引用本文:刘国江,吴学良,方洪明.进展型脑梗死危险因素分析[J].中国临床新医学,2016,9(9):791-794.
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进展型脑梗死危险因素分析
刘国江,吴学良,方洪明
515300 广东,普宁市人民医院神经内科
摘要:
[摘要] 目的 分析进展型脑梗死的危险因素。方法 回顾性分析2014-01~2015-02某院收治192例脑梗死患者的临床资料,其中进展型脑梗死(观察组)62例,非进展型脑梗死(对照组)130例,研究其人口学资料、病史、神经功能缺损程度评分、颅内动脉狭窄等方面共19个因素,并用Logistic回归法进行相关分析研究。结果 Logistic回归分析结果显示,进入模型的各因素按其OR值大小排列顺序为脑梗死病史(OR=13.093)、短暂性脑缺血发作史(OR=12.556)、颅内动脉狭窄(OR=5.684)、降压过低或过快(OR=3.141)、纤维蛋白原增高(OR=2.867)、糖尿病史(OR=1.954)。结论 脑梗死病史、短暂性脑缺血发作史、颅内动脉狭窄、降压过低或过快、纤维蛋白原增高、糖尿病史可能为进展型脑梗死的危险因素。
关键词:  进展型脑梗死  危险因素  Logistic回归分析
DOI:10.3969/j.issn.1674-3806.2016.09.10
分类号:R 741
基金项目:
Risk factors of progressive ischemic stroke
LIU Guo-jiang, WU Xue-liang, FANG Hong-ming
Department of Neurology, the People′s Hospital of Puning City, Guangdong 515300, China
Abstract:
[Abstract] Objective To study the risk factors of progressive ischemic stroke.Methods The clinical data of 192 cases with ischemic stroke from January 2014 to February 2015 including 62 progressive patients(the observation group) and 130 nonprogressive ischemic stroke patients(the control group) were retrospectively analyzed. Nineteen factors including demographic data, case history, neurological deficits score and intracranial artery stenosis were analyzed. Logistic regression analysis was used.Results Logistic regression indicated that the factors of the model sorted in descending order by OR values were cerebral infarction(OR=13.093), TIA medical record(OR=12.556), intracranial artery stenosis(OR=5.684), blood pressure dropping too low or too fast(OR=3.141), high fibrinogen(OR=2.867) and diabetes mellitus(OR=1.954).Conclusion The risk factors of progressive ischemic stroke are cerebral infarction, TIA medical record, intracranial artery stenosis, blood pressure dropping too low or too fast, high fibrinogen and diabetes mellitus.
Key words:  Progressive ischemic stroke  Risk factors  Logistic regression analysis