출혈성 뇌졸중과 허혈성 뇌졸중의 위험인자 비교분석 : 흡연,음주,비만,식습관을 중심으로 = Comparative analysis of risk factors for hemorrhagic and ischemic stroke : smoking, drinking, obesity, perception of saltness

다국어 초록 (Multilingual Abstract)

This study questionnaires 166 inpatients and outpatients with stroke in 8 hospitals, including Wonkwang University Gwangju Korean Hospital from July 2 to 31, 2001 in order to find out the influence of general nature, smoking, drinking, obesity, and perception of saltness of patients with stork on the outbreak of stroke and to examine important factors by dividing into hemorrhagic and ischemic stroke. Finally, collected data is analyzed statistically, using SPSS 7.5 statistics package.
This study reaches a conclusion as follows.
1. For general nature, 86(51.8%) patients have hemorrhagic stroke and 80(48.2%), ischemic stroke in the rate of 1.59:1(male:female), suggesting that male's outbreak is more than female's. Outbreak age is ranged from 20 years to 90 years in order of 60's, 50's, and 40's. 50's-60's accounts for more than half percentage.
2. For medical history, 73(44.0%) had hypertension and their 52.1% has hemorrhagic stroke, and 22(13.3%) had diabetes and their 81.8% has ischemic stroke. The cross-analysis of male's and female's hemorrhagic and ischemic stroke shows statistically significant results with x^(2) =7.41 and x^(2) =3.86 respectively(p<0.05). 17(10.2%) had the heart's blood diseases and their 58.8% has ischemic stroke and 54(32.5%) has family history and there is no the difference between hemorrhagic and ischemic stroke.
3. For smoking, 73(71.6%) of male patients has smoking experience and their 56.2% has ischemic stroke. Their cross-analysis for hemorrhagic and ischemic stroke shows significant difference with x^(2) =3.90(p<0.05). 48.6% of patients with smoking experience is ranged from 1 to 10 a day in smoking quantity.
4. For drinking, 90(88.2%) of male patients has drinking experience and their 53.3% has hemorrhagic stroke. Their cross-analysis for hemorrhagic and ischemic stroke shows no significant difference with x^(2) =3.4O(p<0.l). 59.3% of patients with drinking experience is classified as a overdrinking group.
5. For obesity, low weight is 8(4.8%); normal, 111(66.9%); excessive, 40(24.1%), and obesity, 7(4.2%). In patients with hemorrhagic stroke, excessive weight and obesity are somewhat high(33.7%). The cross-analysis for male's hemorrhagic arid ischemic stork by dividing BMI into more and less than 25 shows no significant difference with x^(2) =3.52(p<0.1).
6. For perception of saltness, 21(12.7%) patients eat flat; 76(45.8%) normally, Many patients with ischemic stroke are classified as a The cross-analysis for male's hemorrhagic and ischemic and 69(41.5%), saltily. group who eat saltily. stroke shows signifiant difference with x^(2) =10.99(p<0.05).
As this study has small sample and selects inpatient and outpatient in certain local hospital, it is difficult to generalize. But the cross-analysis of male's hemorrhagic and ischemic stroke shows signifiant difference in smoking and perception of saltness. Drinking and obesity are more important factors in hemorrhagic stroke and smoking and perception of saltness in ischemic stroke.

목차 (Table of Contents)

• 목차 = ⅰ
• 표목차 = ⅲ
• ABSTRACT = ⅳ
• Ⅰ. 서론 = 1
• 1. 연구의 필요성 = 1
• 2. 연구 목적 = 3
• 3. 연구 가설 = 4
• Ⅱ. 대상 및 방법 = 5
• 1. 연구대상 및 측정방법 = 5
• 2. 연구에 사용된 변수 = 7
• 3. 자료처리 및 분석 = 8
• Ⅲ. 연구 결과 = 9
• 1. 연구대상자의 일반적 특성 = 9
• 가. 연구대상자의 병류별 및 성별 발생 분포 = 9
• 나. 연구대상자의 연령별 발생 분포 = 10
• 다. 연구대상자의 병력기간 = 11
• 2. 연구대상자의 의학적 과거력 = 12
• 가. 연구대상자의 의학적 과거력 = 12
• 나. 연구대상자의 가족력 = 14
• 3. 연구대상자의 흡연 및 음주 = 15
• 가. 연구대상자의 흡연 및 음주경험 = 15
• 나. 연구대상자의 흡연량 및 음주량의 분포 = 16
• 4. 연구대상자의 비만정도와 식습관 = 17
• 가. 연구대상자의 비만도 분포 = 17
• 나. 연구대상자의 비만도에 대한 교차분석 = 18
• 다. 연구대상자의 식습관 = 19
• Ⅳ. 고찰 = 20
• Ⅴ. 결론 = 26
• Ⅵ. 참고문헌 = 29
• 설문지 = 35