首发缺血性卒中患者短期预后不良的危险因素分析  

Risk factors of short-term poor prognosis in patients with the first-episode ischemic stroke

作　　者：徐艳[1] 吴继云[2] 于江[2] 

机构地区：[1]连云港市第一人民医院神经内科,222002 [2]连云港市第一人民医院护理部,222002

出　　处：《护理管理杂志》2018年第2期81-84,共4页Journal of Nursing Administration

基　　金：连云港市卫生科技项目(1407)

摘　　要：目的探讨首发缺血性卒中患者短期预后不良的危险因素。方法采用一般资料调查表和简化改良的Rankin问卷对142例首发缺血性卒中患者进行调查,并采用Logistic回归分析进行预后不良危险因素分析。结果 82例患者3个月后预后不良;Logistic回归分析结果显示:年龄≥60岁、合并高血压、合并糖尿病和入院时NIHSS评分增高与首发缺血性卒中患者出院3个月预后不良有关。结论大多数首发缺血性卒中患者短期预后不良,年龄增加、合并高血压、合并糖尿病以及入院时NIHSS评分增高是短期预后不良的危险因素。ObjectiveTo investigate the risk factors of short-term poor prognosis in patients with the first-episode ischemic stroke.MethodsTotally,142 first-episode ischemic stroke patients were investigated by general data questionnaire and simplified modified RankinScale questionnaire.The data were analyzed using Logistic regression analysis.ResultsA total of 82 patients suffered from poor prognosisat3 months after discharge.Logistic regression analysis showed that age≥60 years,hypertension,diabetes and increased the National Institutes ofHealth Stroke Scale （NIHSS） score on admission were related to poor prognosis among patients with the first-episode ischemic stroke at3 months after discharge.ConclusionThe great majority patients with first-episode ischemic stroke suffered from short-time poor prognosis,and the risk factors were advanced age,hypertension,diabetes and increased NIHSS scores on admission.

关 键 词：缺血性卒中 预后 预后不良 

分 类 号：R248.1[医药卫生—中医临床基础]