文章摘要
林芳，任阳.超高龄大动脉粥样硬化性卒中患者脑梗死复发的 危险因素分析[J].神经损伤功能重建,2018,13(2):66-68
超高龄大动脉粥样硬化性卒中患者脑梗死复发的 危险因素分析
Risk Factors of Recurrence of Ischemic Stroke in Extreme Elderly Patients with Large ArteryAtherosclerosis
  
DOI：
中文关键词: 超高龄  大动脉粥样硬化性卒中  复发  危险因素
英文关键词: extreme elderly patients  large artery atherosclerosis  recurrence  risk factors
基金项目:
作者单位
林芳，任阳 延安大学附属医院 老年病科 
摘要点击次数: 3064
全文下载次数: 3430
中文摘要:
      目的：探讨超高龄大动脉粥样硬化性卒中（LAA）患者90 d及1年内复发的危险因素。方法：超高龄 （≥80岁）LAA患者182例纳入研究。根据发病90 d和1年内有无复发进行分组，采用单因素分析法及多因 素 Logistic 回归分析法分析脑梗死复发的危险因素。结果：发病 90 d 内，不稳定斑块（OR=2.015, 95%CI 1.132-3.011，P=0.024）是超高龄 LAA 患者复发的危险因素。发病 1 年内，糖尿病（OR=3.351, 95% CI 1.724-7.816，P=0.007）、颈动脉狭窄程度（OR=2.035, 95%CI 1.140-3.118，P=0.021）及斑块性质（OR=2.205, 95%CI 1.545-4.770，P=0.013）是超高龄LAA患者复发的影响因素。结论：对于超高龄LAA患者，不稳定斑 块是早期复发的危险因素，而糖尿病、颈动脉狭窄程度和斑块性质均与远期复发相关。
英文摘要:
      To investigate the risk factors of recurrence of ischemic stroke in extreme elderly patients with large artery atherosclerosis (LAA). Methods: One hundred and eighty-two extreme elderly patients with acute ischemic stroke (LAA) were included in the study. According to the follow-up results of 90 days and 1 year, these patients were divided into the recurrent LAA group and the control group, respectively. The risk factors of recurrence of ischemic stroke were analyzed by univariate analysis and Multiariable logistic regression analysis. Results: Within 90 days, unstable plaque (OR=2.015, 95%CI 1.132-3.011, P=0.024) was associated with recurrence of ischemic stroke for extreme elderly patients with LAA. Within one year, diabetes (OR=3.351, 95%CI 1.724-7.816, P=0.007), carotid stenosis severity (OR=2.035, 95%CI I 1.140-3.118, P=0.021) and character of atherosclerotic plaques (OR=2.205, 95%CI 1.545-4.770, P=0.013) were associated with recurrence of ischemic stroke for extreme elderly patients with LAA. Conclusion: For extreme elderly patients with LAA, unstable plaque was the risk factor of early recurrence of ischemic stroke. Diabetes, carotid stenosis severity and character of atherosclerotic plaques were associated with long-term recurrence of ischemic stroke.
查看全文   查看/发表评论  下载PDF阅读器
关闭