徐州地区进展性脑卒中相关危险因素

发布时间：2018-07-12 17:59

本文选题：进展性脑卒中 + 脑卒中注册数据库　；参考：《中国老年学杂志》2017年09期

【摘要】：目的探讨徐州地区缺血性进展性脑卒中的相关危险因素。方法利用脑卒中注册数据库,前瞻性连续登记2012年6月至2013年6月急性脑卒中患者的临床资料546例,其中进展性脑卒中80例,对照组为完全性脑卒中组,进行1∶1匹配研究,对可能引起脑卒中进展的危险因素进行单因素分析和二分类Logistic回归分析。结果与完全性脑卒中组相比,进展性脑卒中组既往有饮酒史、糖尿病史及血管狭窄的发生率更高,病程中体温升高及空腹高血糖可能参与了脑卒中的进展,差异有统计学意义(P0.05)。二分类Logistic回归分析结果显示,高血压(OR=0.028,95%CI 0.001~0.982)、发热(OR=0.019,95%CI 0.000~0.931)对于脑卒中进展的贡献较大。结论徐州地区既往有高血压、饮酒史、糖尿病、血管狭窄及病程中发热的患者容易发展为进展性脑卒中。
[Abstract]:Objective to investigate the risk factors of ischemic progressive stroke in Xuzhou. Methods the clinical data of 546 patients with acute stroke from June 2012 to June 2013 were prospectively registered with the stroke registration database, including 80 patients with progressive stroke and the control group with complete stroke. The 1:1 matching study was carried out. Univariate analysis and logistic regression analysis were performed on the risk factors of stroke progression. Results compared with the complete stroke group, the progressive stroke group had a higher incidence of alcohol consumption, diabetes mellitus and vascular stenosis. The increase of body temperature and fasting hyperglycemia in the course of the disease may be involved in the progression of stroke (P0.05). The results of logistic regression analysis showed that hypertension (ORO 0.028 95 CI 0.001 0. 982) and fever (ORG 0. 019 95 CI 0. 000 0. 931) contributed significantly to the progression of stroke. Conclusion patients with hypertension, alcohol consumption, diabetes, vascular stenosis and fever in the course of disease may develop into progressive stroke in Xuzhou area.
【作者单位】：徐州医学院第二附属医院;
【基金】：徐州市科技局课题(XM12B041,XM09B085) 徐州市医学青年后备人才项目(徐卫科教〔2014〕3号) 徐州市医学领军人才项目(徐卫〔2011〕10号)
【分类号】：R743.3

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