复发性缺血性脑卒中的危险因素及短期预后分析

Risk factors and short-term prognosis of recurrent ischemic stroke

目的分析复发性缺血性脑卒中的危险因素及短期预后情况。方法选择我院收治的复发性缺血性脑卒中患者者100例为复发组,另选同期入院的100例初发性患者为初发组,进行危险因素及短期预后分析。结果对患者的临床资料进行分析,两组比较,复发组饮酒、吸烟、脑白质疏松以及高血压者人数高于初发组(P<0.05)。经多因素回归分析证实,吸烟、高血压以及脑白质疏松的三个变量的回归系数为正值,表明上述三因素为引起复发性缺血性脑卒中的独立危险因素(P<0.05)。结论吸烟、高血压以及脑白质疏松为引起脑卒中复发的高危因素,出现复发性脑卒中患者的病情比初发者严重,预后功能不佳。

Objective To analyze the risk factors and short-term prognosis of recurrent ischemic stroke. Methods 100 cases of recurrent cerebral ischemic stroke patients in our hospital were selected as the research group and 100 primary patients at the same period were selected as the control group. The risk factors and short-term prognosis were analyzed. Results The clinical data of the patients were analyzed. The results showed that the number of drinking, smoking, leukoaraiosis and hypertension patients in the recurrent group were significantly more than those in the primary group, P<0.05. The multiple regression analysis showed that smoking, hypertension and leukoaraiosis were considered as independent risk factors for recurrent ischemic stroke, P<0.05. Conclusion Smoking, hypertension and leukoaraiosis are the risk factors for recurrent stroke. The recurrence of stroke is more serious than that of the early onset and its prognosis was poor.