초록 열기/닫기 버튼
연구목적 : 뇌졸중과 심근경색증은 사망원인 2,3위를 차지하고 있고, 천식은 염증성 알레르기 질환으로 직접비용과 간접비등비용이 연간 4조원이 소요되는 질환이다. 따라서 본 연구는 뇌졸중과 심근경색증이 천식과 관련이 있는지를 알아보고자 하였다. 연구방법 : 2009년 만 19세 이상 성인을 대상으로 뇌졸중으로 응답한 4,452명과 심근경색증 2,464명을 대상으로 하였다. 연령, 성별, 교육 정도, 비만여부, 흡연 여부, 이환질환 여부 등을 조사하였고, 천식과 관련 요인을 분석하기 위해 로지스틱회귀분석을 하였다. 연구결과 : 뇌졸중 여부에 따라 성별, 연령, 비만 정도, 교육수준이 낮을수록, 비흡연자에 따라 유의한 차이가 있었다. 뇌졸중이 동반된 천식이 있는 군은 4.1%로 유의한 차이가 있었고, 심근경색증은 연령이 높을수록, 남성이고, 교육 수준이 낮을수록, 비만, 비흡연자에 따라 유의한 차이가 있었다. 심근경색증이 동반된 천식이 있는 군은 2.9%이었다. 고혈압은 뇌졸중 3.488배, 심근경색증 1.934배이었고, 당뇨는 뇌졸중 1.661배, 심근경색증은 1.891배 높았다. 고지혈증은 뇌졸중이 1.569배, 심근경색증은 2.899배 높았다. 뇌졸중이 있는 군에서 심근경색증 유병률이 2.575배 높았고, 심근경색증은 뇌졸중 유병률이 2.470배였다. 천식의 경우 뇌졸중 유병률이 1.232배 높았으며, 심근경색증 유병률이 1.630배 유의하게 높은 것으로 나타났다. 결론 : 뇌졸중이 있는 대상자의 천식은 1.2배, 심근경색증은 1.6배 높은 것으로 나타나 천식은 뇌졸중 및 심근경색증과 유의한 연관성을 보이고 있는 것으로 나타났다. 본 연구는 설문지를 이용한 단면조사이므로 향후 뇌졸중 및 심근경색증과 천식의전후 연구를 통한 연구할 것을 제안한다.
Objectives: Stroke and myocardial infarction are the second and third highest causes of death in South Korea, respectively, and asthma is an inflammatory allergic disease that costs 4 trillion won annually to manage both directly and indirectly. Thus, this study was conducted to see if asthma is correlated with stroke and myocardial infarction. Methods: The subjects of this study were adults aged over 19 in 2009, of whom 4,452 people had stroke and 2,464, myocardial infarction. The investigation was done by analyzing the age, gender, education level, obesity, smoking and other diseases of the subjects, after which a logistic regression analysis was conducted to determine if there was a relation with asthma. Results: Among the stroke patients, there was a significant difference in the prevalence according to their gender, age, level of obesity, education level and smoking history. The percentage of asthma patients with stroke was 4.1%, which shows a significant difference. As for myocardial infarction, there was a significant difference in the prevalence when the patients were older, men, with a lower education level and were non-smokers. The percentage of asthma patients with myocardial infarction was 2.9%. The incidence of hypertension was 3.488 times higher in the stroke patients and 1.934 times higher in the myocardial infarction patients; of diabetes, 1.661 times higher in the stroke patients and 1.891 times higher in the myocardial infarction patients; and of hyperlipidemia, 1.569 times higher in the stroke patients and 2.899 times higher in the myocardial infarction patients. The prevalence of myocardial infarction was 2.575 times higher in the stroke group, and the prevalence of stroke was 2.470 times higher in the myocardial infarction group. In the asthma patients, the prevalence of stroke was 1.232 higher, which is 1.630 times higher than in the myocardial infarction group. Conclusion: The prevalence of asthma was 1.2 times higher in the stroke patients and 1.6 times higher in the myocardial infarction patients. Thus, asthma showed a significant correlation with stroke and myocardial infarction. However, because this study is a cross-sectional study that used questionnaires, we propose a prospective study to further investigate this relation.
키워드열기/닫기 버튼
Asthma, Myocardial Infarction, Stroke
