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非心源性缺血性卒中复发危险因素分析

张长青 王伊龙 王春雪 刘丽萍 赵性泉 王拥军

中国卒中杂志2018,Vol.13Issue(1):23-28,6.
中国卒中杂志2018,Vol.13Issue(1):23-28,6.DOI:10.3969/j.issn.1673-5765.2018.01.006

非心源性缺血性卒中复发危险因素分析

Risk Factors Analysis of Noncardiogenic Ischemic Stroke Recurrence

张长青 1王伊龙 2王春雪 3刘丽萍 2赵性泉 3王拥军4

作者信息

  • 1. 100050 北京 首都医科大学附属北京天坛医院血管神经病学科
  • 2. 国家神经系统疾病临床医学研究中心
  • 3. 首都医科大学附属北京天坛医院神经病学中心
  • 4. 首都医科大学附属北京天坛医院临床试验与临床研究中心
  • 折叠

摘要

Abstract

Objective To investigate the risk factors of noncardiogenic ischemic stroke (IS) recurrence at 1 year after onset of IS. Methods A total of 1978 noncardiogenic IS patients with onset of symptoms <7 days were enrolled consecutively. Demographic information, vascular risk factors, main symptoms and signs of onset were collected. The cerebral magnetic resonance imaging (MRI) results of these patients were evaluated, including locations, numbers of infarction focus, distribution characteristics culprit cerebral artery of acute infarcts and having severe stenosis or not, and etiological subtypes of IS. Cox regression analysis was used to identify risk factors associated with IS or TIA recurrence within 1 year. Results A total of 95 patients (4.8%) experienced recurrent IS or TIA within 1 year after IS or TIA. History of coronary heart disease, history of IS, repeated TIAs within 3 months before stroke, culprit artery stenosis ≥70%, and posterior circulation IS were risk factors for recurrent IS or TIA within 1 year. Conclusion Patients with noncardiogenic IS who have posterior circulation infarction, severe culprit artery stenosis and history of ischemic cardiocerebrovascular diseases are at higher risk of stroke recurrence.

关键词

缺血性卒中/复发/危险因素

Key words

Ischemic stroke/Recurrence/Risk factors

引用本文复制引用

张长青,王伊龙,王春雪,刘丽萍,赵性泉,王拥军..非心源性缺血性卒中复发危险因素分析[J].中国卒中杂志,2018,13(1):23-28,6.

基金项目

北京市优秀人才培养资助(青年骨干个人)-急性缺血性卒中的头颅磁共振影像学表现及影响预后的相关因素分析(2016000021469G215) (青年骨干个人)

中国卒中杂志

OACSTPCD

1673-5765

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