慢性支气管炎与老年缺血性脑血管病的联系

              作者：李庆华，唐静怡，王成章，王玉敏

【关键词】  老年人

　　关键词: 老年人;脑缺血/病因学;慢性支气管炎

　　摘 要:目的  调查慢性支气管炎（慢支）是否为老年缺血性脑血管病的危险因素. 方法  老年急性缺血性脑血管病患者116例，年龄≥60岁.并按1∶1配对选择同期内神经科住院的老年非急性脑血管病患者为对照组，对两组患者的年龄、有无慢支、高血压病、糖尿病、高脂血症、既往缺血性脑血管病、冠心病及吸烟史进行调查. 结果  慢支在老年缺血性脑血管病中的发生率为33.6%，在非缺血性脑血管病中发病率为19.0%（P=0.017），有显著性差异;在多因素Logistic回归分析中，慢支仍为老年缺血性脑血管病独立的危险因素（OR=2.47，95.0%可信区间，1.27～4.80;P=0.008）. 结论 慢性支气管炎为老年缺血性脑血管病一独立危险因素.
    
　　Association between aged cerebrovascular ischemia and chronic brochitis
         
　　Abstract:AIM To investigate association between senile cerebrovascular ischemia and chronic brochitis.METHODS 116patients aged≥60years with acute cerebrovascular is-chemia and116age-and sex-matched no stroke neurological patients were selected as cases and controls respectively.The age，history of chronic brochitis，hypertension，diabetes mel-litus，hyperlipidemia，previous stroke or transient ischemic attacks，coronary heart disease and smoking history were in┐vestigated.RESULTS The prevalence of chronic bronchitis in the cases（33.6%）was significantly higher than that in the controls（19.0%）.The difference was significant（P=0.017）.Logistic analysis showed that chronic bronchitis re-mained a significant risk factor for senile cerebrovascular is-chemia（OR=2.47;95.0%CI，1.27～4.80;P=0.008）.CONCLUSION Chronic brochitis is an risk factor for cere-brovascular ischemia in older patients.
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