摘要
目的:调查急性缺血性脑卒中(acute ischemic stroke,AIS)患者出院12个月后疾病复发的影响因素,为制定脑卒中复发风险管理方案提供依据。方法:回顾性分析阜阳市人民医院神经内科2022年1—12月间收治的AIS住院患者的临床资料。根据AIS复发诊断标准分为复发组和未复发组。比较两组患者的一般人口学及临床资料。结果:单因素分析显示,两组间运动习惯、血压测量频率、合并症数量、日常生活活动量表(activities of daily living,ADL)评分、抗栓药物、NIHSS评分、改良Rankin量表(modified Rankin scale,mRS)评分、三酰甘油(triglyceride,TG)及低密度脂蛋白胆固醇差异均有统计学意义(均P<0.05)。多因素Logisitic回归分析示,血压测量频率、合并症数量、mRS评分、NIHSS评分及TG水平是复发的独立危险因素。结论:血压测量频率、合并症数量、NIHSS评分、mRS评分及TG是AIS患者12个月复发的独立危险因素;对AIS患者应针对性提供个体化复发风险指导。
Objective:To investigate the risk factors of relapse in patients with acute ischemic stroke(AIS)12 months after discharge,so as to provide a risk management plan for stroke recurrence.Methods:Clinical data of AIS patients admitted to the Department of Neurology of the People's Hospital of Fuyang from January to December 2022 were analyzed retrospectively.According to the diagnostic criteria of AIS relapse,the patients were divided into relapse group and non-recurrence group.The general demographic and clinical data of the two groups were compared.Results:Univariate analysis showed that there were statistically significant differences in exercise habits,blood pressure measurement frequency,number of comorbidities,activities of daily living(ADL)score,antithrombotic drugs,NIHSS score,modified Rankin scale(mRS)score,triglyceride(TG)and low density lipoprotein cholesterol between the two groups(all P<0.05).Multivariate Logisitic regression analysis indicated that blood pressure monitoring frequency,number of comorbidities,mRS score,NIHSS score and TG level were independent risk factors for recurrence(P<0.05).Conclusion:Frequency of blood pressure measurement,number of complications,NIHSS scores,mRS scores and TG were independent risk factors for 12-month recurrence of AIS patients.Individualized relapse risk guidance should be provided for AIS patients.
作者
王莉莉
闫文倩
李含
王国防
白新苹
谭晓熙
WANG Lili;YAN Wenqian;LI Han;WANG Guofang;BAI Xinping;TAN Xiaoxi(Department of Neurology,the People's Hospital of Fuyang,Anhui 236000)
出处
《南通大学学报(医学版)》
2025年第3期276-279,共4页
Journal of Nantong University(Medical sciences)
基金
安徽医科大学青年科学基金资助项目(2022xkj089)。
关键词
急性缺血性脑卒中
危险因素
复发风险
随访调查
acute ischemic stroke
risk factor
recurrence risk
follow-up investigation
