脑梗死复发现状和影响因素调查分析

Investigation Analysis on Recurrence and Influencing Factors of Cerebral Infarction

目的探讨脑梗死复发现状和危险因素。方法采用自行制定的自编问卷收集中山市火炬开发区医院神经内科2010年3月至2011年3月住院治疗的259例脑梗死患者的临床资料,利用SPSS 19.0软件对收集的数据进行描述性分析和二分类Logistic回归分析,以找出脑梗死复发现状和影响因素。结果脑梗死患者再次复发的概率为13.93%。幽门螺杆菌感染(OR=6.927,P=0.000)、颈动脉狭窄≥75%(OR=13.285,P=0.000)、心房颤动(OR=9.704,P=0.000)、吸烟(OR=6.272,P=0.000)和大量饮酒(OR=7.882,P=0.000)是脑梗死患者复发的危险因素,坚持预防性治疗(OR=0.021,P=0.000)和照顾者对患者的照顾周到(OR=0.204,P=0.000)是脑梗死患者复发的保护因素。结论脑梗死复发率较高,其发生受多方面因素影响。

Objective To investigate the recurrence and influencing factors of cerebral infarction. Methods The clinical data of 259 cerebral infarction patients treated in the department of neurology in Zhongshan Torch Development Zone Hospital from Mar. 2010 to Mar. 2011 were collected via self-made questionnaire. Such data were analyzed by the SPSSI9.0 for descriptive analysis and binary classification logistic regression analysis in order to find out the recurrence and influencing factors of cerebral infarction. Results The recurrence of cerebral infarction was 13.93%. Helicobacter pylori infection （ OR = 6. 927, P = 0. 000 ）, carotid artery stenosis 〉t 75 % （ OR = 13. 285, P = 0. 000 ）, atrial fibrillation （ OR = 9. 704, P = 9. 704 ）, smoking （ OR = 6. 272, P = 0. 000 ） , and heavy drinking （ OR = 7. 882, P = 7. 882 ） were the risk factors for recurrence of cerebral infarction. Whileinsisting on preventive treatment（ OR = 0. 021, P = 0. 021 ） and taking considerate care of the patients （ OR = 0. 204, P = 0. 000） were the protective factors for recurrence of cerebral infarction. Conclusion The recurrence of cerebral infarction is high, which is affected by various factors.