缺血性脑卒中患者发病1年后的生存情况分析  

Analysis of survival situation at 1 year after onset in patients with ischemic stroke

作　　者：杨雪[1] 周红卫[1] 杨红梅[1] 李明芬[1] 祝敏[1] 薛静[1] 

机构地区：[1]宜宾市第三人民医院神经内科,644000

出　　处：《临床神经病学杂志》2014年第2期91-93,共3页Journal of Clinical Neurology

摘　　要：目的探讨缺血性脑卒中患者发病1年后的生存情况。方法对116例缺血性脑卒中患者进行临床资料采集并随访1年，对患者随访1年后的存活情况进行统计，并分析患者发病1年内病死的危险因素。结果本组患者随访1年后死亡21例，病死率为18．1％。与存活患者比较，死亡患者的年龄明显增高，肺部感染的比例明显增高（均P〈0．05）。COX回归分析显示，高龄和肺部感染为缺血性脑卒患者发病1年内病死的独立危险因素（r=1．058，95％CI：1．010～1．108，P=0．018；r=0．119，95％CI：0．037—0．375，P=0．000）。结论缺血性脑卒中患者发病1年后病死率为18．1％。高龄和肺部感染的缺血性脑卒中患者发病1年内病死的风险较高。Objective To investigate the survival situation at 1 year after onset in patients with ischemic stroke. Methods The clinical date of 116 patients with ischemic stroke were collected, and the patients were followed up for 1 year. The survival situation at 1 year after onset of the patients were caculated, and the risk factors of death during 1 year after onset of ischemic stroke were analyzed. Results There were 21 cases of this group dead after 1 year followed up, and the mortality was 18. 1%. Compared with the survival patients, the age and the proportion of pulmonary infection of dead patients were significantly increased （ all P 〈 0. 05 ）. Cox regression analyses showed that the advanced age and the pulmonary infection were the independent risk factors of death during 1 year after onset of ischemic stroke （r = 1. 058, 95% CI： 1. 010 - 1. 108, P = 0. 018; r = 0. 119, 95% CI： 0. 037 - 0. 375, P = 0. 000）. Conclusions The mortality of ischemic stroke at 1 year after onset is 18.1%. Ischemic stroke patients with advanced age and pulmonary infection have higher risk to die than ischemic stroke patients without those during 1 year after onset.

关 键 词：缺血性脑卒中 存活 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]