1年内脑梗死复发危险因素的Logistic分析  

Logistic Analysis for Risk Factors of Infarction Recurrence within One Year

作　　者：张馨芝[1] 李秀明[1] 徐晶[1] 张永进[1] 蔡增林[1] 

机构地区：[1]徐州医学院附属连云港医院,江苏连云港222002

出　　处：《中国医学创新》2016年第1期12-16,共5页Medical Innovation of China

摘　　要：目的:了解脑梗死的患病情况,探讨脑梗死1年内复发的危险因素,为制定脑梗死再复发的预防策略提供科学依据。方法:将确诊为脑梗死1年内复发的患者60例作为病例组,采用随机抽样的方法从1000份脑梗死人群的资料中抽取出40例1年内未复发的病例作为对照组。使用统计软件SPSS 21.0对100例患者的资料用Logistic回归模型及因子分析筛选脑梗死1年内复发的主要危险因素。结果:Logistic回归分析显示入院收缩压、收缩压分级、糖尿病、吸烟与1年内脑梗死复发有相关性,因子分析显示脑梗死1年内复发的危险因素可以分成8个因子,而关系最密切的是第一个因子,即入院收缩压及收缩压分级。结论:脑梗死1年内复发与入院收缩压、收缩压分级、糖尿病、吸烟有关,尤其与入院收缩压及收缩压分级关系密切,在一定程度上控制这些因素可以降低脑梗死复发的风险。Objective： To understand the prevalence of cerebral infarction, and investigate cerebral infarction risk factors for recurrence of one year, thus provide a scientific basis for the development of cerebral infarction recurrence prevention strategies. Method： The patients who were diagnosed of cerebral infarction relapse within one year, as case group which contained 60 cases, using random sampling method to extract 40 cases who did not recrudesce in 1 year from the 1000 data in the cerebral crowd of as control group. Statistical software SPSS 21.0 data on 100 cases with Logistic regression and factor analysis for the major risk factors of cerebral infarction recurrence in 1 year was used. Result： Logistic regression analysis showed that admission SBP, systolic blood pressure classification, diabetes and smoking were statistically significant with recurrence of cerebral infarction in 1 year. Factor analysis showed that the risk factors for recurrence of cerebral infarction within one year consist of eight factors, but most closely related to the first factor, the admission systolic blood pressure and systolic blood pressure classification. Conclusion： The cerebral relapse within 1 year is related to admission systolic blood pressure, systolic blood pressure classification, diabetes and smoking, closely related to admission systolic blood pressure and systolic blood pressure in particular. To a certain extent, control of these factors can reduce the risk of recurrence of cerebral infarction.

关 键 词：脑梗死 复发 危险因素 LOGISTIC回归 因子分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]