摘要
目的探究缺血性脑卒中患者复发危险因素及预防措施,为减少该病的复发提供参考。方法选取2020年1月—2023年1月聊城市茌平区人民医院收治的137例缺血性脑卒中患者为本次研究对象。我院接受治疗后,保持随访,分析患者复发情况及复发危险因素,并讨论预防措施。结果137例患者,随访时间1~37个月,平均随访时间(15.45±2.11)个月;其中复发22例,复发率为16.06%(22/137);单因素分析,年龄、文化水平、独居、合并高血压、合并糖尿病、吸烟、人均月收入、用药依从性为缺血性脑卒中患者复发影响因素;logistic回归分析,年龄≥60岁、文化水平初中级以下、独居、人均月收入≤3000元/月、合并高血压、合并糖尿病、吸烟、用药依从性差为缺血性脑卒中患者复发独立危险因素。结论缺血性脑卒中患者复发危险因素与其年龄、合并症、不良生活习惯、收入较低、用药依从性等有关,需加强针对性干预,包括纠正不良生活习惯、加强用药管理,以降低患者复发风险,改善预后。
Objective To explore the risk factors and preventive measures for recurrence in patients with cerebral ischemic strok,and to provide a reference for reducing the recurrence of this disease.Methods A total of 137 patients with cerebral ischemic stroke admitted to Liancheng Chiping District People's Hospital from January 2020 to January 2023 were eslected.After receiving treatment in our hospital,follow-up was maintained,and the recurrence status and the risk factors for recurrence of patients were analyzed,and preventive measures were discussed.Results A total of 137 patients were followed up for 1-37 months,with an average follow-up time of(15.45±2.11)months;among them,there were 22 cases of recurrence,with a recurrence rate of 16.06%(22/137);in univariate analysis,age,educational level,living alone,combined with hypertension,combined with diabetes mellitus,smoking,per capita monthly income,and medication compliance were the factors influencing recurrence of cerebral ischemic stroke patients(P<0.05);logistic regression analysis showed that the independent risk factors for recurrence of cerebral ischemic stroke patients were age≥60 years old,education level below junior and intermediate level,living alone,per capita monthly income≤3000 yuan/month,combined with hypertension,combined with diabetes mellitus,smoking,and poor drug compliance.Conclusion The risk factors for recurrence of cerebral ischemic stroke patients were related to their age,comorbidities,poor lifestyle habits,lower income,and medication compliance,etc.Targeted interventions,including correcting poor lifestyle habits and strengthening medication management,were needed to reduce the risk of recurrence and improve prognosis.
作者
许文媛
XU Wen-yuan(Department of Neurology,Liaocheng Chiping District People's Hospital,Liaocheng Shandong Province 252100,China)
出处
《中国城乡企业卫生》
2025年第10期167-169,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
缺血性脑卒中
复发
危险因素
Cerebral ischemic stroke
Recurrence
Risk factors
