复发性脑卒中危险因素研究

Exploring of risk factors for recurrent stroke

[目的]探讨复发性脑卒中(RS)的危险因素,为预防脑卒中复发提供依据。[方法]采取回顾性调查研究方法,抽取2012年7—9月在天津中医药大学第一附属医院住院符合纳入标准的脑卒中病例,调查了患者常见脑卒中危险因素。通过Logistic回归分析研究危险因素与脑卒中复发的关系。[结果]研究纳入315例脑卒中病例,其中首发脑卒中(FS)患者178例,RS患者137例。分析结果显示年龄、性格、高血压、家族史等4个因素有统计学意义。其中年龄较大(OR=1.03,95%CI 1.00~1.05)、有高血压基础病(OR=2.42,95%CI 1.28~4.56)、有家族史(OR=2.22,95%CI1.24~3.99)为危险因素,而温和型性格趋向保护因素(OR=0.48,95%CI 0.28~0.82)。[结论]年龄、性格、高血压、家族史等因素与复发性脑卒中的发生密切相关。

[Objective] Discussion of recurrent stroke(RS) risk factors, provide the basis for the prevention of stroke recurrence.[Methods] Take retrospective survey research methods, extraction 2012 between June to September in the unit met the inclusion criteria hospitalized stroke patients, investigated the common risk factors for stroke patients, analysis of the relationship between risk factors for recurrent stroke by Logistic regression analysis. [Results] The study included 315 cases of stroke patients, including first stroke(first stroke, FS) patients with 178 cases, RS patients with 137 cases. Analysis showed those four factors as age, personality, high blood pressure, family history had statistical significance. Where older(OR=1.03, 95%CI 1.00~1.05), hypertension underlying diseases(OR=2.42, 95%CI 1.28~4.56), family history(OR=2.22, 95%CI 1.24~3.99) were risk factors rather mild personality trends protective factor(OR =0.48, 95% CI0.28 ~0.82). [Conclusion] Age, personality, hypertension, family history and the incidence of recurrent stroke are closely related.