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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Metabolic Syndrome in Polish Ischemic Stroke Patients
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Metabolic Syndrome in Polish Ischemic Stroke Patients

机译：波兰缺血性卒中患者的代谢综合征

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Background: Metabolic syndrome (MetS) predisposes individuals to cardiovascular disease or stroke development. We aimed at evaluating the prevalence of MetS in a population of acute ischemic stroke (IS) patients from central Poland and at estimating the relationship between MetS and stroke risk. Methods: We analyzed 672 IS patients who were consecutively admitted to stroke units. The control group was composed of 612 patients with other neurologic disorders. MetS was diagnosed if 3 of 5 factors were present (obesity, increased blood pressure, increased triglycerides, low high-density lipoprotein [HDL] cholesterol, and fasting hyperglycemia) according to the Unified Criteria for Clinical Diagnosis of the Metabolic Syndrome (2009). Results: MetS was diagnosed in 61.2% of stroke patients versus 18.1% of the control group (P < .001). Multiple logistic regression showed that MetS was 1.8 times more common in women than in men (odds ratio [OR], 1.8; 95% confidence interval [CI], 1.4-2.5). The adjusted OR (95% CI) associated with MetS was 2.44 (1.48-3.64; P < .001) for IS. Hypertension and hypertriglyceridemia were the most frequent disturbances of IS patients (87.2% and 68.2%, respectively). The analysis of the interaction between MetS and its components showed significant associations with hypertension (OR, 2.15; 95% CI,.98-4.24; P < .01), high triglyceride levels (OR, 4.35; 95% CI, 2.87-9.43; P < .0001), and low HDL cholesterol levels (OR, 5.12; 95% CI, 3.15-8.20; P < .001). Conclusions: Over 60% of Polish IS patients have MetS. The prevalence of MetS was significantly higher in women than in men. Thus, MetS may be a risk factor for IS. (C) 2015 by National Stroke Association
机译：背景：代谢综合征（METS）倾向于个人心血管疾病或中风发育。我们旨在评估来自波兰中部的急性缺血性卒中（IS）患者的患者的患病率，估计大都会和卒中风险之间的关系。方法：我们分析了672谁被连续收治卒中单元的患者。对照组由612名其他神经系统障碍组成。根据统一标准，如果存在5个因素（肥胖，血压，增加甘油三酯，低高密度脂蛋白，低高密度脂蛋白[HDL]胆固醇和禁食高血糖症），则诊断出METS。结果：METS诊断为61.2％的中风患者，对照组的18.1％（P <.001）。多元逻辑回归显示，女性在女性中的常见额度比男性更常见（赔率比[或]，1.8; 95％置信区间[CI]，1.4-2.5）。与MET相关的调整后的或（95％CI）为2.44（1.48-3.64; p <.001）。高血压和高甘油脂血症是患者最常见的紊乱（分别为87.2％和68.2％）。对Mets及其组分之间的相互作用分析显示出具有高血压的显着关联（或2.15; 95％CI，0.98-4.24; P <.01），高甘油三酯水平（或4.35; 95％CI，2.87-9.43 ; p <.0001）和低HDL胆固醇水平（或5.12; 95％CI，3.15-8.20; P <.001）。结论：超过60％的抛光剂是患者已经满足。女性的Mets患病率明显高于男性。因此，METS可能是危险因素。 （c）2015年国家冲程协会

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