围手术期缺血性脑卒中危险因素分析

Analysis of risk factors for perioperative ischemic stroke

目的探讨可能引起围手术期缺血性卒中的危险因素。方法收集非心脏、非血管手术围手术期缺血性脑卒中患者的临床资料,用条件Logistic回归做单因素、多因素分析。结果对41例围手术期缺血性脑卒中患者进行回归分析,显示术中血压下降(OR=6.458,95%CI=2.842～13.267)、脑血管病(OR=2.216,95%CI=1.427～5.367)、心房颤动(OR=5.623,95%CI=3.367～8.476)是围手术期缺血性卒中的危险因素。结论对既往有脑血管疾病患者,术中严格维持血压稳定,减少心房颤动发作,对预防围手术期缺血性脑卒中的发生具有重要临床意义。

Objective To evaluate the risk factors for perioperative ischemic stroke.Methods The data were analyzed with conditional logistic regression.Results Forty-one ischemic stroke were included,conditional logistic regression showed that three major risk factors emerged：hypotension during sugery（OR=6.458,95%CI=2.842～13.267）,previous cerebrovascular disease（OR=2.216,95% CI=1.427～5.367）,atrial fibrillation（OR=5.623,95% CI=3.367～8.476）.Conclusion History of cerebrovascular disease,hypotension during sugery and atrial fibrillation are risk factors for perioperative ischemic stroke.