心脑血管病防治2024，Vol.24Issue(4)：32-35,4.DOI:10.3969/j.issn.1009-816x.2024.04.008
后循环脑梗死轻症患者早期神经功能恶化的危险因素分析
Risk factors for early neurological deterioration of patients with mild posterior circulation cerebral infarction
摘要
Abstract
Objective To investigate the risk factors for early neurological deterioration(END)in patients with mild acute posterior circulation cerebral infarction(APCCI)assessed by National Institute of Health Stroke Scale(NIHSS)score≤5.Methods Data of 116 APCCI patients admitted to Baoding NO.1 Central Hospital from January 2019 to June 2021 were collected,all with NIHSS score≤5 on admission.Patients were divided into END group and non-END group based on END occurrence.General data and clinical characteristics of the two groups were compared,and influencing factors for END were analyzed using Logistic regression model.Results Twenty-one patients experienced END,with an incidence of 18.10%.Multivariate Logistic regression analysis with END as the outcome event showed that total cholesterol(TC)level(OR=1.096,95%CI=1.034-1.158),baseline NIHSS score(OR=2.263,95%CI=1.085-3.441),large-artery atherosclerosis(OR=1.187,95%CI=1.043-1.332),middle segment cerebral infarction(OR=4.012,95%CI=1.579-7.688)and pulmonary infection(OR=1.285,95%CI=1.164-1.406)were risk factors for END in APCCI patients(P<0.05).Conclusion High TC level,high baseline NIHSS score,large-artery atherosclerosis,middle segment cerebral infarction and pulmonary infection are risk factors for END in patients with mild APCCI.关键词
后循环脑梗死/早期神经功能恶化/危险因素Key words
Posterior circulation cerebral infarction/Early neurological deterioration/Risk factors引用本文复制引用
钱倩,张静,边伟林,邢晓明,张欣,白艳梅,赵小妹,高娟..后循环脑梗死轻症患者早期神经功能恶化的危险因素分析[J].心脑血管病防治,2024,24(4):32-35,4.基金项目
河北省卫生健康委科研基金项目(20220288) （20220288）
