老年脑卒中患者危险因素分析  

Analysis of risk factors for stroke in elderly patients

作　　者：骆杭丽[1] 何红飞[1] 王欣[1] 吴亦[1] 施婵宏[1] 

机构地区：[1]浙江省义乌市中心医院神经内科,322000

出　　处：《中华老年医学杂志》2015年第2期138-140,共3页Chinese Journal of Geriatrics

基　　金：浙江省义乌市科研项目（2010-3-20）

摘　　要：目的分析影响老年脑卒中患者预后的相关危险因素，为提高患者预后提供理论基础。方法以本科室2011年1月至2013年12月收治的188例老年脑卒中患者为研究对象，调查患者临床资料，分析其预后情况及影响其预后的相关危险因素。结果预后良好占52．7％（99／188），预后较差占47．3％（89／188）；预后良好组患者年龄明显小于预后较差组患者年龄，差异有统计学意义（t=1．7930，P〈O．05）。单因素分析表明，脑卒中患者预后与患者的年龄、脑梗死部位、病灶大小、高血压、糖尿病、饮酒和吸烟等危险因素有关（t=1．7930，Z=8．6473、15．046、13．1334、4．1536、5．7004、5．9043，均P〈O．05），而与患者的性别、脑卒中家族史、高脂血症和心脏病无明显联系。多因素Logistic分析表明，脑卒中患者预后与患者的年龄（OR=l.072）、病灶大小（OR=3．481）、高血压（OR=2．034）、糖尿病（OR=1．631）和吸烟（OR=3．144）等危险因素有关。结论结合患者个体实际，劝导戒除不良嗜好，积极治疗高血压和糖尿病等原发病，有利于脑卒中患者预后。Objective To analyze the relative factors for the prognosis in elderly patients with stroke, and provide theoretical basis for improving prognosis. Methods 188 elderly patients with stroke were treated in our department from Jan. 2011 to Nov. 2013, and clinical data was analyzed. The prognosis and relative risk factors for stroke were statistically analyzed. Results 99 eases had good prognosis, 89 cases had poor prognosis, and the recovery rate were 52.7% （99/188） and 47.3% （89/188） respectively. The age was older in group of good prognosis than in group of poor proghosis （t= 1. 7930, P〈0.05）. Univariate analysis showed that the age, position of cerebral infarction, size of lesions, hypertension, diabetes, drinking and smoking were associated with the prognosis of stroke （ t=1. 7930, X^2=8.6473, 15. 046, 13. 1334, 4. 1536, 5.7004, 5.9043,respectively, all P（0.05）, while the prognosis was not associated with gender, a family history of stroke, hyperlipidemia and heart disease. Multivariate logistic regression analyses revealed the prognosis of stroke was related with risk factors of age （OR=I. 072）, size of the lesion （OR= 3. 481）, hypertension （OR=2. 034）, diabetes （OR=I. 631） and smoking （OR=3. 144）. Conclusions It is beneficial to the prognosis of patients with stroke to stop bad habits and to treat hypertension and diabetes actively.

关 键 词：卒中 危险因素 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]