卒中单元模式下影响脑梗死患者短期预后的多因素分析  

A study of the functional prognosis and influential factors of cerebral infractions in stroke unit

作　　者：刘新通[1] 王丽娟[1] 何池忠[1] 卢海克[1] 李昌茂[1] 张雄[1] 王硕[1] 戴成波[1] 

机构地区：[1]广东省人民医院神经内科,广州510080

出　　处：《中华物理医学与康复杂志》2009年第10期671-673,共3页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：基金项目：广东省科技计划项目（2003C30605）

摘　　要：目的探讨卒中单元模式下脑梗死患者的短期预后及其影响因素。方法采用前瞻性研究方法对我院卒中单元2004年4月至2005年12月间收治的脑梗死病例进行门诊随访或电话随访，采用改良Rankin量表（mRS）评分作为结局评定指标，选用单因素分析及多因素logistic回归分析研究预后影响因素。结果共有150例患者数据纳入最终分析，其中预后良好者有98例（65．33％），预后不良者有52例（34．67％）。经多因素logistic回归分析后发现，脑梗死患者预后不良与下列因素有关，包括年龄、脑卒中病史、NIHSS评分、并发症以及发病至住院时间。结论卒中单元模式下脑梗死患者短期预后不良与高龄、有脑卒中病史、高NIHSS评分、并发症及治疗延误有关。Objective To observe the prognostic factors of functional outcome of patients with cerebral in- fraction treated in stroke unit. Methods The data of patients with cerebral infractions treated in stroke unit in our hospital were prospectively collected from April 2004 to December 2005 continuously. All the patients They were fol- lowed up either by their regular visits to our outpatient clinics or by phone interview. The modified Rankin scale （mRS） score was used as the index of primary outcome. The prognostic factors of the functional outcome were ana- lyzed by monovariate and muhivariate logistic regression. Results A total of 150 cases were collected, of whom 98 were with good outcome, 52 cases with poor outcome. The muhivariate logistic regression showed that the poor out- come was associated with aging, previous history of stroke, high NIHSS scores, complications, and time from onset of the disease to admission to stroke unit. Conclusion The results suggested that older age, having stroke history, higher NIHSS total scores ,having complications and delayed hospitalized time were influence factors to functional out- come of cerebral infractions in stroke unit.

关 键 词：市中单元 脑梗死 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]