高龄脑梗死患者临床转归与危险因素的分析

Study on risk factors for clinical outcome of cerebral infarction patients aged over 90 years

目的分析年龄≥90岁脑梗死患者的临床转归以及危险因素之间的关系。方法选择48例年龄≥90岁脑梗死患者。采用logistic回归分析临床预后与高血压、冠心病、糖尿病以及临床生化指标等相关危险因素的关系。结果高血压所占比例高,为79.2%。吸烟(1 2.5%)、饮酒(10.4%)所占比例低。肺部感染与临床转归显著相关(P<0.05)。高血糖与肺部感染显著相关(P<0.05)。结论 79.2%高龄脑梗死患者可以存活;不吸烟、少饮酒可以长寿:伴发肺部感染是年龄≥90岁脑梗死患者死亡的主要原因,高血糖增加死亡的风险。

Objectives To analyse the risk factors for cerebral infarction（CI） patients aged over 90 years and analyse the relationship between the risk factors and the clinical outcome of the aged CI patients. Methods Retrospective study on the clinical data of 48 CI patients aged over 90 years was carried out. The proportions of various risk factors were compared. The relationship between the clinical outcome and risk factors was analysed by logistic regression analysis. Results Hypertension was the most important risk factor for CI of aged patients. Smoking and drinking were the risk factors of lower proportions in aged CI patients. The lung infection was correlated to the clinical outcome. Diabetes mellitus was correlated to the lung infection. Conclusion Stopping smok- ing and drinking can make people longevity. Control of hypertension can reduce the onset of CI.Lung infection is the most important cause of death of aged CI patients, and hyperglycemia may increase the risk of death.