深圳市急性缺血性脑卒中复发的危险因素及风险评估  

Risk factors and risk assessment of recurrence of acute ischemic stroke in Shenzhen

作　　者：李小玲 杨芬 叶艺艺 苏建军[2] 张志 Li Xiaoling;Yang Fen;Ye Yiyi;Su Jianjun;Zhang Zhi(The Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen 518033, China;Futian District Chronic Disease Prevention and Control Hospital of Shenzhen, Shenzhen 518048, China)

机构地区：[1]中山大学附属第八医院(深圳福田),广东深圳518033 [2]深圳市福田区慢性病防治院,广东深圳518048

出　　处：《中国医院统计》2021年第2期105-107,111,共4页Chinese Journal of Hospital Statistics

基　　金：深圳市福田区卫生公益性科研项目(FTWS2017024)。

摘　　要：目的探讨急性缺血性脑卒中(AIS)复发的危险因素及复发风险评估。方法通过调查深圳市某三级医院历史病案数据资料,回顾性研究2011—2017年收治新发住院AIS病例及其复发情况共1779例(年龄≥18岁),基于多因素cox回归模型评估深圳市AIS复发的影响因素。结果高血压(HR=2.862)、饮酒史(HR=1.002)、NIHSS≥4分(HR=2.868)和Essen≥3分(HR=2.997~4.743)是AIS患者复发的高危预测因素(P<0.05)。结论高血压、饮酒史、NIHSS及Essen评分高均是AIS复发的危险因素,尽早对AIS患者进行筛查和强化管理是预防复发的关键。Objective To analyze the risk factors for recurrence of acute ischemic stroke(AIS)and assess the risk of recurrence.Methods Based on the historical medical record data,a retrospective study with 1779 new hospitalized AIS cases(age≥8 years)admitted in a hospital from 2011 to 2017 was carried out,and AIS recurrence in Shenzhen was assessed based on a multivariate cox regression model.Results Hypertension(HR=2.862),drinking history(HR=1.002),NIHSS≥4 points(HR=2.868)and Essen≥3 points(HR=2.997-4.743)were high-risk predictors of recurrence in AIS patients(P<0.05).Conclusion Hypertension,drinking history,high NIHSS and Essen scores are risk factors for AIS recurrence.Early screening and strengthening management of AIS patients is the key to preventing AIS recurrence.

关 键 词：急性缺血性脑卒中 复发 危险因素 风险评估 深圳 

分 类 号：R195.4[医药卫生—卫生统计学]