分水岭缺血性脑卒中患者复发的影响因素

摘要

Objective:To explore the influencing factors for recurrence of patients with watershed cere-bral ischemic stroke.Method:100 patients with watershed cerebral ischemic stroke from Aug.2012 to Aug. 2014 in our hospital were selected to divide into recurrent group ( n=30) and non-recurrent group( n=70) according to if patients recrudesced.Result:Single factor analysis showed that patients with systolic pressure was more than 140mmHg, cerebrovascular stenosis was more than 90%, unstable plaque, active antihyper-tensive treatment, no expansion treatment, no stent implantation had higher recurrence rate for watershed cerebral ischemic stroke ( P<0.05 ) .Multiple factor analysis showed that the cerebrovascular stenosis was more than 90%, unstable plaque, active antihypertensive treatment were risk factors forrecurrence of patients with watershed cerebral ischemic stroke.Conclusion:Cerebrovascular stenosis is more than 90%, unstable plaque , active antihypertensive treatmen tare risk factors for recurrence of patients with watershed cerebral is-chemic stroke.%目的：探究分水岭缺血性脑卒中患者复发的影响因素。方法：选取2012年8月至2014年8月我院收治的分水岭缺血性脑卒中患者100例，根据患者是否复发分为复发组（ n＝30）和非复发组（ n＝70），探究其复发的相关因素。结果：单因素分析发现，收缩压≥140mmHg、脑血管狭窄≥90％、斑块性质不稳定、积极降压治疗、无扩容治疗、无植入支架的分水岭缺血性脑卒中患者复发率较高（P＜0．05）。多因素分析发现，脑血管狭窄≥90％（ OR＝5．960，95％CI＝1．985～12．896）、斑块性质不稳定（ OR＝4．614，95％CI＝1．415～11．043）、积极降压治疗（ OR＝3．377，95％CI＝1．303～8．754）是分水岭缺血性脑卒中患者复发的危险因素。结论：脑血管狭窄≥90％、斑块性质不稳定、积极降压治疗是分水岭缺血性脑卒中患者复发的危险因素。