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中文摘要: 目的：探索肥胖与缺血性脑卒中发病率之间的关系，为脑卒中科学防治提供理论指导。方法：采用回顾性队列
研究方法，于 2017年 6月随机抽取上海市嘉定区社区居民，并按照体质指数（BMI）分成两组，调查所有研究对象一般情况、
生活习惯等基线资料后，采用多因素logistic回归分析肥胖对缺血性脑卒中发病的影响。结果：共有8 659例研究对象纳入队
列，非肥胖组6 672例，肥胖组1 987例，队列中共有71例研究对象新发脑卒中，累计发病率为8.20‰，经年龄、喝茶等因
素矫正后，肥胖组发病风险是非肥胖组1.934（1.191～3.140）倍。结论：肥胖是缺血性脑卒中的独立危险因素，应把监测和控
制BMI提升到更高的地位，早期发现高危人群，及时予以干预，降低缺血性脑卒中发生风险。
中文关键词: 肥胖 体质指数 缺血性脑卒中发病率 队列研究
Abstract:OBJECTIVE To explore the relationship between obesity and ischemic cerebrovascular disease incidence rate，to pro⁃
vide theoretical guidance for scientific prevention and treatment of stroke. METHODS A retrospective cohort study was conducted to
randomly select community residents from Jiading District. It was divided into two groups according to the body mass index（BMI）.
After investigating the baseline data on the general situation，living habits，etc. A multivariate logistic regression analysis was used
to analyze the effect of obesity on ischemic stroke. RESULTS 8 659 subjects were included in the cohort，non-obese group
was 6 672 cases，obese group was 1 987 cases and 71 patients were identified with a cumulative incidence rate of 8.2%. The risk
of obesity group was 1.934（1.191~3.140）times higher than that of non-obesity group after being corrected by age and tea. CONCLU⁃
SION Obesity was an independent risk factor for ischemic cerebrovascular disease，and it should improve the monitoring and con⁃
trol of BMI for early detection of obese people，and timely intervention to further reduce the risk of future ischemic cerebrovascular
disease.
文章编号：3202106010 中图分类号：R743 文献标志码：
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