缺血性中风发病前3～7天内症状的条件Logistic回归分析  

Conditional Logistic Regression Analysis of Symoptoms within 3-7 Days before the Onset of Ischemic Apoplexy

作　　者：王泓午[1] 王玉来[2] 金章安[2] 王振海[2] 王永炎[3] 

机构地区：[1]天津中医学院,天津300193 [2]北京中医药大学附属东方医院,北京100078 [3]中国中医研究院,北京100700

出　　处：《中国中医急症》2003年第1期40-42,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家"八五"攻关课题(NO.85-919-02-02)

摘　　要：目的　探讨缺血性中风急性发病前3～7d内相关症状,为缺血性中风的尽早诊断和治疗提供症状依据。方法 采用1∶2配对病例对照研究方法,调查缺血性中风患者急性发病前3～7d内的相关症状,对数据进行条件Logistic回归分析。结果 缺血性中风急性发病前3～7d内主要相关症状如下:主症为头痛而痛处不移,食后困顿,体胖臃肿,嗜睡;次症为颜面正常,手麻,两目干涩,急躁,头晕,头昏沉,持续眩晕,面色晦暗;伴症为面红,气息均匀。结论 头痛而痛处不移是这一时相的首要症状,并出现属于意识觉醒障碍的嗜睡症状及以食后困顿为表现的睡眠症状,手麻为感觉障碍方面症状,眩晕为平衡障碍方面症状(患者或见头昏沉,或头晕,或持续眩晕),并有以两目干涩为表现的眼部症状,面部颜色以颜面正常为主,也可见面色晦暗,偶见面红;其它可见急躁,体胖臃肿,气息均匀。总之,若患者出现以头痛而痛处不移为主要表现,同时伴有嗜睡等症状,表明其处于缺血性中风急性期始发态的早期阶段;若仅见手麻、头昏沉、或头晕、或持续眩晕,且伴有食后困顿、两目干涩等症状,表明其处于缺血性中风急性期始发态的早期先兆阶段。Objective: To explore symptoms within 3-7 days before the onset of acute ischemic apoplexy, to provide bases of symptoms for early diagnosis and treatment of acute ischemic apoplexy. Methods: Adopted 1: 2 matched case -control study, and conditional multivariate logistic regression analysis was performed. Results: The major symptoms were headache and the pain place not moving, sleepy after taking food, obesity, and sleepiness. The suboidinte symptoms were normal complexion, numbness of hands, dry-ness of the eyes, impatienec, dizziess, lethargicness feeling in the head, persistent dizziness, dark complexion. The accompany symptoms were red complexion and natural breath. Conclusion: Our data showed that principal symptom was headache and the pain place not moving, sleepiness was the symptom of disturbansce of consciusness, sleepy after taking food was the symptom of the sleep, numbness of hands was the symptom of sensory disturbance, the symptom of equilibrium disorder was dizziness (may be lethargicness feeling in the head, or dizziness, or persistent dizziness) . The symptom of eye region was dryness of the eyes, the complexion were normal, or dark, and seldom red. Moreover, the other symptoms, such as impatience, obesity, and natural breath. If the patient had the symptoms of headache and the pain place not moving, or sleepiness, etc. it indicated that the patient was in the forepart phase of initial status of acute ischemic apoplexy. If the patient had the symptoms of numbness of hands, lethargicness feeling in the head , and dizziness, persistent dizziness, sleepy after taking food, dryness of the eyes, etc, it indicated that the patient was in the premonitory phase before the onset of initial status of acute ischemic apoplexy.

关 键 词：缺血性中风发病前3-7d内相关症状 1:2配对病例对照研究 条件LOGISTIC回归分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R255.2[医药卫生—临床医学]