急性脑血管病患者脑微出血发生率及其危险因素

发布时间：2018-07-23 21:12

【摘要】：目的探讨脑微出血在急性脑血管病患者中的发生率及其危险因素。方法 90例急性脑血管病患者分为脑微出血组(46例)和无脑微出血组(44例),记录所有患者的临床资料并行磁共振成像(MRI)检查,采用单因素和多因素Logistic回归分析危险因素。结果 90例急性脑血管病患者发生脑微出血46例中,脑出血27例,发生脑微出血19例;脑梗死51例,发生脑微出血26例;短暂性脑缺血发作12例,发生脑微出血1例。多因素Logistic回归分析显示,脑微出血的独立危险因素为高血压(OR=8.853,95%CI=1.712~45.803,P=0.009)、入院收缩压(OR=1.716,95%CI=1.206~2.441,P=0.003)、腔隙性脑梗死分级(OR=7.745,95%CI=2.645~22.672,P=0.000)。结论脑出血、脑梗死患者脑微出血的发生率较高,脑微出血的独立危险因素为高血压、入院收缩压、腔隙性脑梗死分级。
[Abstract]:Objective to investigate the incidence and risk factors of cerebral microhemorrhage in patients with acute cerebrovascular disease. Methods 90 patients with acute cerebrovascular disease were divided into two groups: cerebral microhemorrhage group (46 cases) and anencephalic microhemorrhage group (44 cases). The clinical data of all patients were recorded and MRI (MRI) was performed. Univariate and multivariate Logistic regression analysis was used to analyze the risk factors. Results among 46 patients with acute cerebrovascular disease, 27 had cerebral hemorrhage, 19 had cerebral microhemorrhage, 51 had cerebral infarction and 26 had cerebral microhemorrhage, 12 had transient ischemic attack and 1 had cerebral microhemorrhage. Multivariate Logistic regression analysis showed that the independent risk factors for intracerebral microhemorrhage were hypertension (OR 1.712) 45.803 P0. 009, systolic blood pressure (OR 1.71695 CI 1.2062.441mP0.003), lacunar infarction grade (OR7.745C95 CI 2.645v 22.672 P0. 000). Conclusion the incidence of cerebral microhemorrhage in patients with cerebral hemorrhage and cerebral infarction is higher. The independent risk factors of cerebral microhemorrhage are hypertension, systolic blood pressure and lacunar infarction grade.
【作者单位】：白城医学高等专科学校;
【分类号】：R743.3

【相似文献】