摘要
目的分析脑卒中复发的相关因素。方法对本社区286例脑卒中患者进行调查并统计初次脑卒中发生2年内复发的人数,分析引起复发的原因。结果脑卒中2年内复发率为25%。(1)两组患者的性别构成间差别无显著性意义(P>0.05),年龄和神经功能损伤评分间差别均有显著性意义(P<0.05);(2)两组患者除饮酒、缺乏适当运动的发生率间差别无显著性意义(P>0.05)外,余危险因素的发生率间差别均有显著性意义(P<0.05);(3)两组患者危险度的构成间差别有显著性意义(P<0.01)。结论高血压及糖尿病控制不理想、血脂异常、心脏疾病、抑郁、肥胖、吸烟、饮食不合理为脑卒中复发的危险因素,同时存在多项危险因素的患者复发的危险性更大。及时有效的干预和控制这些因素对预防脑卒中复发有重要的临床意义。
Objective To analyze the recurrence factors in stroke patients. Methods 286 stroke patients in the local community were investigated, rate of recurrence within 2 years of initial stroke was counted. Risk factors of recurrence were analysed for better control and intervention of stroke. Results The stroke reecurence rate witnin 2 years is 25%. ( 1 ) There were significantly difference in age and neural function deficit between the two groups ( P 〈 0. 05 ), with no diferrenee in sex distribution ( P 〉 0. 05 ) ; (2) Except of alcohol intake and lack of activities, there were significantly differrences on other risk factors between the two groups (P 〈0.05). (3) The risk factor distribufion was differrent betweenthe two groups (P 〈0.01). Contlusion Failure to control hypertension and diabetes mellitus at an appropriate levels, dyslipidemia, heart disease, depression , obesity, smoking and inappropriate diet were the risk factors of stroke recurrence. The recurrence rate was higher in combination of multiple risk factors. It is very important to effectively control these risk factors for prevention of stroke recurrence.
出处
《实用心脑肺血管病杂志》
2006年第2期115-117,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
脑血管病
复发
危险因素
Brain vascular disorders
Recurrence
Risk factors