脑卒中患者基线资料及其生存质量影响因素的Logistic回归分析

The multivariate logistic regression analysis on the factors of life quality associated with stroke

目的对脑卒中患者的基线资料及其生存质量影响因素进行分析。方法以2008年1月1日-2009年5月1日在深圳市中医院针灸科门诊或住院确诊的脑卒中患者为研究对象，收集基线资料及其生存质量影响因素资料，改良Rankin评分为结局指标。对影响生存质量预后的因素进行单因素和多元logistic团归分析。结果365例患者最终纳入分析，其中预后良好者167例（45．75％）。预后不良者198例（54．25％）。单因素及多元Logistic回归分析显示，糖尿病、嗜酒、脑卒中复发、肥胖、对中风知识的了解以及在饮食和情志方面的关注有统计学意义（P〈0．05）。结论这说明糖尿病、嗜酒、脑卒中复发、肥胖为导致脑卒中患者生存质量预后不良的危险因素，对中风知识的了解以及在饮食和情志方面的关注是脑卒中患者生存质量预后良好的保护因素。

Objective To investigate the influential factors of life quality associated with stroke. Methods The stroke cases were collected at the acupuncture and moxibustion department in Shenzhen Hospital of Traditional Chinese Medicine from 2008 - 1 - 1 to 2009 - 5 - 1. All baseline information and the factors of quality life were collected and measured. Meanwhile, the Rankin scale was used to measure the life quality. The influential factors were analyzed by monovariant and muhivariant logistic regression analysis. Results Monovariant and multivariant logistic regression analyses showed that the poor outcome was associated with diabetes, being addicted to drink, stroke history, obesity, knowledge on stroke and regulation of diet and emotion or spirit. Conclusions The results suggest that diabetes, being addicted to drink, stroke history, obesity, knowledge on stroke and regulation of diet and emotion or spirit are influential factors of life quality associated with stroke.