脑梗死近期再发的危险因素分析

Risk factors for recurrence of cerebral infarction in the near future

目的 探讨导致脑梗死近期再发的相关危险因素。方法 检测85例首发脑梗死患者的年龄、性别、血压、血糖、血清甘油三脂、胆固醇、凝血功能、房颤、烟酒的摄入及体重指标，2年内定期随访，进行统计学分析。结果 单因素分析提示：高血压、高血糖、高血脂、高血清胆固醇、高纤维蛋白原、房颤、吸烟、酗酒和肥胖是脑梗死2年内再发显著相关因素。而Logistic回归分析发现：高血压、高血糖和高血清胆固醇可能是独立危险因素。结论 高血压、高血糖和高血清胆固醇可作为脑梗死2年内再发的独立预测指标。

Objective To analyze the risk factors for recurrence of cerebral infarction in the near future, Methods The age, gender, blood pressure, blood sugar, serum triglyceride, serum cholesterol, blood coagulation, atrial fibrillation, intaking of tobacco and alcohols, and body mass index （BMI） were detected in the patients with initial cerebral infarction. During the follow-up of 2 years, they were observed in the factors that might be associated with the recurrence of cerebral infarction, Results By single factor analysis, hypertension, hyperglycemia, high blood lipid, high serum cholesterol, high blood fibrinogen, atrial fibrillation, heavy smoking, excessive drinking, obesity were significantly associated with the recurrence of cerebral infarction in the 2 years. By multivariate logistic regression analysis, hypertension, hyperglycemia and high serum cholesterol were independent risk factors. Conclusion Hypertension, hyperglycemia, high serum cholesterol can serve as the independent predictive indexes of the recurrence of cerebral infarction within 2 years.