摘要
Abstract
Objective To investigate the present situation of secondary prevention in patients with ischemic stroke ,and to analyze the risk factors in recurrent stroke and intervention strategy to reduce the incidence of recurrence. Methods 278 cases with stroke admitted to our hospital from June 2012 to June 2013 were retrospectively analyzed ,among which 61 patients with recurrent stroke consisted of observation group ,and 217 patients with non‐recurrent stroke formed the control group ,analyzing risk factors and intervention strategies of recurrent stroke by Logistic regression analysis.Results The incidence of recurrent stroke in patients with stroke was 24.10% (67/278). Type 2 diabetes and hypertension with 85.61% accounted for a signifi‐cant proportion among the risk factors of ischemic stroke ,which had low control rates of 49.58% and 49.16%. And the posi‐tive rates of overweight ,obesity and dysfunction of total cholesterol abnormal positive were higher ,with low control rate. Uni‐variate analysis showed that patients with ischemic stroke were closely associated with multiple stroke‐related factors including hypertension ,type 2 diabetes ,history of atrial fibrillation ,abnormal cholesterol. Further multiple factor analysis showed that the independent‐related risk factors of recurrent ischemic stroke contained the abnormality of total cholesterol (OR=3.472) , uncontrolled type 2 diabetes (OR= 2.237) ,uncontrolled hypertension(OR= 2.851)and history of atrial fibrillation(OR=1.945). Conclusion The control rates of type 2 diabetes and hypertension are very low in patients with ischemic stroke ,and the incidence of overweight and obesity are high ,evaluated total cholesterol ,history of atrial fibrillation and uncontrolled blood glucose and blood pressure are significantly associated with recurrent stroke.关键词
缺血性脑卒中/二级预防/再发脑卒中/危险因素Key words
Ischemic stroke/Secondary prevention/Recurrent stroke/Risk factors分类
医药卫生
