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房颤对急性缺血性脑卒中严重程度和早期死亡的影响

杨吉军 谢礼 桂培根 王德明

中南医学科学杂志2017,Vol.45Issue(3):263-265,3.
中南医学科学杂志2017,Vol.45Issue(3):263-265,3.DOI:10.15972/j.cnki.43-1509/r.2017.03.012

房颤对急性缺血性脑卒中严重程度和早期死亡的影响

The effect of atrial fibrillation on severe stroke and early deathin patients with acute cerebral infarction

杨吉军 1谢礼 2桂培根 1王德明3

作者信息

  • 1. 南华大学附属第二医院重症医学科 湖南 衡阳 421001
  • 3. 南华大学附属第二医院麻醉科
  • 折叠

摘要

Abstract

Objective To assess the relation between atrial fibrillation (AF) and the severity and early death in patients with acute ischaemic stroke.Methods 86 patients with acute ischemic stroke were divided into AF group(n=40) and Non-AF group(n=46).The National Institutes of Health Stroke Scale (NIHSS) scores,average length of stay in hospitals and early death were compared.Multivariate Logistic regression analysis was used to evaluate the association of stroke severity and early death with AF.Results The NIHSS scores,average length of stay in hospitals and early death rate in AF group were significantly higher than that in Non-AF group (P<0.05).Multivariate Logistic regression analysis identified that male,older age,AF as the independent risk factors were associated with severe stroke (P<0.05).Moreover,male,older age,diabetes,AF and high NIHSS scores were the independent risk factors associated with early death (P<0.05).Conclusion AF is an independent risk factor for severe stroke and early death in acute ischemic stroke.Careful evaluation and treatment for high-risk AF patients is beneficial for preventing acute ischemic stroke.

关键词

房颤/急性缺血性脑卒中/严重程度/早期死亡

Key words

atrial fibrillation/acute ischemic stroke/severity/early death

分类

医药卫生

引用本文复制引用

杨吉军,谢礼,桂培根,王德明..房颤对急性缺血性脑卒中严重程度和早期死亡的影响[J].中南医学科学杂志,2017,45(3):263-265,3.

基金项目

湖南省卫计委资助项目(No.B2017059). (No.B2017059)

中南医学科学杂志

OACSTPCD

2095-1116

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