急性缺血性脑卒中短期预后的危险因素分析  

The Analysis on the Risk Factors for the Early Prognosis after Acute Ischemic Stroke

作　　者：梁金[1] 刘文博[1] 孙建平[1] 谷新医[1] 马强[1] 佟伟军[2] 

机构地区：[1]大连大学附属中山医院神经内科,辽宁大连116001 [2]苏州大学医学部公共卫生学院流行病与卫生统计学教研室,江苏苏州215123

出　　处：《医学与哲学（B）》2015年第2期45-48,共4页Medicine & Philosophy(B)

基　　金：国家自然科学基金项目;项目编号:872760

摘　　要：探讨急性缺血性脑卒中短期预后的危险因素。急性缺血性脑卒中2 557例,采用回顾性队列研究的方法,以MRs≥3为复合结局,应用Logistic多元回归分析预后的影响因素。单因素非条件Logistic分析显示,缺血性脑卒中患者发生复合结局与以下因素有关:年龄大小、不同脑卒中亚型、发病-入院时间长短、住院时间长短、体温、心率、血压、血糖、心脏病史、房颤史、既往脑卒中病史、饮酒史、白细胞计数、中性粒细胞比率。为了进一步控制混杂因素,多因素非条件Logistic分析显示年龄、发病-入院时间、住院天数、体温、心率、高血糖、房颤病史、脑卒中病史8个变量与预后相关。高龄、发病-入院时间短、住院天数短、发热、心率增快、高血糖、房颤病史、脑卒中病史是急性脑梗死短期预后的危险因素。To investigate the risk factors for the early prognosis after acute ischemic stroke. Collected 2 557case of acute ischemic stroke,MRs≥3 is compound outcome. Applying Logistic regression to analysize the risk factors for the early prognosis. Monovariant Logistic regression show age, on-set admission, hospital stays, temperature, heart rate, stroke subtype, hypertension, hyperglycemia, history of heart disease, atrial fibrillation, and cerebral stroke, drink, count of WBC, rate of neutrophile granulocyte, for further controlling the complicated factor, multivariant Logistic regression analysis showed that age, on-set admission, hospital stays, temperature, heart rate, hyperglycemia, history of atrial fibrillation, cerebral stroke history were related to the early prognosis. The age, on-set admission, hospital stays, temperature, heart rate, hyperglycemia, history of atrial fibrillation, cerebral stroke history are the risk factors of the early prognosis after acute ischemic stroke.

关 键 词：急性缺血性脑卒中 预后 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]