高级检索
栗文彬, 刘学东, 王波, 吕亚丽, 苏海霞, 吴中亮, 徐德忠. 缺血性脑卒中短期预后及影响因素分析[J]. 中国公共卫生, 2008, 24(4): 454-455. DOI: 10.11847/zgggws2008-24-04-43
引用本文: 栗文彬, 刘学东, 王波, 吕亚丽, 苏海霞, 吴中亮, 徐德忠. 缺血性脑卒中短期预后及影响因素分析[J]. 中国公共卫生, 2008, 24(4): 454-455. DOI: 10.11847/zgggws2008-24-04-43
LI Wen-bin, LIU Xue-dong, WANG Bo, . A study on functional prognosis and influential factors of ischemic stoke[J]. Chinese Journal of Public Health, 2008, 24(4): 454-455. DOI: 10.11847/zgggws2008-24-04-43
Citation: LI Wen-bin, LIU Xue-dong, WANG Bo, . A study on functional prognosis and influential factors of ischemic stoke[J]. Chinese Journal of Public Health, 2008, 24(4): 454-455. DOI: 10.11847/zgggws2008-24-04-43

缺血性脑卒中短期预后及影响因素分析

A study on functional prognosis and influential factors of ischemic stoke

  • 摘要: 目的 探讨缺血性脑卒中短期预后及其影响因素。方法 采用前瞻性研究方法,收集2005年11月至2006年6月某综合性医院神经内科确诊的连续性缺血脑性卒中病例作为研究对象,采用电话、信访等方式随访,改良兰金量表(modified Rankin Scale,mRS)评分为结局指标,应用单因素和多因素Logistic回归分析方法分析功能预后的影响因素。结果 267例缺血脑性卒中病例中,不符合纳入标准129例,资料不全者3例,失访8例,失访率为5.8%。最终纳入分析130例,其中预后良好者81例(62.3%),预后不良者49例(37.7%)。多因素Logistic回归分析显示,预后不良与下列因素有关:高龄,OR=4.35;95%CI=1.17~16.22;有脑卒中史,OR=4.21,95%CI=1.03~17.22;美国国立卫生院脑卒中量表(NIHSS)高评分,OR=2.18,95%CI=1.65~2.88。结论 脑卒中短期内的不良预后与高龄、有脑卒中史、高NIHSS评分有关。

     

    Abstract: Objective To observe the functional prognosis and to analyze the influence factors in ischemic stroke cases.Methods Ischemic stroke cases in the neurology department in one hospital were retrospectively collected from January 2005 to June 2006 continuously.These cases were followed up through phone or mail.The mRS(modified Ranhin Scale)score was the index of primary outcome.The influence factors on functional prognosis were analyzed by monovariant and multivariant logistic regression.Results 267 cases were collected,129 of which did not meet the inclusion criteria,3 cases had missing data.8 cases(5.8%)were lost.Thus,130 cases were included in the analysis.The result of multi-variantlogistic reg ression showed that the poor outcome was associated with older age(OR=4.35;95%CI=1 17~16.22),higher educational level (OR=0.69;95%CI=0.57~0.83),having stro ke history(OR=4.21;95%CI=1.03~17.22),and higher NIHSS total scores(OR=2.18;95%CI=1.65~2.88).Conclusion the results suggested that older age,having stroke history,and higher NIHSS total scores were influence factors of functional outcome of ischemic stroke.

     

/

返回文章
返回