复发性脑梗死的危险因素分析  

Risk factor study and analysis of recurrent cerebral infarction

作　　者：李朝阳[1] 张佳东[2] 李若伟[3] 

机构地区：[1]黑龙江省医院神经内科,黑龙江省哈尔滨150036 [2]黑龙江省哈尔滨市第一医院神经内科 [3]黑龙江省医院特护办

出　　处：《中国基层医药》2009年第4期579-580,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨复发性脑梗死的危险因素及预防措施。方法对246例复发性脑梗死与100例未复发脑梗死的危险因素，应用多因素Logistic回归分析方法进行比较。结果多因素分析显示高血压、糖尿病、心脏病、心房颤动、酗酒与脑梗死复发的关系最为密切，OR值分别为2．206、2．232、2．252、2．842、2．366，均P〈0．05。预防性治疗则为脑梗死复发的保护性因素，OR值为0．294。结论脑梗死复发的危呤因素主要是高血压、糖尿病、心脑病史、心房颤动、酗酒史，而预防性治疗是防止脑梗死复发的有意义的保护因素。Objective To explore the risk factors of recurrent cerebral infarction and the preventive measures. Methods The risk factors were compared between recurrent group （246 cases with recurrent cerebral infarction） and unrecm＇rent group（ 100 cases with unrecurrent cerebral infarction） by means of multiple logistic regression analysis. Results The recurrent cerebral infarction is correlated closely with hypertension, diabetes, heart diseases and excessive drinking, and the OR values are 2. 206,2. 232,2. 252,2. 842,2. 366 respectively （ P 〈 0. 05 ）, prophylactic treatment had the protective effects against the recurrent cerebral infarction, and the OR value was 0. 249. Conclusions The main risk factors of recurrent cerebral infarctiofi were hypertension,heart diseases,excessive drinking. Prophylactic treatment hed great significance in preventing the recurrence of cerebral infarction.

关 键 词：脑梗死 危险因素 复发 

分 类 号：R74[医药卫生—神经病学与精神病学]