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代谢综合征对急性缺血性脑卒中患者复发、死亡及生活依赖程度的影响

卢颖瑜 黄秉文 王金良 方咏红 王运林 秦兴华 王鹏 袁春丽

广西医学2017,Vol.39Issue(6):799-802,4.
广西医学2017,Vol.39Issue(6):799-802,4.DOI:10.11675/j.issn.0253-4304.2017.06.12

代谢综合征对急性缺血性脑卒中患者复发、死亡及生活依赖程度的影响

Impact of metabolic syndrome on recurrence,death and life dependence of patients with acute ischemic stroke

卢颖瑜 1黄秉文 2王金良 1方咏红 2王运林 2秦兴华 1王鹏 1袁春丽3

作者信息

  • 1. 广东省佛山市第二人民医院神经内科,佛山市 528000
  • 2. 广东省佛山市第二人民医院内分泌科,佛山市 528000
  • 3. 广东省佛山市南海区经济开发区人民医院综合病科,佛山市 528000
  • 折叠

摘要

Abstract

Objective To explore the impact of metabolic syndrome(MS) on the recurrence,death and life dependence of patients with acute ischemic stroke.Methods A total of 308 patients with first-onset acute ischemic stroke were selected and divided into MS group(n=103) and non-MS group(n=205) according to the incidence of MS.Modified Rankin Scale was used to assess the life dependence of the patients.The recurrence rate of stroke,proportion of death,and life dependence within one year after onset were compared between the two groups.Cox model was used for multivariate analysis involving the factors probably influencing the recurrence of stroke,death and life dependence in the patients with acute ischemic stroke.Results The recurrence rate of stroke within one year after onset was higher in the MS group than that in the non-MS group(P<0.05).There were no significant differences in the proportion of death or modified Rankin Scale score within one year after onset between MS group and non-MS group(P>0.05).Multivariable Cox regression analysis showed that MS was one of the independent risk factors for stroke recurrence within one year after onset in the patients with acute ischemic stroke(P<0.05).No correlation of MS with death or life dependence within one year after onset was found(P>0.05).Conclusion The risk of 1-year recurrence of acute ischemic stroke increases in the patients complicated with MS.And it is necessary to regulate MS when treating acute ischemic stroke.

关键词

急性缺血性卒中/代谢综合征/复发/死亡/生活依赖

Key words

Acute ischemic stroke/Metabolic syndrome/Recurrence/Death/Life dependence

分类

医药卫生

引用本文复制引用

卢颖瑜,黄秉文,王金良,方咏红,王运林,秦兴华,王鹏,袁春丽..代谢综合征对急性缺血性脑卒中患者复发、死亡及生活依赖程度的影响[J].广西医学,2017,39(6):799-802,4.

基金项目

广东省医学科学技术研究基金(A2015271) (A2015271)

广东省佛山市医学类科技攻关项目(2015AB00382) (2015AB00382)

广西医学

OACSTPCD

0253-4304

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