急性缺血性脑卒中患者预后相关危险因素分析

郭四平; 杨丽慧; 董万利

doi:10.7619/jcmp.20201527

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

摘要

摘要:
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（mRS）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。

Abstract:
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 (mRS) 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 to 1.240, 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.

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