武汉地区脑梗死患者住院天数的影响因素分析  

The analysis of influencing factors on hospitalization day of cerebral infarction patients in Wuhan

作　　者：邱昕[1] 陈国华[1] 王晓琴[1] 王开欣[1] 李艳芳[1] 潘亚兰[1] 潘晓峰[1] 张扬[1] 

机构地区：[1]华中科技大学同济医学院附属中西医结合医院神经内科,武汉430022

出　　处：《卒中与神经疾病》2011年第1期17-19,26,共4页Stroke and Nervous Diseases

摘　　要：目的探讨武汉地区脑梗死患者住院天数及其影响因素。方法收集本院近5年间出院脑梗死患者的病例772份,排除院内感染及并发症患者。采取回顾性分析方法,按住院天数分为5~10d组,11~14d组,15~20d组三组,选取性别、意识状态、糖尿病史、心脏病史、脑卒中史、遗传倾向、中医治疗、神经康复等因素,进行Ridit统计分析,并对相关因素行住院天数的非条件logistic回归分析。结果 （1）不同性别、糖尿病史、入院时患者意识清楚与否、是否神经康复治疗患者的住院天数差异具有统计学意义（P〈0.05）;（2）既往是否有心脏病史,脑梗死病史、脑卒中遗传倾向及住院期间是否接受过中医药治疗患者的住院天数上虽有差异,但无统计学意义;（3）糖尿病史和神经康复因素进入回归方程,二者均有统计学意义。结论脑梗死患者的住院天数与不同性别、糖尿病史、入院时不同的意识状态及神经康复治疗与否有关。其中糖尿病史和康复治疗可能为影响武汉地区脑梗死患者住院天数的重要因素。Objective To study the correlation factors influencing the hospitalization day of cerebral infarction（CI） patients in Wuhan.Methods The clinical data of 772 patients diagnosed as CI from December 2002 to February 2007 were respectively reviewed.All the patients were divided into three groups according to their hospitalization day（5-10days,11-14days and 15-20days）.Influencing factors of each group such as gender,conscious state,diabetes,heart disease,stroke history,hereditary factors,Chinese traditional medicine treatments and neurological rehabilitation were assessed by Ridit test analysis.The correlation factors were analyzed by logistic regression analysis.Results There were significant differences in gender,diabetes,conscious state and neurological rehabilitation（P0.05） among each group.Other factors such as heart disease,stroke history,hereditary history and Chinese traditional medicine treatments also had little effects on the hospitalization day.Diabetes and neurological rehabilitation factors had significant relationships with hospitalization day by logistic regression analysis.Conclusions The hospitalization day of CI patients has the relationships with patients＇ gender,conscious state,diabetes as well as neurological rehabilitation treatments.Moreover,diabetes and neurological rehabilitation treatments are probably the most important factors for hospitalization day of CI patients in Wuhan.

关 键 词：脑梗死 影响因素 

分 类 号：R743[医药卫生—神经病学与精神病学]