首页> 中文期刊>徐州医学院学报 >徐州地区缺血性脑卒中复发影响因素的研究

徐州地区缺血性脑卒中复发影响因素的研究

     

摘要

Objective To explore the risk factors of recurrent ischemic stroke among the residents of Xuzhou . Method 474 patients who were admitted into our hospital from January 1, 2008 to December 31, 2009 due to ischemic stroke were enrolled in the current study.Their clinical data were collected to undergo screening using logistic regression .Results According to the current study, the risk factors of recurrent ischemic stroke included age (OR=1.062, 95% CI:1.040~1.084), diastolic blood pressure (OR=1.054, 95%CI:1.036~1.072), aphasia (OR=1.951, 95%CI:1.256~3.030), al-cohol consumption (OR=1.687, 95%CI:1.030~2.764), and triglycerides (OR=1.379, 95%CI:1.073~1.772).Regular use of aspirin (OR=0.769, 95%CI:0.599~0.988) and good sleep (OR=0.620, 95%CI:0.456~0.843) can reduce the risk of recurrence.Conclusion The recurrence of ischemic stroke can be influenced by the following factors:age, diastolic blood pressure, aphasia, alcohol consumption, triglycerides, regular use of aspirin and good sleep.%目的:探讨徐州地区居民缺血性脑卒中复发的影响因素。方法选择2008年1月1日-2009年12月31日在徐州医学院附属医院神经内科病房住院的缺血性脑卒中患者474例,其中复发患者为148例,应用Logistic回归模型对患者基本情况、就医时临床信息、生化指标、出院后情况等因素进行筛选。结果年龄( OR=1.062,95%CI:1.040~1.084)、舒张压(OR=1.054,95%CI:1.036~1.072)、语言障碍(OR=1.951,95%CI:1.256~3.030)、饮酒(OR=1.687,95%CI:1.030~2.764)、甘油三酯(OR=1.379,95%CI:1.073~1.772)等指标为缺血性脑卒中复发的危险因素;定期服用阿司匹林(OR=0.769,95%CI:0.599~0.988)和良好的睡眠(OR=0.620,95%CI:0.456~0.843)可降低脑卒中复发的危险性。结论年龄、舒张压、语言障碍、饮酒、甘油三酯、定期服用阿司匹林和睡眠是缺血性脑卒中复发的影响因素。

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