老年急性脑卒中6个月预后及其影响因素  

Six-month prognosis and the related influential factors in the elderly patients after acute cerebral stroke

作　　者：陈金梅[1] 周维智[1] 刘晓红[1] 夏菁[1] 陈缪存[1] 戚幼文[1] 宋艳艳[2] 田发发[3] 

机构地区：[1]上海市普陀区人民医院神经内科,200060 [2]上海交通大学生物统计教研室,上海市200025 [3]中南大学湘雅医院神经内科,长沙市410078

出　　处：《中华实用诊断与治疗杂志》2011年第6期557-559,共3页Journal of Chinese Practical Diagnosis and Therapy

基　　金：上海市普陀区人民医院科研项目基金资助(2007RYK07Q-01)

摘　　要：目的:观察老年脑卒中患者急性期血压及相关因素,探讨其与6个月预后的关系。方法:老年脑卒中患者275例,连续记录入院后7 d的血压,在发病后6个月时评价预后(远期预后),对急性期血压及相关因素进行单因素和多因素Logistic回归分析。结果:Logistic回归分析显示年龄>76岁,入院NIHSS评分>7分,急性期平均收缩压≥200mm Hg,急性期平均舒张压≥100 mm Hg是老年脑卒中患者6个月预后的危险因素;坚持康复锻炼是老年脑卒中患者6个月预后的保护因素。结论:老年脑卒中急性期收缩压≥200 mm Hg、舒张压≥100 mm Hg、高龄以及NIHSS评分愈高提示预后不良,积极康复锻炼可改善远期(6个月)预后。Objective To observe the blood pressure and the related influential factors in acute phase of the elderly patients with stroke in order to study the relationship with six-month prognosis.Methods The average blood pressure in the first seven days after admission was recorded.The long-term prognosis was assessed 6 months after stroke.The blood pressure and its related influential factors were analyzed with single factor analysis and multiple factors analysis methods.Results The logistic regression analysis showed the risk factors were as follows,the age over 76 years,the score of NIHSS over 7 at admission,the mean systolic blood pressure over 200 mm Hg and the mean diastolic blood pressure over 100 mm Hg in acute phase.Rehabilitation exercise was the protective factor for the six-month prognosis of the elderly stroke patients.Conclusion The elderly patient with the score of NIHSS over 7,the mean systolic blood pressure over 200 mm Hg,the mean diastolic blood pressure over 100 mm Hg and the age over 76 years will have a worse six-month prognosis.Active rehabilitation exercise can improve the six-month prognosis.

关 键 词：急性脑卒中 老年人 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]