脑卒中预后的影响因素分析

Risk factors affecting prognosis in stroke patients

目的探讨影响脑卒中患者3个月预后的相关危险因素。方法以首发脑卒中住院的急性患者为研究对象,记录其人口特征,脑卒中危险因素,最初脑卒中严重性如眼球运动障碍、失语、吞咽困难、尿失禁(UI)、格拉斯哥昏迷评分(GCS),神经功能缺损评分(NIHSS),日常生活能力评分(BI)及脑卒中类型;3月后随访其功能康复情况:牛津残障评分(OHS),并分析影响脑卒中预后的相关危险因素。结果Logistic回归分析发现:GCS,UI 和NIHSS独立地与脑卒中后3个月预后不良显著相关。结论脑卒中急性期尿失禁、GCS评分高及神经功能缺损严重是脑卒中后3个月死亡或严重残疾的独立预测指标。

Objective To analyze risk factors affecting prognosis in stroke patients. Methods The subjects included 291 acute stroke inpatients, whose demographic characteristics, risk factors of stroke, severity degree like ocular movement disturbance, aphasia, dysphagia, urinary incontinence (UI), GCS, NIHSS, BI and types of stroke were recorded. After 3 months, they were followed up for disability evaluation by using Oxford Handicap Scale (OHS) and then the factors significantly associated with poor prognosis 3 months after stroke were analyzed. Results By logistic multivariate analysis, UI, GCS and NIHSS were all significantly associated with poor prognosis 3 months after stroke. Conclusion UI, GCS and NIHSS are respective predictive indexes of death or disability 3 months after stroke.