目的探讨心源性脑卒中病情进展的危险因素。方法回顾性分析2008年8月1日~2014年12月31日在江苏省苏北人民医院诊治的急性缺血性脑卒中患者,根据中国缺血性脑卒中亚型分型筛选出心源性脑卒中患者71例,根据入院7d内病情是否加重分为进展...目的探讨心源性脑卒中病情进展的危险因素。方法回顾性分析2008年8月1日~2014年12月31日在江苏省苏北人民医院诊治的急性缺血性脑卒中患者,根据中国缺血性脑卒中亚型分型筛选出心源性脑卒中患者71例,根据入院7d内病情是否加重分为进展组14例和非进展组57例。2组入院时和30d后病情评估采用美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分。采用单因素和logistic回归分析得出心源性脑卒中病情进展的危险因素,采用ROC曲线分析各因素预测的临界值。结果进展组NIHSS改善情况明显较非进展期差(P<0.01)。进展组年龄、右侧病灶和D-二聚体水平明显高于非进展组[(77.29±8.87)岁vs(71.44±9.51)岁,P=0.041;71.4%vs 33.3%,P=0.009;2.82mg/L vs 0.91mg/L,P=0.048],丙氨酸转氨酶水平明显低于非进展组[(13.79±4.44)U/L vs(21.98±17.34)U/L,P=0.002]。进一步行logistic回归分析显示,2组年龄、右侧病灶和D-二聚体比较,差异有统计学意义(P=0.030,P=0.007,P=0.025)。绘制ROC曲线下面积可见,年龄>70.75岁及D-二聚体>1.23mg/L患者易出现病情进展。结论年龄、右侧病灶和D-二聚体水平升高是心源性脑卒中病情进展的危险因素,可作为心源性脑卒中病情进展的预测因子。展开更多
This paper reports the surveillance results of the morbidity ofacute accident due to coronacy heart disease and struke, and the control effect of them in a natural population of 378,538 peasants in Haimen county from ...This paper reports the surveillance results of the morbidity ofacute accident due to coronacy heart disease and struke, and the control effect of them in a natural population of 378,538 peasants in Haimen county from 1983 to 1989,according to the WHO monica project. The results show that annual average morbidity of acute myocardial infarction, sndden death due to coronary heart disease and stroke in Haimen serveilance population is 2.51/100000,6.14/100000 and 74.47/100000 respectively. The morbidity of cardiovascular diseases in male was higher than that in female, and the mcrbidity in the middle-aged and eldwes was higher than that in younger people.The morbidity level in male and feniale was lower, compared with the population in Zhendin county,Hobei province in north China. These findings nught be attributable to the lower risk factors of cardiovascular disease in Haimen county. The authors suggest that the key of cardiovascular disease control in Haimen is to prevent stroke.展开更多
This paper reports the surveillance results of the morbidity ofacute accident due to coronacy heart disease and struke, and the control effect of them in a natural population of 378,538 peasants in Haimen county from ...This paper reports the surveillance results of the morbidity ofacute accident due to coronacy heart disease and struke, and the control effect of them in a natural population of 378,538 peasants in Haimen county from 1983 to 1989,according to the WHO monica project. The results show that annual average morbidity of acute myocardial infarction, sndden death due to coronary heart disease and stroke in Haimen serveilance population is 2.51/100000,6.14/100000 and 74.47/100000 respectively. The morbidity of cardiovascular diseases in male was higher than that in female, and the mcrbidity in the middle-aged and eldwes was higher than that in younger people.The morbidity level in male and feniale was lower, compared with the population in Zhendin county,Hobei province in north China. These findings nught be attributable to the lower risk factors of cardiovascular disease in Haimen county. The authors suggest that the key of cardiovascular disease control in Haimen is to prevent stroke.展开更多
文摘目的探讨心源性脑卒中病情进展的危险因素。方法回顾性分析2008年8月1日~2014年12月31日在江苏省苏北人民医院诊治的急性缺血性脑卒中患者,根据中国缺血性脑卒中亚型分型筛选出心源性脑卒中患者71例,根据入院7d内病情是否加重分为进展组14例和非进展组57例。2组入院时和30d后病情评估采用美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分。采用单因素和logistic回归分析得出心源性脑卒中病情进展的危险因素,采用ROC曲线分析各因素预测的临界值。结果进展组NIHSS改善情况明显较非进展期差(P<0.01)。进展组年龄、右侧病灶和D-二聚体水平明显高于非进展组[(77.29±8.87)岁vs(71.44±9.51)岁,P=0.041;71.4%vs 33.3%,P=0.009;2.82mg/L vs 0.91mg/L,P=0.048],丙氨酸转氨酶水平明显低于非进展组[(13.79±4.44)U/L vs(21.98±17.34)U/L,P=0.002]。进一步行logistic回归分析显示,2组年龄、右侧病灶和D-二聚体比较,差异有统计学意义(P=0.030,P=0.007,P=0.025)。绘制ROC曲线下面积可见,年龄>70.75岁及D-二聚体>1.23mg/L患者易出现病情进展。结论年龄、右侧病灶和D-二聚体水平升高是心源性脑卒中病情进展的危险因素,可作为心源性脑卒中病情进展的预测因子。
文摘This paper reports the surveillance results of the morbidity ofacute accident due to coronacy heart disease and struke, and the control effect of them in a natural population of 378,538 peasants in Haimen county from 1983 to 1989,according to the WHO monica project. The results show that annual average morbidity of acute myocardial infarction, sndden death due to coronary heart disease and stroke in Haimen serveilance population is 2.51/100000,6.14/100000 and 74.47/100000 respectively. The morbidity of cardiovascular diseases in male was higher than that in female, and the mcrbidity in the middle-aged and eldwes was higher than that in younger people.The morbidity level in male and feniale was lower, compared with the population in Zhendin county,Hobei province in north China. These findings nught be attributable to the lower risk factors of cardiovascular disease in Haimen county. The authors suggest that the key of cardiovascular disease control in Haimen is to prevent stroke.
文摘This paper reports the surveillance results of the morbidity ofacute accident due to coronacy heart disease and struke, and the control effect of them in a natural population of 378,538 peasants in Haimen county from 1983 to 1989,according to the WHO monica project. The results show that annual average morbidity of acute myocardial infarction, sndden death due to coronary heart disease and stroke in Haimen serveilance population is 2.51/100000,6.14/100000 and 74.47/100000 respectively. The morbidity of cardiovascular diseases in male was higher than that in female, and the mcrbidity in the middle-aged and eldwes was higher than that in younger people.The morbidity level in male and feniale was lower, compared with the population in Zhendin county,Hobei province in north China. These findings nught be attributable to the lower risk factors of cardiovascular disease in Haimen county. The authors suggest that the key of cardiovascular disease control in Haimen is to prevent stroke.
