بررسی اپیدمیولوژیک عوامل خطر استروک به تفکیک محل سکونت (شهر و روستا) در بیماران مراجعه کننده به بیمارستان‌های دانشگاه علوم پزشکی اصفهان

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دستیار پژوهشی، کمیته‌ی پژوهشی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشیار، گروه مغز و اعصاب، مرکز تحقیقات علوم اعصاب اصفهان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 اپیدمیولوژیست، کمیته‌ی پژوهشی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: سکته‌ی مغزی (Stroke) از جمله شایع‌ترین بیماری‌های نورولوژیک می‌باشد. در کشور ما تاکنون تفاوت‌های شهری و روستایی عوامل خطر استروک بررسی نشده است. این مطالعه، جهت بررسی اپیدمیولوژیک عوامل خطر استروک به تفکیک محل سکونت در شهر و روستا طراحی شده است.روش‌ها: در این مطالعه‌ی آینده‌نگر، 590 بیمار بستری در دو بیمارستان الزهرا (س) و کاشانی (مراکز ارجاع) دانشگاه علوم پزشکی اصفهان مورد بررسی قرار گرفتند. معیار ورود به مطالعه سن بالاتر از 16 سال و تأیید بیماری استروک توسط یک نورولوژیست بود. عوامل خطر استروک شامل فشار خون بالا، دیابت، اختلالات پروفایل لیپید، سابقه‌ی سکته قلبی، سابقه‌ی فیبریلاسیون دهلیزی، سابقه‌ی بیماری دریچه‌ای قلبی، مصرف سیگار و اعتیاد، سابقه‌ی بیماری ایسکمیک قلبی، سابقه‌ی استروک قبلی و فصل‌های سال بین بیماران سنجیده شد. همچنین محل زندگی هر بیمار بر اساس شهر یا روستا ثبت گردید.یافته‌ها: از بین 590 بیمار 464 نفر (6/78 درصد) ساکن شهر و 126 نفر (4/21 درصد) ساکن روستا بودند. بر اساس آنالیز انجام شده فشار خون، بیماری ایسکمیک قلبی و دیابت شایع‌ترین بیماری‌های همراه در مبتلایان به استروک در شهر و روستا بودند. البته عوامل خطر استروک در ساکنین شهر و روستا اختلاف معنی‌داری با یکدیگر نداشتند.نتیجه‌گیری: این مطالعه همانند مطالعات قبلی نشان داد فشار خون بالا، بیماری ایسکمیک قلبی و دیابت در ساکنین شهر بیشتر از ساکنین روستا دیده می‌شود. البته به عنوان مهم‌ترین عوامل خطر استروک، اختلاف معنی‌داری در شهر و روستا بین آن‌ها دیده نشد.

کلیدواژه‌ها


عنوان مقاله [English]

Epidemiologic Evaluation of Stroke Risk Factors among Rural-Urban Patients in Isfahan University Hospitals, Iran

نویسندگان [English]

  • Azadeh Tavangar 1
  • Mohammad Hadi Shamsaee 1
  • Ahmad Chitsaz 2
  • Mojtaba Akbari 3
  • Mohammad Saadatnia 2
1 Research Assistant, Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor, Department of Neurology, Neuroscience Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
3 Epidemiologist, Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Stroke is one of the commonest neurological diseases. However, no study has been designed to compare urban and rural stroke risk factors in Iran. Therefore, this study aimed to evaluate epidemiologic characteristics of stroke risk factors among rural and urban population.Methods: In this prospective cross-sectional study, 590 consecutive patients were evaluated in departments of neurology at two university hospitals (associated with Isfahan University of Medical Sciences, Isfahan, Iran). Patients above 16 years of age with confirmed stroke by a neurologist were included. Stroke risk factors such as hypertension (HTN), diabetes, dyslipidemia, atrial fibrillation, myocardial infarction, valvular diseases, smoking and addiction, ischemic heart disease (IHD), history of previous stroke and seasons of the year were registered. The patients were also asked if they lived in the rural or urban areas.Findings Urban and rural patients respectively constituted 78.6% (n = 464) and 21.4% (n = 126) of the 590 participants. According to the performed analyses, HTN, IHD and diabetes were the commonest risk factors in both urban and rural patients. In addition, no significant differences were found in stroke risk factors between rural-urban patients.Conclusion: Similar to previous researches, this study indicated urban population to have a higher probability of having HTN, IHD and diabetes. However, no significant differences were observed in such complications between rural-urban patients.

کلیدواژه‌ها [English]

  • Stroke
  • Risk Factor
  • Rural
  • Urban
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