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Sci Rep:中国1.6万卒中死亡分析,二手烟增加死亡风险

2017-04-14 佚名 中国循环杂志

近期一项来自于全国死因回顾调查的分析结果显示,二手烟会增加各种类型卒中患者的死亡风险,并且暴露时间越长,二手烟量越大,风险越高。研究显示,校正相关变量后,二手烟可增加各种类型卒中患者10%的死亡风险,其中可增加10%的出血性脑卒中死亡风险,12%的缺血性卒中死亡风险。而且这种风险不论地域、男女以及是否当前吸烟都一致存在。

近期一项来自于全国死因回顾调查的分析结果显示,二手烟会增加各种类型卒中患者的死亡风险,并且暴露时间越长,二手烟量越大,风险越高。

研究显示,校正相关变量后,二手烟可增加各种类型卒中患者10%的死亡风险,其中可增加10%的出血性脑卒中死亡风险,12%的缺血性卒中死亡风险。

而且这种风险不论地域、男女以及是否当前吸烟都一致存在。比如,对于不吸烟者,二手烟会增加14%的各种类型卒中的死亡风险;对于吸烟者,可增加7%的各种类型卒中死亡风险。

而且研究还显示,这种风险还会随着二手烟的暴露年头和配偶每日吸烟量显着增加。比如,暴露二手烟不到20年,卒中死亡风险增加9%;暴露20~39年,卒中死亡风险增加12%;暴露40年以上,卒中风险增加11%。

研究者介绍说,二手烟增加卒中风险的机制与主动吸烟相似,比如增加颈动脉粥样硬化发生风险、升高体内C反应蛋白、高半胱氨酸、纤维蛋白原、氧化低密度脂蛋白胆固醇水平等。而二手烟增加的卒中死亡风险,则还会经过一定的诱导期。

这项人群为基础的病例对照研究,共纳入1986-1988年全国28个省市16205例≥30岁的卒中死亡病例和匹配的16205例非卒中死亡病例。其中死于卒中者,有12579例为出血性脑卒中,3626例为缺血性脑卒中。配偶吸烟每日多于1支长达1年者,定义为二手烟暴露。

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    2017-04-15 1e10c84am36(暂无匿称)

    文章很好,值得分享

    0

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    2017-04-15 jin321

    远离吸烟

    0

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    2017-04-14 baihao215

    这样的文章应该给管理者好好看看

    0

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