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The contribution of different risk factors in the occurrence of stroke

机译：不同风险因素在中风发生中的作用

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Background: Although stroke cause substantial morbidity and mortality, it is unclear how individuals are affected, or a group of risk factors contribute to stroke outcomes especially in developing countries. Methods: This study evaluated the risk factors of stroke. This was a cross-sectional study of stroke patients from Komfo Anokye Teaching Hospital; Adult enrolees who were eligible for inclusion were persons who have had stroke within twenty-four hours of onset without any medication. Questionnaires were used to gather information on medical history, demographic features and lifestyle. The lipid profile, fasting blood sugar and blood pressure were measured, likewise the determination of aminotransferases and gammaglutamyltransferase. Results: Out of 224 stroke patients, of mean age 65.64 ± 1.08 SEM years, used for the study, 56.7% of the patients had hyperglycaemia, whereas 47.2% were known diabetics. Hypertriglyceridaemiawas found in 55.8%, followed by 30.8% of the patients who had a reduced HDL-C and 17.95% of them with increased LDL-C. About 20% of the patients had raised AST, 7.1% raised ALT and 14.7% raised GGT above the normal levels. As high as 63% of stroke patients had high blood pressure. Conclusions: There were a high prevalence of both hypertension and hyperglycaemia among the stroke patients. Based on this study, it is important to stress the need for educating the stroke patients and/or their caregivers, on the aetiology of stroke and the treatment options. The general population should also be educated on primary preventive measures for all age groups and both genders.
机译：背景：尽管中风会导致大量的发病和死亡，但目前尚不清楚个体是如何受到影响的，或者尚不清楚一组风险因素对中风后果的影响，尤其是在发展中国家。方法：本研究评估了中风的危险因素。这是来自Komfo Anokye教学医院的中风患者的横断面研究;符合纳入条件的成年参与者是在发病后24小时内未服用任何药物的中风患者。问卷被用来收集有关病史，人口统计学特征和生活方式的信息。测量脂质分布，空腹血糖和血压，同样测定氨基转移酶和γ-谷氨酰转移酶。结果：在用于本研究的224名平均年龄为65.64±1.08 SEM年的中风患者中，有56.7％的患者患有高血糖症，而47.2％的患者是糖尿病患者。高甘油三酯血症的发生率为55.8％，其次是HDL-C降低的患者为30.8％，LDL-C升高的患者为17.95％。约20％的患者AST升高，ALT升高7.1％，GGT升高14.7％。高达63％的中风患者患有高血压。结论：卒中患者中高血压和高血糖症的患病率很高。根据这项研究，重要的是要强调对中风患者和/或其护理人员进行教育的必要性，以了解中风的病因和治疗选择。还应向一般人群教育所有年龄段和性别的初级预防措施。

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