Chinese General Practice ›› 2024, Vol. 27 ›› Issue (02): 201-207.DOI: 10.12114/j.issn.1007-9572.2023.0459
Special Issue: 神经系统疾病最新文章合辑; 老年人群健康最新文章合辑; 共病最新文章合辑; 脑健康最新研究合辑
• Original Research • Previous Articles Next Articles
Received:
2023-05-22
Revised:
2023-08-10
Published:
2024-01-15
Online:
2023-10-23
Contact:
WANG Liuyi
通讯作者:
王留义
作者简介:
基金资助:
Add to citation manager EndNote|Ris|BibTeX
URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2023.0459
项目 | 构成比 | 项目 | 构成比 |
---|---|---|---|
年龄(岁) | BMI(≥28.0 kg/m2) | ||
<55 | 319(18.9) | 是 | 1 140(67.7) |
55~65 | 587(34.8) | 否 | 545(32.3) |
>65 | 779(46.2) | 吸烟 | |
性别 | 是 | 488(29.0) | |
男 | 665(39.5) | 否 | 1 197(71.0) |
女 | 1 020(60.5) | 饮酒 | |
受教育程度 | 是 | 393(23.3) | |
小学及以下 | 447(26.5) | 否 | 1 292(76.7) |
初中、高中及中专 | 749(44.5) | 慢性病数量(种) | |
中专以上 | 489(29.0) | 1 | 169(10.0) |
工作状况 | 2 | 230(13.6) | |
失业 | 334(19.8) | 3 | 454(26.9) |
就业 | 1 351(80.2) | ≥4 | 832(49.4) |
家庭人均月收入(元) | |||
<3 000 | 717(42.6) | ||
≥3 000 | 968(57.4) |
Table 1 Basic information of 1 685 middle-aged and elderly patients with ischemic stroke
项目 | 构成比 | 项目 | 构成比 |
---|---|---|---|
年龄(岁) | BMI(≥28.0 kg/m2) | ||
<55 | 319(18.9) | 是 | 1 140(67.7) |
55~65 | 587(34.8) | 否 | 545(32.3) |
>65 | 779(46.2) | 吸烟 | |
性别 | 是 | 488(29.0) | |
男 | 665(39.5) | 否 | 1 197(71.0) |
女 | 1 020(60.5) | 饮酒 | |
受教育程度 | 是 | 393(23.3) | |
小学及以下 | 447(26.5) | 否 | 1 292(76.7) |
初中、高中及中专 | 749(44.5) | 慢性病数量(种) | |
中专以上 | 489(29.0) | 1 | 169(10.0) |
工作状况 | 2 | 230(13.6) | |
失业 | 334(19.8) | 3 | 454(26.9) |
就业 | 1 351(80.2) | ≥4 | 832(49.4) |
家庭人均月收入(元) | |||
<3 000 | 717(42.6) | ||
≥3 000 | 968(57.4) |
特征 | 例数 | 患慢性病数 | 共病患病率 | |||
---|---|---|---|---|---|---|
1种(n=169) | 2种(n=230) | 3种(n=454) | ≥4种(n=832) | |||
性别 | ||||||
男 | 665 | 83(12.5) | 97(14.6) | 191(28.7) | 294(44.2) | 582(87.5) |
女 | 1 020 | 86(8.4) | 133(13.0) | 263(25.8) | 538(52.7) | 934(91.6) |
年龄(岁) | ||||||
<55 | 319 | 91(28.5) | 54(16.9) | 80(25.1) | 94(29.5) | 228(71.5) |
55~65 | 587 | 60(10.2) | 82(14.0) | 149(25.4) | 296(50.4) | 527(89.8) |
>65 | 779 | 18(2.3) | 94(12.1) | 225(28.9) | 442(56.7) | 761(97.7) |
受教育程度 | ||||||
小学及以下 | 447 | 9(2.0) | 56(12.5) | 148(33.1) | 234(52.3) | 438(98.0) |
初中、高中及中专 | 749 | 85(11.3) | 98(13.1) | 190(25.4) | 376(50.2) | 664(88.6) |
中专以上 | 489 | 75(15.3) | 76(15.5) | 116(23.7) | 222(45.4) | 414(84.7) |
Table 2 Analysis of chronic disease data quantity and prevalence of co-morbidities in 1 685 middle-aged and elderly patients with ischemic stroke with different characteristics
特征 | 例数 | 患慢性病数 | 共病患病率 | |||
---|---|---|---|---|---|---|
1种(n=169) | 2种(n=230) | 3种(n=454) | ≥4种(n=832) | |||
性别 | ||||||
男 | 665 | 83(12.5) | 97(14.6) | 191(28.7) | 294(44.2) | 582(87.5) |
女 | 1 020 | 86(8.4) | 133(13.0) | 263(25.8) | 538(52.7) | 934(91.6) |
年龄(岁) | ||||||
<55 | 319 | 91(28.5) | 54(16.9) | 80(25.1) | 94(29.5) | 228(71.5) |
55~65 | 587 | 60(10.2) | 82(14.0) | 149(25.4) | 296(50.4) | 527(89.8) |
>65 | 779 | 18(2.3) | 94(12.1) | 225(28.9) | 442(56.7) | 761(97.7) |
受教育程度 | ||||||
小学及以下 | 447 | 9(2.0) | 56(12.5) | 148(33.1) | 234(52.3) | 438(98.0) |
初中、高中及中专 | 749 | 85(11.3) | 98(13.1) | 190(25.4) | 376(50.2) | 664(88.6) |
中专以上 | 489 | 75(15.3) | 76(15.5) | 116(23.7) | 222(45.4) | 414(84.7) |
排位 | 疾病种类 | 患病人数(例) | 患病率(%) |
---|---|---|---|
1 | 高血压 | 1 047 | 62.1 |
2 | 血脂异常 | 755 | 44.8 |
3 | 糖尿病或高血糖 | 601 | 35.6 |
4 | 心脏病发作 | 585 | 34.7 |
5 | 神经或精神问题 | 217 | 12.9 |
6 | 慢性肺部疾病 | 205 | 12.2 |
7 | 肾脏疾病 | 195 | 11.6 |
8 | 癌症或恶性肿瘤 | 140 | 8.3 |
9 | 泌尿系统疾病 | 129 | 7.7 |
10 | 与记忆相关的疾病 | 117 | 6.9 |
11 | 关节炎或风湿病 | 117 | 6.9 |
12 | 消化系统疾病 | 107 | 6.3 |
13 | 肝脏疾病 | 56 | 3.3 |
Table 3 Prevalence of co-morbidities in patients with ischemic stroke
排位 | 疾病种类 | 患病人数(例) | 患病率(%) |
---|---|---|---|
1 | 高血压 | 1 047 | 62.1 |
2 | 血脂异常 | 755 | 44.8 |
3 | 糖尿病或高血糖 | 601 | 35.6 |
4 | 心脏病发作 | 585 | 34.7 |
5 | 神经或精神问题 | 217 | 12.9 |
6 | 慢性肺部疾病 | 205 | 12.2 |
7 | 肾脏疾病 | 195 | 11.6 |
8 | 癌症或恶性肿瘤 | 140 | 8.3 |
9 | 泌尿系统疾病 | 129 | 7.7 |
10 | 与记忆相关的疾病 | 117 | 6.9 |
11 | 关节炎或风湿病 | 117 | 6.9 |
12 | 消化系统疾病 | 107 | 6.3 |
13 | 肝脏疾病 | 56 | 3.3 |
疾病/分类个数 | 分类1a(n=362) | 分类2b(n=228) | 分类3c(n=236) | 分类4d(n=426) | 分类5e(n=433) | 总样本(n=1 685) |
---|---|---|---|---|---|---|
缺血性脑卒中 | 362(100.0) | 228(100.0) | 228(100.0) | 426(100.0) | 433(100.0) | 1 685(100.0) |
高血压 | 0 | 0 | 236 (100.0) | 426 (100.0) | 385 (88.9) | 1047 (62.1) |
血脂异常 | 0 | 228 (100.0) | 0 | 426 (100.0) | 101 (23.3) | 755 (44.8) |
糖尿病或高血糖 | 63 (17.4) | 68 (29.8) | 23 (9.7) | 109 (25.6) | 338 (78.1) | 601 (35.7) |
癌症或恶性肿瘤 | 35 (9.7) | 28 (12.3) | 27 (11.4) | 22 (5.2) | 28 (6.5) | 140 (8.3) |
慢性肺部疾病 | 39 (10.8) | 27 (11.8) | 44 (18.6) | 47 (11.0) | 48 (11.1) | 205 (12.2) |
肝脏疾病 | 9 (2.5) | 8 (3.5) | 14 (5.9) | 20 (4.7) | 5 (1.2) | 56 (3.3) |
心脏病发作 | 67 (18.5) | 59 (25.9) | 20 (8.5) | 98 (23.0) | 341 (78.8) | 585 (34.7) |
肾脏疾病 | 28 (7.7) | 26 (11.4) | 37 (15.7) | 49 (11.5) | 55 (12.7) | 195 (11.6) |
消化系统疾病 | 18 (5.0) | 15 (6.6) | 20 (8.5) | 29 (6.8) | 25 (5.8) | 107 (6.4) |
神经或精神问题 | 34 (9.4) | 39 (17.1) | 37 (15.7) | 59 (13.8) | 48 (11.1) | 217 (12.9) |
与记忆有关的疾病 | 20 (5.5) | 23 (10.1) | 22 (9.3) | 28 (6.6) | 24 (5.5) | 117 (6.9) |
关节炎或风湿病 | 16 (4.4) | 16 (7.0) | 19 (8.1) | 33 (7.7) | 33 (7.6) | 117 (6.9) |
泌尿系统疾病 | 12 (3.3) | 26 (11.4) | 18 (7.6) | 37 (8.7) | 36 (8.3) | 129 (7.7) |
1种慢性病 | 169 (46.7) | 0 | 0 | 0 | 0 | 169 (10.0) |
2种慢性病 | 92 (25.4) | 34 (14.9) | 104 (44.1) | 0 | 0 | 230 (13.6) |
3种慢性病 | 62 (17.1) | 97 (42.5) | 54 (22.9) | 120 (28.2) | 121 (27.9) | 454 (26.9) |
4种慢性病 | 34 (9.4) | 65 (28.5) | 22 (9.3) | 151 (35.4) | 150 (34.6) | 422 (25.0) |
5种慢性病 | 3 (0.8) | 21 (9.2) | 44 (18.6) | 106 (24.9) | 89 (20.6) | 263 (15.6) |
6种慢性病 | 1 (0.3) | 10 (4.4) | 9 (3.8) | 33 (7.7) | 39 (9.0) | 92 (5.5) |
7种慢性病 | 1 (0.3) | 1 (0.4) | 3 (1.3) | 13 (3.1) | 22 (5.1) | 40 (2.4) |
8种慢性病 | 0 | 0 | 0 | 2 (0.5) | 7 (1.6) | 9 (0.5) |
9种慢性病 | 0 | 0 | 0 | 0 | 3 (0.7) | 3 (0.2) |
10种慢性病 | 0 | 0 | 0 | 1 (0.2) | 1 (0.2) | 2 (0.1) |
11种慢性病 | 0 | 0 | 0 | 0 | 1 (0.2) | 1 (0.1) |
Table 4 K-medoids clustering analysis of patients with ischemic stroke
疾病/分类个数 | 分类1a(n=362) | 分类2b(n=228) | 分类3c(n=236) | 分类4d(n=426) | 分类5e(n=433) | 总样本(n=1 685) |
---|---|---|---|---|---|---|
缺血性脑卒中 | 362(100.0) | 228(100.0) | 228(100.0) | 426(100.0) | 433(100.0) | 1 685(100.0) |
高血压 | 0 | 0 | 236 (100.0) | 426 (100.0) | 385 (88.9) | 1047 (62.1) |
血脂异常 | 0 | 228 (100.0) | 0 | 426 (100.0) | 101 (23.3) | 755 (44.8) |
糖尿病或高血糖 | 63 (17.4) | 68 (29.8) | 23 (9.7) | 109 (25.6) | 338 (78.1) | 601 (35.7) |
癌症或恶性肿瘤 | 35 (9.7) | 28 (12.3) | 27 (11.4) | 22 (5.2) | 28 (6.5) | 140 (8.3) |
慢性肺部疾病 | 39 (10.8) | 27 (11.8) | 44 (18.6) | 47 (11.0) | 48 (11.1) | 205 (12.2) |
肝脏疾病 | 9 (2.5) | 8 (3.5) | 14 (5.9) | 20 (4.7) | 5 (1.2) | 56 (3.3) |
心脏病发作 | 67 (18.5) | 59 (25.9) | 20 (8.5) | 98 (23.0) | 341 (78.8) | 585 (34.7) |
肾脏疾病 | 28 (7.7) | 26 (11.4) | 37 (15.7) | 49 (11.5) | 55 (12.7) | 195 (11.6) |
消化系统疾病 | 18 (5.0) | 15 (6.6) | 20 (8.5) | 29 (6.8) | 25 (5.8) | 107 (6.4) |
神经或精神问题 | 34 (9.4) | 39 (17.1) | 37 (15.7) | 59 (13.8) | 48 (11.1) | 217 (12.9) |
与记忆有关的疾病 | 20 (5.5) | 23 (10.1) | 22 (9.3) | 28 (6.6) | 24 (5.5) | 117 (6.9) |
关节炎或风湿病 | 16 (4.4) | 16 (7.0) | 19 (8.1) | 33 (7.7) | 33 (7.6) | 117 (6.9) |
泌尿系统疾病 | 12 (3.3) | 26 (11.4) | 18 (7.6) | 37 (8.7) | 36 (8.3) | 129 (7.7) |
1种慢性病 | 169 (46.7) | 0 | 0 | 0 | 0 | 169 (10.0) |
2种慢性病 | 92 (25.4) | 34 (14.9) | 104 (44.1) | 0 | 0 | 230 (13.6) |
3种慢性病 | 62 (17.1) | 97 (42.5) | 54 (22.9) | 120 (28.2) | 121 (27.9) | 454 (26.9) |
4种慢性病 | 34 (9.4) | 65 (28.5) | 22 (9.3) | 151 (35.4) | 150 (34.6) | 422 (25.0) |
5种慢性病 | 3 (0.8) | 21 (9.2) | 44 (18.6) | 106 (24.9) | 89 (20.6) | 263 (15.6) |
6种慢性病 | 1 (0.3) | 10 (4.4) | 9 (3.8) | 33 (7.7) | 39 (9.0) | 92 (5.5) |
7种慢性病 | 1 (0.3) | 1 (0.4) | 3 (1.3) | 13 (3.1) | 22 (5.1) | 40 (2.4) |
8种慢性病 | 0 | 0 | 0 | 2 (0.5) | 7 (1.6) | 9 (0.5) |
9种慢性病 | 0 | 0 | 0 | 0 | 3 (0.7) | 3 (0.2) |
10种慢性病 | 0 | 0 | 0 | 1 (0.2) | 1 (0.2) | 2 (0.1) |
11种慢性病 | 0 | 0 | 0 | 0 | 1 (0.2) | 1 (0.1) |
[1] |
|
[2] |
|
[3] |
|
[4] |
|
[5] |
|
[6] |
|
[7] |
|
[8] |
中国老年医学学会急诊医学分会,中华医学会急诊医学分会卒中学组,中国卒中学会急救医学分会.急性缺血性脑卒中急诊急救中国专家共识2018[J]. 中国卒中杂志,2018,13(9):956-967.
|
[9] |
曾利,王仲言,谷雨萌,等. 社区老年脑卒中人群共病现况分析[J]. 现代预防医学,2021,48(10):1822-1825.
|
[10] |
|
[11] |
陈玉香,蒋鹏,刘顺,等. 医联体内患者基层首诊意愿及其影响因素研究[J]. 卫生经济研究,2021,38(9):13-17. DOI:10.14055/j.cnki.33-1056/f.2021.09.003.
|
[12] |
吴斌. 围绝经期女性腹型肥胖对心血管疾病发病的影响[J]. 中国妇幼保健,2021,36(14):3366-3369. DOI:10.19829/j.zgfybj.issn.1001-4411.2021.14.063.
|
[13] |
任茂佳,贺文帅,张琪,等. 围绝经期对心血管疾病相关危险因素的影响[J]. 心血管病学进展,2019,40(6):911-914. DOI:10.16806/j.cnki.issn.1004-3934.2019.06.018.
|
[14] |
万敏,杨超,陆鸿雁,等. 海门市居民多病共存状况及影响因素分析[J]. 中国慢性病预防与控制,2022,30(1):42-46. DOI:10.16386/j.cjpccd.issn.1004-6194.2022.01.010.
|
[15] |
孙至佳,樊俊宁,余灿清,等. 中国10个地区成年人共病流行特征分析[J]. 中华流行病学杂志,2021,42(5):755-762. DOI:10.3760/cma.j.cn112338-20200305-00259.
|
[16] |
|
[17] |
|
[18] |
|
[19] |
|
[20] |
马爱娟,董忠,李刚. 北京市50~79岁人群脑卒中患病率和危险因素调查[J]. 中华流行病学杂志,2012,33(7):645-648. DOI:10.3760/cma.j.issn.0254-6450.2012.07.001.
|
[21] |
|
[22] |
|
[23] |
|
[24] |
|
[25] |
|
[26] |
|
[27] |
李婷,李娜,刘洋洋,等. 缺血性脑卒中后失眠患者主客观睡眠质量的对比及影响因素分析[J]. 宁夏医学杂志,2015,37(3):216-219. DOI:10.13621/j.1001-5949.2015.03.0216.
|
[28] |
黎敏,薛玉峰. 卒中后焦虑抑郁障碍的患病率及影响因素探讨[J]. 中国医药,2013,8(9):1236-1237. DOI:10.3760/cma.j.issn.1673-4777.2013.09.016.
|
[29] |
|
[30] |
|
[31] |
|
[32] |
|
[33] |
|
[1] | XU Baichuan, WANG Yan, ZHANG Peng, LI Yiting, LIU Feilai, XIE Yang. Research and Analysis of Screening Tools for Chronic Obstructive Pulmonary Disease Comorbidity Lung Cancer [J]. Chinese General Practice, 2025, 28(30): 3847-3852. |
[2] | ZHOU Sheng, DENG Changsheng, ZOU Guanyang, SONG Jianping. Research Progress on the Pathogenesis of Complications of Malaria in Cardiovascular Diseases [J]. Chinese General Practice, 2025, 28(27): 3466-3472. |
[3] | ZHANG Yunuo, LI Ruibin, WANG Wei. Correlation Analysis of Serum Nesfatin-1 and Ghrelin Levels with Glycolipid Metabolism and Type 2 Diabetes Mellitus [J]. Chinese General Practice, 2025, 28(26): 3264-3270. |
[4] | XIANG Xinyue, ZHANG Bingqing, OUYANG Yuqin, TANG Wenjuan, FENG Wenhuan. Impact of Short-term Medical Weight Loss on Atherosclerotic Cardiovascular Disease Risk in Patients with Obesity [J]. Chinese General Practice, 2025, 28(26): 3229-3239. |
[5] | LIU Yinyin, SUI Hongping, LI Tingting, JIANG Tongtong, SHI Tieying, XIA Yunlong. Advances in Risk Prediction Models for Cardiotoxicity Associated with Breast Cancer Treatment [J]. Chinese General Practice, 2025, 28(24): 3072-3078. |
[6] | WANG Peng, QIU Lixia, XU Shanshan, ZHANG Yang, ZHANG Jing, DU Xiaofei. Advances in the Co-management of Metabolism Dysfunction-associated Fatty Liver Disease and Type 2 Diabetes Mellitus [J]. Chinese General Practice, 2025, 28(23): 2846-2851. |
[7] | FU Rong, SHI Lei, HE Feiying. Comorbidity of Diabetes and Depression in Middle-aged and Elderly People: the Impact of Sleep, Exercise, and Social Activities [J]. Chinese General Practice, 2025, 28(20): 2491-2500. |
[8] | PAN Yaojia, FU Fanglin, HAN Zheng, SUN Meng, GU Huaicong, WANG Weiqiang. Correlation of the Type of Obesity with the Cardiometabolic Multimorbidity: a Study in Male and Female Middle-aged Residents in Anhui Province [J]. Chinese General Practice, 2025, 28(18): 2285-2293. |
[9] | ZHANG Bingqing, WANG Zhongkai, WU Changyong, SUN Huang, LI Ruijie, LIU Wenjie, LUO Yihua, ZHENG Lihui, PENG Yunzhu. Changes and Trend Prediction in the Global Burden of Congenital Heart Defects, 1990-2021 [J]. Chinese General Practice, 2025, 28(18): 2253-2261. |
[10] | HAN Zheng, SUN Meng, FU Fanglin, PAN Yaojia, WANG Weiqiang. A Study on the Relationship between the Triglyceride-Glucose Index and Cardiometabolic Multimorbidity in Individuals Aged 50 and Above [J]. Chinese General Practice, 2025, 28(18): 2278-2284. |
[11] | SONG Mingsha, WANG Youyun, LI Chunsheng, QIAO Hui. The Influence of Chronic Disease Comorbidity on Activities of Daily Living in Rural Elderly in Mountainous Areas of Southern Ningxia Based on Latent Category Analysis [J]. Chinese General Practice, 2025, 28(16): 2033-2038. |
[12] | HUANG Zhijie, MAI Zhihua, WANG Haoxiang, HE Yuming, DENG Qiaoyan, DAI Ranran, ZHOU Zhiheng. Multimorbidity of Hypertension, Diabetes, and Dyslipidemia and Influencing Factors of Family Function among the Elderly [J]. Chinese General Practice, 2025, 28(16): 2001-2010. |
[13] | AN Qinyu, WANG Yiying, ZHANG Xiaodan, ZHANG Tianlin, ZHAN Qingqing, ZHANG Fuyan, LIU Tao, WU Yanli. Prospective Cohort Study of the Impact of Socioeconomic Status and Healthy Lifestyle on Cardiovascular Disease [J]. Chinese General Practice, 2025, 28(16): 2017-2024. |
[14] | NIE Yuanyuan, FANG Da, XU Hao, YANG Donghui, BI Yan, GU Tianwei. Clinical Characteristics and Cardiovascular Disease Risk of Type 2 Diabetes Populations with Different Liver Fibrosis Risks [J]. Chinese General Practice, 2025, 28(15): 1847-1854. |
[15] | KONG Xiaoqian, WANG Jingyi, WANG Li, MAO Ting, XIA Wenjing, SHI Yan. The Real Experience of Elderly People in Rural Areas Who Witnessed Acute Cardiovascular and Cerebrovascular Events: a Qualitative Study [J]. Chinese General Practice, 2025, 28(11): 1342-1346. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||