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南京地区缺血性脑卒中二级预防中危险因素的调查分析

许海燕 尹俊雄 于翠玉 许媛媛 张书刚 魏砚秋 凌晓辉 刘晓卫 王小姗 刘卫国 林兴建 冯智 张霞 蔡兴秋 逯恒东 刘犇

临床神经病学杂志Issue(3):181-184,4.
临床神经病学杂志Issue(3):181-184,4.

南京地区缺血性脑卒中二级预防中危险因素的调查分析

Investigation of risk factors of ischemic stroke in secondary prevention in Nanjing area

许海燕 1尹俊雄 1于翠玉 1许媛媛 1张书刚 1魏砚秋 1凌晓辉 1刘晓卫 1王小姗 1刘卫国 1林兴建 1冯智 2张霞 3蔡兴秋 1逯恒东 1刘犇1

作者信息

  • 1. 210029 南京脑科医院神经内科,物理诊断科,急诊科
  • 2. 江宁区疾控中心
  • 3. 建邺区疾控中心
  • 折叠

摘要

Abstract

Objective To investigate the risk factors of ischemic stroke in secondary prevention in Nanjing area.Methods The data of 886 patients in clinics of Nanjing Brain Hospital from March 2013 to December 2013 who had history of cerebral infarction ( CI ) or had CI outbreak ( CI group ) and 1247 patients who had only lacunar infarction (LI) lesions but no stroke history(LI group) were registered, including sex, age, smoking, hypertension, diabetes, atrial fibrillation,myocardial infarction, peripheral arterial disease, intracranial and extracranial artery stenosis,Essen score.Also, the related data of low risk population in 9739 cases ( LR group) of Nanjing Tangshan and Nanhu community were collected , and risk factors of the three groups were compared .Results The risk rates of diabetes and hypertension in CI group and LI group were significantly higher than those in LR group (all P<0.01). The rate of intracranial and extracranial artery stenosis in CI group was significantly higher than that in LI group ( P<0.01).There were no significant differences in muti-logistic regression of six risk factors of cerebral infarction .And there were no significant differences in ESRS between CI group and LI group .Conclusions Hypertension and diabetes are the common risk factors of CI in Nanjing area .The monitoring of intracranial and extracranial artery stenosis was more important in these risk factors for ischemic stroke .

关键词

缺血性脑卒中/二级预防/危险因素

Key words

ischemic stroke/secondary prevention/risk factors

分类

医药卫生

引用本文复制引用

许海燕,尹俊雄,于翠玉,许媛媛,张书刚,魏砚秋,凌晓辉,刘晓卫,王小姗,刘卫国,林兴建,冯智,张霞,蔡兴秋,逯恒东,刘犇..南京地区缺血性脑卒中二级预防中危险因素的调查分析[J].临床神经病学杂志,2015,(3):181-184,4.

基金项目

南京市卫生局医学科技发展重大项目 ()

临床神经病学杂志

OA北大核心CSTPCD

1004-1648

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