不同肥胖指标在预测缺血性脑卒中患者神经功能预后和脑卒中复发中的价值分析

Value of different obesity indices in predicting neurological prognosis and stroke recurrence in patients with ischemic stroke

目的:探讨不同肥胖指标在预测缺血性脑卒中患者神经功能预后和疾病复发中的作用。方法:收集218例缺血性脑卒中患者的基线信息,根据体重指数、腰围、腰围身高比进行分组,比较不同肥胖指标下、不同组别患者发病后12个月时的神经功能预后情况和疾病复发情况。结果:根据体重指数分组,肥胖组、超重组患者发病后12个月时的mRS评分和疾病复发率明显高于正常体重组和消瘦组(P <0.05),根据腰围分组,中心性肥胖组、非中心肥胖组患者发病后12个月时的mRS评分和疾病复发率比较无明显差异(P> 0.05),根据腰围身高比分组,中心性肥胖组、非中心肥胖组患者发病后12个月时的mRS评分和疾病复发率比较无明显差异(P> 0.05)。结论:体重指数、腰围、腰围身高比三种肥胖指标中,体重指数在预测缺血性脑卒中患者神经功能预后和脑卒中复发风险中的效能更高。

Objective： To explore the value of diferent obesity indices in predicting neurological prognosis and stroke recurrence in patients with ischemic stroke. Methods： 218 patients were collected and grouped according to BMI, waist circumference and WHR. The neurological prognosis and disease recurrence at 12 months after onset in different obesity indexes and different groups were compared. Results： According to body mass index, the mRS score and disease recurrence rate in the obese group and overweight group at 12 months after onset were signifcantly higher than those in the normal weight group and emaciated group （P〈0.05）. According to waist circumference, there was no signifcant diference in the mRS score and disease recurrence rate between the central obesity group and non-central obesity group at 12 months after onset （P〉0.05）. Conclusion： BMI is more efective in predicting neurological prognosis and stroke recurrence risk in ischemic stroke patients than waist circumference and WHR.