安徽医科大学学报2017，Vol.52Issue(4)：584-588,5.DOI:10.19405/j.cnki.issn1000-1492.2017.04.027
基于CISS分型的复发性脑梗死的高危因素及其与亚型的相关性
The correlation between risk factors and subtype in recurrentcerebral infarction patients based on CISS classification
摘要
Abstract
Objective To analyze the correlation between the risk factors and the subtype in recurrent cerebral infarction patients within 1 year based on CISS classification, and to provide the basis for clinical intervention.Methods A total of 1 446 patients with cerebral infarction were enrolled in this study.The distribution of risk factors in each subtype was investigated and analyzed on the basis of CISS for these patients.Multiple regression analysis was used to analyze the association between risk factors and stroke recurrence within 1 year in ischemic stroke patients with different subtype.Results Among the 1 446 patients, 741 were LAA subtype, 501 were PAD subtype, 119 were CS subtype, 55 were subtype UE, and 30 were OE subtype.125 patients had stroke recurrence within 1 year, including 61 cases of LAA subtype, 38 cases of PAD subtype, 21 cases of CS subtype, 5 cases of UE subtype.Multivariate regression analysis showed that moderate stenosis of carotid artery and severe stenosis of carotid artery were associated with stroke recurrence in patients with LAA subtype(OR=6.178,9.016,95% CI:2.262~11.749,3.023~15.172,P=0.012,0.004).Hypertension(OR=1.786,95% CI:1.102~2.942,P=0.013) was associated with stroke recurrence in patents with PAD subtype.Age and atrial fibrillation were associated with recurrence in patients with CS subtype(OR=1.031,6.179,95% CI:1.012~1.051,1.045~35.128,P=0.003,0.032).Conclusion Moderate and severe stenosis of carotid artery are independent risk factors for LAA subtype recurrence.Hypertension is an independent risk factor for PAD subtype recurrence.Age and atrial fibrillation are independent risk factors for recurrence of CS subtype.关键词
CISS分型/脑梗死/复发Key words
CISS classification/cerebral infarction/recurrence分类
医药卫生引用本文复制引用
施雪英,袁良津,曹莉,蒋鸣坤,顾尚恒..基于CISS分型的复发性脑梗死的高危因素及其与亚型的相关性[J].安徽医科大学学报,2017,52(4):584-588,5.基金项目
安徽省卫生厅医学科研自筹项目(编号:2010C114) （编号:2010C114）
