脑梗死再发危险因素的临床分析

Clinical Analysis of Recurrence Risk Factors of Cerebral Infarction

目的探讨脑梗死再发与初发的临床特点及相关的危险因素,为临床上有针对性干预脑梗死再发提供理论依据。方法方便选取2010年1月—2011年12月在福建省立医院住院患者中诊断为急性脑梗死并在5年后随访成功的607例患者。对2组脑梗死患者的临床资料进行Logistic回归分析。结果经过logistic回归分析后发现,脑动脉狭窄程度、高血压病、糖尿病、嗜烟、房颤、高胆固醇血症是脑梗死再发的独立危险因素(OR=1.259、1.914、1.673、1.577、2.317、1.495,P<0.05)。结论脑动脉狭窄、高血压病、糖尿病、嗜烟、房颤、高胆固醇血症促进再发性脑梗死发生,其中房颤促进脑梗死再发的风险最高。

Objective To study the clinical features and related risk factors of initial onset and recurrence of cerebral infarction thus providing theoretical basis for targeted intervention in recurrence of cerebral infarction.Methods 607 cases of patients diagnosed with cerebral infarction in the Fujian Province Hospital from January 2010 to December 2011 and with successful follow-up after five years were convenient selected,and the clinical data of the two groups were for logistic regression analysis.Results The logistic regression analysis showed that the degree of cerebral artery stenosis,hypertension,diabetes,smoking,atrial fibrillation,hypercholesterolemia are the independent risk factors of recurrence(OR=1.259,1.914,1.673,1.577,2.317,1.495,P<0.05).Conclusion The cerebral artery stenosis,hypertension,diabetes,smoking,atrial fibrillation,hypercholesterolemia can promote the recurrence of cerebral infarction,and atrial fibrillation is the most risk factor.