中国康复理论与实践Issue(2)：172-177,6.DOI:10.3969/j.issn.1006-9771.2016.02.011
复发性缺血性脑卒中的危险因素、严重程度及短期预后分析
Risk Factors, Severity and Short-term Outcome of Recurrent Ischemic Stroke
摘要
Abstract
Objective To investigate the risk factors of recurrent ischemic stroke, and evaluate the severity and short-term outcome. Methods From March, 2014 to March, 2015, 238 patients with recurrent ischemic stroke and 378 patients with initial ischemic stroke matched with gender and age were enrolled. The clinical data of two groups were compared and the non-conditional Logistic regression model was made to analysis the risk factors of recurrent ischemic stroke. The National Institute of Health Stroke Scale (NIHSS) score as ad-mission and discharge, and the neural function improvement rate of two groups were compared. Results The incidences of leukoarailsis (χ2=8.666), hypertension (χ2=8.189), smoking (χ2=6.973) and alcohol consumption (χ2=4.722) were higher in the recurrent group than in the pri-mary group (P<0.05). Logistic regression analysis showed that leukoarailsis (OR=1.690, 95%CI:1.198~2.384, P=0.003), hypertension (OR=1.715, 95%CI:1.135~2.592, P=0.010) and smoking (OR=1.896, 95%CI:1.233~2.915, P=0.004) were the independent risk factors of recur-rent ischemic stroke. The NIHSS scores as admission and discharge were significantly higher (t=-3.645, t=-4.675, P<0.001), and the neural function improvement rate was lower (t=2.643, P<0.01) in the recurrent group than in the primary group. Conclusion Hypertension, leuko-arailsis and smoking are independent risk factors for recurrent ischemic stroke. Recurrent ischemic stroke is more serious than initial isch-emic stroke, and the short-term neural function recovers more slowly.关键词
缺血性脑卒中/复发/危险因素/美国国立卫生研究院卒中量表/预后Key words
ischemic stroke/recurrent/risk factor/National Institute of Health Stroke Scale/outcome分类
医药卫生引用本文复制引用
田婷,关智媛,石正洪,栗静,冯斌..复发性缺血性脑卒中的危险因素、严重程度及短期预后分析[J].中国康复理论与实践,2016,(2):172-177,6.基金项目
兰州科技计划项目(No.2011-1-134)。 （No.2011-1-134）
