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目的:通过对比观察青海世居藏族生活环境、饮食结构与脑卒中发病情况及相关危险因素之间关系,探讨生活环境及饮食生活习惯对于脑卒中发病的影响。方法:回顾性分析5年中我科收治的168例青海世居藏族脑卒中患者临床资料,分为出血组及缺血组,其中出血组77例,缺血组91人,对比同期汉族患者出血性卒中与缺血性卒中发病情况。结果:藏族患者中出血组与缺血组两组在脑卒中总体人群中所占比例与汉族人群比较明显不同,其中出血组所占比例明显高于汉族,而缺血组比例低于汉族,同时其相关危险因素分布情况亦存在明显差异。结论:藏族出血所占比例明显高于汉族,而缺血比例低于汉族,同时其相关危险因素分布情况亦存在明显差异,考虑与其特殊饮食结构和生活环境等多因素相关。其作用机制值得临床与实验室进一步探讨。
OBJECTIVE: To compare the relationship between living environment, dietary structure, stroke incidence and related risk factors of living Tibetan in Qinghai, and to explore the influence of living environment and dietary habits on the incidence of stroke. Methods: A retrospective analysis of 168 cases of stroke in our hospital in Qinghai province during the past five years was performed. The clinical data were divided into hemorrhage group and ischemic group, in which 77 cases were hemorrhage and 91 cases were ischemic. Compared with the Han patients in the same period Stroke and ischemic stroke incidence. Results: The proportion of bleeding and ischemic groups in stroke population was significantly different from that in Han nationality population, the proportion of bleeding group was significantly higher than that of Han nationality, while the proportion of ischemic group was lower than that of Han nationality There are also significant differences in the distribution of related risk factors. Conclusion: The proportion of Tibetan hemorrhage is significantly higher than that of Han nationality, while the proportion of ischemic is lower than that of Han nationality. At the same time, there are significant differences in the distribution of related risk factors, considering their special dietary structure and living environment and other factors. Its mechanism of action deserves further discussion in the clinic and laboratory.