从发病到入院时间与急性缺血性脑卒中出院不良结局的相关性

发布时间：2018-06-05 21:19

本文选题：急性缺血性脑卒中 + 从发病到入院时间　；参考：《中国老年学杂志》2017年12期

【摘要】：目的探讨从发病到入院时间与急性缺血性脑卒中(a IS)出院不良结局的关系。方法回顾性分析了3 334例a IS患者的临床资料,对选定的a IS危险因素进行单因素分析,进一步做多因素Logistic回归分析。结果纳入的3 334例a IS患者中,结局良好者2 343例(70.3%),结局不良者991例(29.7%)。单因素分析中,年龄、性别、缺血性脑卒中首发、饮酒、房颤、心率、高血糖、甘油三酯水平、从发病到入院时间(13~48 h、120 h)在两组间差异有统计学意义(P0.05)。经Logistic多因素回归分析显示,从发病到入院时间120 h时(P=0.007 7)与a IS发生不良结局相关。结论从发病到入院时间过长(120 h)是a IS结局不良的独立危险因素,应加强对脑卒中知识的了解,完善紧急救护体系,尽量减少就诊延误。
[Abstract]:Objective to investigate the relationship between the time from onset to admission and the adverse outcome of discharge from acute ischemic stroke. Methods the clinical data of 3 334 patients with is were analyzed retrospectively. The selected risk factors were analyzed by univariate analysis and multivariate Logistic regression analysis. Results among the 3 334 patients with is, 2 343 had good outcomes and 70.3, 991 had poor outcomes. In univariate analysis, age, sex, first onset of ischemic stroke, alcohol consumption, atrial fibrillation, heart rate, hyperglycemia, triglyceride levels, from onset to admission at 1348 h to 120 h) were significantly different between the two groups (P 0.05). Logistic multivariate regression analysis showed that P0. 007. 7) was associated with the bad outcome of is from onset to admission at 120h. Conclusion 120 hours from onset to hospitalization is an independent risk factor for poor outcome of is. It is necessary to strengthen the understanding of stroke knowledge, improve the emergency rescue system and minimize the delay in visiting patients.
【作者单位】：承德医学院附属医院;
【基金】：承德市科学技术研究与发展计划项目(20122165)
【分类号】：R743.3

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