踝肱指数在脑卒中分型中的临床意义
发布时间:2018-05-08 00:17
本文选题:脑卒中 + 踝肱指数 ; 参考:《中国老年学杂志》2017年17期
【摘要】:目的探讨踝肱指数(ABI)在脑卒中分型中的临床意义。方法选取382例脑卒中患者,分为5个亚型:动脉血栓形成性脑梗死(AI)组(148例)、腔隙性梗死(LI)组(76例)、心源性脑梗死(CCE)组(69例)、蛛网膜下腔出血(SAH)组(62例)、脑出血(IH)组(27例),同时收集同期住院的非脑卒中患者124例作为对照组。采用血管多普勒超声测量仪分别检测入组患者ABI值。统计分析脑卒中不同亚型中ABI的差异及在调整其他危险因素后单独评估ABI对脑卒中不同亚型的影响。结果 (1)多因素Logistic回归分析显示,高血压(OR=4.627,95%CI:2.024~10.582,P=0.001)、糖尿病(OR=4.764,95%CI:1.394~10.376,P=0.028)、吸烟(OR=2.443,95%CI:1.116~12.335,P=0.026)、ABI(OR=4.543,95%CI:2.091~9.834,P=0.012)与脑卒中发病相关;(2)ABI在AI组与对照组之间(OR=2.914,95%CI:1.507~6.502,P=0.012)、LI组与对照组之间(OR=2.613,95%CI:1.044~6.459,P=0.025)、CCE组与对照组之间(OR=2.614,95%CI:1.007~7.519,P=0.031)存在显著差异。结论 ABI是脑卒中的独立危险因子,可以作为缺血性脑卒中的有效筛查指标。
[Abstract]:Objective to investigate the clinical significance of ankle-brachial index (ABI) in the classification of stroke. Methods 382 patients with stroke were selected. The patients were divided into 5 subtypes: the arterial thrombosis cerebral infarction (AII) group (148 cases), the lacunar infarction (Li) group (76 cases), the cardiogenic cerebral infarction (CCEC) group (69 cases), the subarachnoid hemorrhage (SAH) group (62 cases) and the cerebral hemorrhage group (27 cases). 124 patients with non-stroke were used as control group. The ABI values of the patients were detected by vascular Doppler ultrasound. The differences of ABI in different subtypes of stroke were statistically analyzed and the effects of ABI on different subtypes of stroke were evaluated separately after adjusting for other risk factors. 缁撴灉 (1)澶氬洜绱燣ogistic鍥炲綊鍒嗘瀽鏄剧ず,楂樿鍘,
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