急性缺血性脑卒中患者预后相关危险因素分析

Analysis of prognosis-related risk factors in patients with acute ischemic stroke

目的分析急性缺血性脑卒中患者预后相关危险因素。方法选取240例急性缺血性脑卒中住院患者,收集并分析患者的人口学资料和临床资料,包括年龄、性别、既往病史、实验室检查结果和发病3个月改良Rankin量表(m RS)评分。结果多因素Logistic回归分析显示,入院美国国立卫生研究院卒中量表(NIHSS)评分(OR=1.036,95%CI为1.016~1.056,P<0.001)、空腹血糖(OR=1.196,95%CI为1.066~1.341,P=0.002)、C反应蛋白(OR=1.176,95%CI为1.116~1.240,P<0.001)是急性缺血性脑卒中患者预后不良的独立影响因素。结论急性缺血性脑卒中患者入院NIHSS评分、空腹血糖及C反应蛋白水平对其3个月预后评估具有重要的意义。

Objective To analyze the risk factors of prognosis in patients with acute ischemic stroke.Methods A total of 240 hospitalized patients with acute ischemic stroke were selected.Demographic and clinical materials such as age,gender,past medical history,laboratory examination results and 3-month modified Rankin Scale(m RS)score were collected and analyzed.Results Multivariate Logistic regression analysis showed that score of National Institutes of Health Stroke Scale(NIHSS)(OR=1.036,95%CI,1.016 to 1.056,P<0.001),fasting blood glucose(OR=1.196,95%CI,1.066 to 1.341,P=0.002)and C reactive protein(OR=1.176,95%CI,1.116 to1.240,P<0.001)were independent influencing factors for poor prognosis in patients with acute ischemic stroke.Conclusion The NIHSS score on admission,fasting blood glucose and C reactive protein levels are of great significance for 3-month prognosis evaluation in patients with acute ischemic stroke.