静脉静脉与缺血性中风风险增加有关:基于人口的匹配队列研究
Feng-Renn Hsieh1,2, Wei-Kai Lee3, Sunny Ssu-Yu Chen4,5
1Department of Emergency Medicine, Kaohsiung Municipal United Hospital, No. 976, Jhonghua 1st Rd., Gushan Dist., Kaohsiung City 80457, Taiwan.
Postgraduate medical journal
|April 30, 2025
概括
静脉 (VVs) 会增加缺血性中风的风险,特别是在50岁以上的人群中. 管理VV可能有助于降低这种中风风险,突出了综合护理的必要性.
科学领域:
- 血管医学 血管医学
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 静脉 (VVs) 与心血管疾病有关,但它们与中风风险和治疗效果的直接联系仍在调查中.
- 现有研究尚未明确确定管理VVs是否会影响中风发病率.
研究的目的:
- 为了确定静脉静脉 (VVs) 是否与中风风险增加有关.
- 评估对VVs的干预措施对后续中风风险的影响.
主要方法:
- 使用2000-2015年的数据进行了一项与倾向性得分匹配的队列研究,但不包括以前中风的患者.
- 具有VVs的成年人与没有VVs的匹配队列进行了比较,随访至2018年.
- 考克斯比例危险模型用于分析缺血性中风 (IS) 和出血性中风 (HS) 的发生率.
主要成果:
- 该研究发现,与非VV组相比,VV组的IS发病率更高 (13.15对11.16每1000人年).
- 患有VV的个体具有明显增加的整体中风风险 (aHR=1.16),在女性和男性以及50岁及以上的人群中观察到IS风险升高.
- 在VVs和HS之间没有发现显著的关联;然而,灵敏度分析表明,VV管理可能会降低中风风险 (aHR=0.82).
结论:
- 患有动脉 (VVs) 的成年人面临较高的缺血性中风 (IS) 风险,但不是出血性中风 (HS).
- 这些发现表明,对VV的干预可能会降低中风风险.
- 医疗保健提供者应考虑对老年患者进行中风风险评估和VV管理,以加强预防性护理.
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