脑梗死复发患者可控危险因素自我管理的分析
发布时间：2018-08-04 08:41
【摘要】：目的:评估脑梗死复发患者可控危险因素的自我管理情况及二级预防用药(抗栓药及他汀类)应用现状。启发全科医师对脑梗死患者的管理。方法:收集2016年6月1日至2016年11月31日广西医科大学第一附属医院神经内科收治的符合纳入标准的脑梗死复发患者92例,电话随访及医院系统查阅住院资料及门诊随诊记录及处方,收集患者的年龄、性别、体重指数、糖尿病及高血压病史、抗血小板及调脂治疗,入院血压、低密度脂蛋白、糖化血红蛋白,记录数据,并运用SPSS19.0软件对所收集数据对进行卡方检验统计分析。利用单因素回归模型,分析危险因素与脑梗死复发的关系。结果:脑梗死复发患者平均年龄为67.2±10.4岁,其中男性67人,占72.8%。男性复发高峰为60岁~80岁,女性复发高峰为60~75岁。脑梗死患者可干预危险因素(高血压、糖尿病、血脂、吸烟)的自我管理较差。BMI、血脂控制欠佳、不规律服用抗血小板用药与脑梗死复发时间正相关(P0.05)。正常体重与超重患者复发相比有显著意义(P0.05),超重患者在第2年和第3年及以上的复发率高于正常体重患者,而在第1年则低于正常体重患者。血脂控制达标、抗血小板规范用药可延缓脑梗死的复发时间。结论:本研究中脑梗死患者可控危险因素的自我管理能力,是影响脑梗死复发的主要因素之一;在可控危险因素中,BMI、血脂控制达标及抗血小板规范用药可以延缓影响脑梗死复发。
[Abstract]:Objective: to evaluate the self-management of controllable risk factors in patients with recurrent cerebral infarction and the application of second-stage prophylaxis (anti-thrombus and statins). To inspire general practitioners to manage patients with cerebral infarction. Methods: from June 1, 2016 to November 31, 2016, 92 patients with recurrent cerebral infarction who were admitted to the Department of Neurology, first affiliated Hospital of Guangxi Medical University were collected. To collect age, sex, body mass index, diabetes and hypertension history, antiplatelet and lipid therapy, admission blood pressure, low density lipoprotein (LDL), and to collect age, sex, body mass index, history of diabetes and hypertension, admission blood pressure, low density lipoprotein (LDL). Glycosylated hemoglobin, record data, and use SPSS19.0 software to collect data pair for chi-square test statistical analysis. The single factor regression model was used to analyze the relationship between risk factors and recurrence of cerebral infarction. Results: the average age of patients with recurrent cerebral infarction was 67.2 卤10.4 years old, 67 males (72.8%). The peak of recurrence was 60 to 80 years old in male and 60 to 75 years old in female. Patients with cerebral infarction may intervene in risk factors (hypertension, diabetes, blood lipids, smoking) poor self-management, poor control of blood lipids, irregular use of anti-platelet drugs and cerebral infarction recurrence time was positively correlated (P0.05). The recurrence rate of overweight patients in the second year and the third year and above was higher than that in the normal weight patients but in the first year it was lower than that in the normal weight patients. Blood lipids control standard, antiplatelet standard medication can delay the recurrence time of cerebral infarction. Conclusion: the self-management ability of controllable risk factors in patients with middle cerebral infarction is one of the main factors influencing the recurrence of cerebral infarction. Among the controllable risk factors, BMI, blood lipid control standard and antiplatelet standard can delay the recurrence of cerebral infarction.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.33
本文编号：2163264
[Abstract]:Objective: to evaluate the self-management of controllable risk factors in patients with recurrent cerebral infarction and the application of second-stage prophylaxis (anti-thrombus and statins). To inspire general practitioners to manage patients with cerebral infarction. Methods: from June 1, 2016 to November 31, 2016, 92 patients with recurrent cerebral infarction who were admitted to the Department of Neurology, first affiliated Hospital of Guangxi Medical University were collected. To collect age, sex, body mass index, diabetes and hypertension history, antiplatelet and lipid therapy, admission blood pressure, low density lipoprotein (LDL), and to collect age, sex, body mass index, history of diabetes and hypertension, admission blood pressure, low density lipoprotein (LDL). Glycosylated hemoglobin, record data, and use SPSS19.0 software to collect data pair for chi-square test statistical analysis. The single factor regression model was used to analyze the relationship between risk factors and recurrence of cerebral infarction. Results: the average age of patients with recurrent cerebral infarction was 67.2 卤10.4 years old, 67 males (72.8%). The peak of recurrence was 60 to 80 years old in male and 60 to 75 years old in female. Patients with cerebral infarction may intervene in risk factors (hypertension, diabetes, blood lipids, smoking) poor self-management, poor control of blood lipids, irregular use of anti-platelet drugs and cerebral infarction recurrence time was positively correlated (P0.05). The recurrence rate of overweight patients in the second year and the third year and above was higher than that in the normal weight patients but in the first year it was lower than that in the normal weight patients. Blood lipids control standard, antiplatelet standard medication can delay the recurrence time of cerebral infarction. Conclusion: the self-management ability of controllable risk factors in patients with middle cerebral infarction is one of the main factors influencing the recurrence of cerebral infarction. Among the controllable risk factors, BMI, blood lipid control standard and antiplatelet standard can delay the recurrence of cerebral infarction.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.33
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