男性脑卒中患者复发的风险因素分析

Factors Analysis of Recurrent Risk in Male Stroke Patients

目的调查男性脑卒中患者复发的相关风险,为有效二级预防及针对性共患病控制提供临床参考。方法通过查阅已有病例及定期会诊或随访,采用χ2检验和t检验统计分析所有男性脑卒中患者出院后1年的复发情况调查,患者被分类为复发组和未复发组。结果 225例男性脑卒中患者(平均年龄68.31±24.04岁)中,总复发率为11.56%(26/225,平均年龄74.83±21.54岁),明显高于男性对照组的0.24%(11/4651,平均年龄69.56±19.32岁)。脑卒中的复发率随年龄和BMI的增长而增加(P<0.001)。Logistic回归模型多因素分析中,老年、身高、BMI、糖尿病、高血压、血脂异常、冠心病和心房颤动等对脑卒中复发率有显著影响(P<0.001)。结论在开展一定的二级预防措施下,男性脑卒中患者仍有较高的复发风险。大力开展二级预防及严格控制相关并发症对于预防男性脑卒中复发有重要意义。

Objective To analyze the related recurrent risk in male stroke patients, which could provide clinical references for effective secondary prevention and target control of comorbidities. Methods The recurrent rate of all male stroke patients within 1 - year survey was analyzed by selecting all medical records of patients, periodic consultation or followup, using x2 test and t- test to statistically analyze. All patients were classified as recurrence group and non - recurrence group. Results In the included 225 cases of male stroke patients （ mean age of 68.31 ± 24.04 years） , total recurrent rate of stroke was 11.56% （26/225, 74.83 ±21.54 years） , which was sig nificantly higher than 0.24% （ 11/4651, 69.56 ± 19.32 years）. The recurreny rate of stroke increased as age or BMI raising （ P 〈 0. 001）. In logistic regression multivariate analysis, the recurrent rate of male stroke patients with multi -factors （such as old, height,BMI, diabetes, hypertension, high cholesterol, coronary heart disease and atrial fibrillation） was higher too （P 〈0. 001 ）. Conclusion Under certain secondary prevention, male stroke patients still had a higher recurrent risk. Vigorously carrying out second prevention and strict control of related complications （diseases） is meaningful for preventing recurrence of male stroke patients.