喀什地区维吾尔族缺血性脑卒中患者复发与相关危险因素分析  

Analysis of recurrence and related risk factors of Uygur ischemic stroke in Kashi area

作　　者：徐隽莹[1] 杨芳[1] 邱应立 茹克亚[1] 李伟[1] 刘泽萍 XU Jun - ying;YANG Fang;QIU Ying - li(Department of Neurology, The Third Division Hospital of Xinjiang Production and Construction Corps, . Xinjiang Kashi 84400)

机构地区：[1]新疆生产建设兵团第三师医院神经内科,新疆喀什844000

出　　处：《中国伤残医学》2018年第6期9-12,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：新疆兵团科技攻关与成果转化项目《喀什地区维吾尔族缺血性脑卒中复发相关危险因素研究》（2015AD14）

摘　　要：目的：探讨喀什地区维吾尔族缺血性脑卒中住院患者复发率与相关危险因素，为防治提供理论依据。方法：选取2012年12月～2014年7月间在喀什地区三家医院明确诊断为首发缺血性脑卒中的维吾尔族住院患者719例，随访3年，根据患者是否在随访期内复发进行分组，分为复发组和未复发组。结果：喀什地区维吾尔族IS患者3年复发率约为15．3％（110／719），单因素卡方检验显示年龄（X^2=4．025，P〈0．05）、吸烟（X^2=5．432，P〈0．05）、高血压（X^2=6．089，P〈0．05）、糖尿病（X^2=8．911，P〈0．05）、房颤病史（X^2=30．190，P〈0．05）、抗血小板药物依从性差（X^2=63．748，P〈0．05）是维吾尔族缺血性脑卒中住院患者复发的危险因素，多因素分析显示糖尿病、房颤和抗血小板药物依从性差是IS复发的独立危险因素，OR值分别为2．433，5．068，6．007（P均〈0．05）。结论：喀什地区维吾尔族缺血性脑卒中住院患者的复发因素主要与年龄、吸烟、高血压、糖尿病、房颤病史、服用抗血小板药物的依从性有关．充分认识和积极干预这些危险因素．对于预防复发具有重要意义。Objectiv：To investigate the relapse rate and related risk factors of inpatients with Uygur ischemic stroke in Kashi area,Pro-vide a theoretical basis for prevention and treatment.Methods：Methods from December 2012 to July 2014,719 hospitalized Uygnr pa-tients diagnosed as first-episode ischemic stroke in three hospitals in Kashi area were selected,Followed up for 3 years,Patients were grouped according to whether recurrence occurred during the follow-up period.Divided into recurrent group and non-recurrent group.Results：The 3 year relapse rate of Uygnr IS patients in Kashi area was about 15.3%（110/719）,Single factor chi-square test showed age（x2 = 4.025,P 〈 0.05）,smoking（x2 = 5.432,P 〈 0.05）,hypertension（x：= 6.089,P 〈 0.05）,diabetes（x：= 8.911,P 〈 0.05）,atrial fibrillation history（x2 = 30.190,P 〈0.05）,Poor compliance with anti-platelet drugs（x2 = 63.748,P 〈 0.05）.Is the risk factors for re-currence of hospitalized patients with Uygnr ischcmic stroke,Multivariate analysis showed that diabetes,atrial fibrillation and poor compli-ance to anti-platelet drugs were independent risk factors for IS recurrence,The OR values were 2.433,5.068,6.007（P 〈 0.05）.Con-elusion ：Recurrence factors of hospitalized patients with Uygnr iscbemic stroke in Kashi Region were mainly associated with age,smoking,hypertension,diabetes,fibrilation atria history,Compliance of anti-plateh drugs.Fully understand and actively intervene in these risk fac-tors.For the prevention of recurrence of great significance.

关 键 词：维吾尔族 缺血性脑卒中 复发 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]