实用医学杂志2016，Vol.32Issue(7)：1037-1040,4.DOI:10.3969/j.issn.1006-5725.2016.07.001
复发性脑梗死患者发生早期神经功能恶化的相关危险因素分析
Analysis of the risk factors related to early neurological deterioration in patients with recurrent cerebral infarction
摘要
Abstract
Objective To study the risk factors related to early neurological deterioration (END) in patients with recurrent cerebral infarction (RCI). Methods Three hundreds and twenty-six RCI patients admitted to our hospital from January 2014 to March 2015 were divided into END group (n = 66) and non-END group (n =260). The clinical and laboratory data were collected, and their cerebrovascular lesions were accessed according to the angiographic findings. Results (1) Single factor analysis showed the level of cholesterol was significantly higher in the END group than that of the non-END group (P < 0.05). The proportion of patients suffering from smoking, arterial occlusions, early onset stroke associated pneumonia (SAP) and hyponatremia was also higher in the END group (all P < 0.05). (2) Logistic regression analysis showed that arterial occlusions (OR = 2.137, 95%CI 1.093~4.181), SAP (OR=2.001, 95%CI 1.023~3.912) and hyponetremia (OR=2.467, 95%CI 1.217~ 5.000) were independent risk factors for END of RCI patients (all P < 0.05). Conclusion Arterial occlusions, SAP and hyponatremia may be used as predictors of the early development of RCI patients.关键词
脑梗死/复发/神经功能恶化/危险因素Key words
Cerebral infarction/Recurrence/Neurological deterioration/Risk factors引用本文复制引用
张瑜,程曼,姚源蓉..复发性脑梗死患者发生早期神经功能恶化的相关危险因素分析[J].实用医学杂志,2016,32(7):1037-1040,4.基金项目
国家自然科学基金资助项目 （）
