两种亚型脑卒中患者危险因素和预后的比较分析  

CORRELATIONS BETWEEN RISK FACTORS AND PROGNOSIS BETWEEN PATIENTS WITH ISCHEMIC AND HEMORRHAGIC STROKE

作　　者：胡烈洪[1] 方杰[1] 谢文珠[1] 潘翠环[1] 

机构地区：[1]广州医科大学附属第二医院,广东广州510260

出　　处：《现代医院》2015年第7期27-29,32,共4页Modern Hospitals

摘　　要：目的 对缺血性脑卒中和出血性脑卒中的危险因素和预后进行比较,为脑卒中防治提供理论依据。方法 对2012年1月～2014年11月因首发脑卒中在广州医科大学附属第二医院住院治疗的281例患者进行问卷调查,收集相关的危险因素。结果 缺血性脑卒中患者吸烟史、糖尿病史、TC、TG、高血脂率、残疾率均高于出血性脑卒中患者（p〈0.05）,而饮酒史、高血压病史、心脑血管病史、收缩压、舒张压、HDL-C、死亡率、血糖水平、高血压率均低于出血性脑卒中患者（p〈0.05）。多因素logistics回归分析筛选出饮酒史、心脑血管病史、吸烟史、舒张压、收缩压是脑卒中患者重度神经功能损伤的危险因素。结论 缺血性脑卒中和出血性脑卒中的危险因素不尽相同。在脑卒中防治工作中应考虑不同亚型不同的危险因素。Objective To compare the correlations between various risk factors and prognoses in patients with ischemic and hemorrhagic stroke, and to provide theoretical foundation for the prevention and treatment of stroke. Methods 281 patients with stroke admitted in the Second Affiliated Hospital of Guangzhou Medical University during January 2012 and November 2014 were selected and given questionnaire survey. Results The smoking history, history of diabetes, TC, TG, hyperlipidemia and disability rates of patients with isehemie stroke were higher than those in patients with hemorrhagic stroke （p 〈 0.05 ）. And drinking history, history of high blood pressure, cardiocerebrovascular disease, systolic pressure, diastolic pressure, HDL - C, mortality, blood sugar levels and high blood pressure were significantly lower in the patients with ischemic stroke （p 〈 0.05 ）. Drinking, cardiocerebrovaseular disease, smoking, systolic pressure and diastolic pressure were screened to be risk factors for severe disability in the patients with stroke using multi - factor Logistic regression analysis. Conclusion The risk factors of ischemic stroke artd hemorrhagic stroke are different, Such different risk factors should be taken into consideration for the prevention and treatment of different subtypes of stroke.

关 键 词：缺血性脑卒中 出血性脑卒中 危险因素 预后 

分 类 号：R473.74[医药卫生—护理学]