离退休高龄患者无症状脑梗死的影响因素分析  

Analysis of Influencing Factors of Silent Brain Infarction in Retired Elderly Patients

作　　者：王姣艳 徐爱萍[1] WANG Jiao-yan;XU Ai-ping(The First Department of Dry Therapy,Jilin Provincial People’s Hospital,Changchun,Jilin,130021,China)

机构地区：[1]吉林省人民医院干疗一科,吉林长春130021

出　　处：《黑龙江医学》2022年第10期1157-1159,1163,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨离退休高龄患者无症状脑梗死的影响因素,为临床干预提供参考。方法:使用横断面调查研究方法选取86例离退休高龄住院患者作为研究对象,其中56例无症状脑梗死(SBI)者为病例组,30例同期住院无SBI者为对照组,记录SBI病灶分布,对两组患者一般数据及心脑血管病高危因素进行比较分析,并通过多因素logistic回归分析,进一步评估其对高龄SBI影响。结果:(1)高龄SBI的梗死灶绝大多数为腔隙性脑梗死,大约有2/3分布于基底节区和侧脑室周围。(2)多因素logistic回归分析显示,体重增加和高血压病史是离退休高龄者无症状脑梗死的独立影响因素,差异有统计学意义(P<0.05)。结论:体重增加是离退休高龄者不罹患SBI的保护性因素,而高血压病史是离退休高龄SBI独立危险因素,因此离退休高龄者适当增加体重,积极防治高血压可降低SBI发生危险,提高日常生活自理能力及生活质量。Objective:To explore the influencing factors of asymptomatic cerebral infarction in retired senior citizens to provide reference for clinical intervention.Methods:A cross-sectional survey method was used to select 86 retired elderly hospitalized patients as the research objects.Among them,56 patients with silent brain infarction (SBI) were included in the case group,and 30 patients who were hospitalized without SBI during the same period were included in the control group.The distribution of SBI lesions was recorded,the general data and high-risk factors of cardiovascular and cerebrovascular diseases were compared and analyzed between the two groups,and the influence on SBI in the elderly was further evaluated by multivariate logistic regression analysis.Results:(1) The vast majority of infarcts in elderly SBI were lacunar infarcts,and about 2/3 were distributed in the basal ganglia and around the lateral ventricle.(2) Multivariate Logistic regression analysis showed that weight gain and history of hypertension were independent influencing factors of asymptomatic cerebral infarction in retired elderly people and the difference was statically significant (P<0.05).Conclusion:Weight gain is a protective factor against SBI in the retired elderly,and history of hypertension is an independent risk factor for SBI in retired elderly.Therefore,appropriate weight gain for retired elderly people and active prevention and treatment of hypertension can reduce the risk of SBI and improve the ability of daily living and quality of life.

关 键 词：离退休高龄 无症状性脑梗死 影响因素分析 

分 类 号：R743[医药卫生—神经病学与精神病学]