控制研究
Mhd Mustafa Albitar1, Subhia Maya1, Khaled Kalalib Al Ashabia1
1Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.
Scientific reports
|January 3, 2025
概括
叙利亚的中风风险因素包括高血压,糖尿病,心房动和肥胖. 高度不服药使预防工作复杂化,需要针对性的公共卫生干预措施来降低中风风险.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 卒中是全球死亡和残疾的主要原因之一.
- 大约90%的中风与可修改的风险因素有关.
- 有效预防中风需要了解特定人群的风险因素.
研究的目的:
- 为了调查在叙利亚的主要中风风险因素,一个研究有限的地区.
- 为了确定缺血性和出血性中风的可修改风险因素.
- 评估中风患者药物不服药的患病率.
主要方法:
- 一项全国性的多中心病例控制研究在叙利亚的六个中风中心进行.
- 从411例中风病例 (363例缺血病,48例出血病) 和匹配的对照中收集了数据.
- 通过案件档案,采访和问卷收集信息.
主要成果:
- 缺血性中风与心房动,高BMI (超重/肥胖),高胆固醇血症,高血压和糖尿病有显著的关联.
- 饮酒,饮食不良和身体活动不足等生活方式因素也导致缺血性中风.
- 出血性中风与更高的BMI,高血压,糖尿病和心房动有关. 超过40%的患者表现出药物不服药.
结论:
- 叙利亚主要可修改的中风风险因素包括高血压,糖尿病,心房动和肥胖.
- 药物不服药率高,特别是在高血压患者中,是一个重大挑战.
- 紧急,量身定制的公共卫生干预措施,促进生活方式的改变和药物遵守,对于减少叙利亚中风负担至关重要.
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