急性缺血性脑卒中住院患者临床特征及多次住院影响因素分析  

Clinical features of inpatients with acute ischemic stroke and factors of multiple hospitalizations

作　　者：王爽[1,2] 许科[1] 王红[1] 张宇[1] 赵景波[1] WANG Shuang XU Ke WANG Hong ZHANG Yu ZHAO Jing-bo(School of Public Health, Haerbin Medical University, Haerbin, Heilongjiang 150001 , China)

机构地区：[1]哈尔滨医科大学公共卫生学院,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第四医院

出　　处：《中国预防医学杂志》2016年第10期733-736,共4页Chinese Preventive Medicine

基　　金：黑龙江省教育厅科学技术研究项目(12531335)

摘　　要：目的描述急性缺血性脑卒中住院患者临床特征,分析多次住院的影响因素,为急性缺血性脑卒中的治疗和预防提供依据。方法回顾性分析2016年1～5月,在哈尔滨医科大学附属第一医院住院的急性缺血性脑卒中患者600例,由调查人员进行统一的问卷调查。按照性别分组,描述急性缺血性脑卒中住院患者的临床特征,并将这些特征纳入多元logistic回归分析模型,分析影响多次住院的因素。结果急性缺血性脑卒中男性患者和女性患者相比,家族史、脉搏频率、呼吸次数、吸烟情况、饮酒情况、高血压、H型高血压、贫血、红细胞计数偏低、低HDL血症、载脂蛋白A及载脂蛋白B异常差异有统计学意义（均P〈0.05）。多元logistic回归分析显示,男性较女性增加多次住院的风险,OR（95%CI）为1.614（1.052-2.477）,而患有慢性病者增加了多次住院的风险,OR（95%CI）为2.85（1.708-4.776）。结论不同性别急性缺血性脑卒中住院患者临床特征的差异很大,而且男性和患有慢性病增加了患者多次住院的风险。Objective To describe the clinical features of hospitalized patients with acute ischemic stroke and to analyze factors of multiple hospitalizations. Methods 600 inpatients with acute ischemic stroke were collected in the first affiliated Hospital of Harbin Medical University,department of neurology during January 2016 and May 2016.A questionnaire survey was conducted.Patients were grouped by gender and their clinical features were described.Logistic regression analysis was used to analyze the factors affecting multiple hospitalizations. Results There were significant differences in family history,pulse rate,respiratory rate,smoking,alcohol consumption,high blood pressure,H hypertension,anemia,low red blood cell count,low HDL hyperlipidemia,apolipoprotein A and B exception between male and female patients（P〈0.05）.Multivariate logistic regression analysis showed men and patients with chronic diseases were more likely to be hospitalized repeatedly compared to women and those with no chronic diseases（OR=1.614,95% CI：1.052～2.477;OR=2.85,95% CI：1.708-4.776）. Conclusions The clinical features vary significantly between male and female patients,male patients and those with chronic diseases are more likely to be hospitalized multiple times.

关 键 词：急性缺血性脑卒中 多次住院 影响因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]