中国医药科学杂志欢迎您.   今天是:        
张远胜,龚德祥,吴慧静,张志敏.龙岗区社区居民急性脑梗死出院后复发情况及危险因素分析[J].中国医药科学,2019,(16):195-198        基金项目:广东省深圳市龙岗区医疗卫生项目/重点专科(实验室)(YS2013190)
龙岗区社区居民急性脑梗死出院后复发情况及危险因素分析
Analysis on recurrence and risk factors of acute cerebral infarction in community residents after discharge in Longgang District
  
DOI:
中文关键词:  社区;急性脑梗死;复发情况;危险因素
英文关键词:Community; Acute cerebral infarction; Recurrence; Risk factors
作者单位
张远胜,龚德祥,吴慧静,张志敏 深圳市龙岗区第四人民医院,广东深圳 518114 
摘要点击次数: 5
全文下载次数: 10
中文摘要:
      [摘要] 目的 研究龙岗区社区居民急性脑梗死出院后脑梗死复发的危险因素以及如何控制这些因素。方法通过对龙岗区社区居民 2016 年 7 月 ~ 2018 年 7 月期间的 125 例急性脑梗死出院后两年内的复发情况进行单因素回顾性分析和多因素 Logistic 回归分析来探讨脑梗死复发的危险因素。结果 复发组患者患有高血压、糖尿病和高血脂病的比例较高,差异具有统计学意义(P < 0.05),说明高血压病史、糖尿病病史和高血脂病病史与脑梗死复发有关。脑梗死出院后复发与吸烟,饮酒,肾功,凝血功能和入院血压,血糖,血脂等各成分上的差异无统计学意义(P > 0.05),与总胆固醇(TC)水平有一定关联,有待进一步研究。通过多因素Logistic 分析发现高血压(OR=1.923)、高血脂(OR=1.291)、糖尿病(OR=1.464)为脑梗死复发的危险因素,差异具有统计学意义(P < 0.05),吸烟与饮酒史与脑梗死复发无明显联系,差异无统计学意义(P > 0.05)。结论 高血压、高血糖和高血脂是急性脑梗死复发的危险因素之一,患者体内总胆固醇(TC)水平与急性脑梗死复发有一定关联。
英文摘要:
      [Abstract] Objective To study risk factors of recurrent cerebral infarction after discharge in community residents in Longgang district and how to control these factors. Methods The recurrence of 125 community residents with cerebral infarction after discharge from July 2016 to July 2018 in Longgang district was given single factor retrospective analysis and multivariate Logistic regression analysis to explore risk factors of recurrent cerebral infarction. Results The proportion of patients with recurrent hypertension, diabetes and hyperlipidemia was higher, and the difference was statistically significant (P < 0.05), indicating that the history of hypertension, history of diabetes and history of hyperlipidemia were associated with recurrence of cerebral infarction. There was no significant difference between the recurrence of cerebral infarction after discharge and the components of smoking, drinking, renal function, coagulation function, blood pressure, blood glucose and blood lipid on admission(P > 0.05). The recurrence of cerebral infarction after discharge had certain correlations with total cholesterol (TC) level, which needed to be further studied. Multivariate Logistic analysis showed that hypertension (OR=1.923), hyperlipidemia (OR=1.291) and diabetes (OR=1.464) were risk factors for recurrence of cerebral infarction. The differences were statistically significant(P < 0.05). There was no significant relationship between smoking and drinking history and recurrence of cerebral infarction, and the difference was not statistically significant(P > 0.05). Conclusion Hypertension, hyperglycemia and hyperlipidemia are risk factors for recurrence of acute cerebral infarction. The total cholesterol (TC) level of patients has a certain correlation with the recurrence of acute cerebral infarction.
查看全文  查看/发表评论  下载PDF阅读器
关闭
关键词: 中国医药科学 中国医学 中国医学科学 中华医学 医学杂志 临床医学杂志 医学期刊 中国预防医学 中华预防医学 预防医学杂志 中国药学 药学杂志
药理杂志 中国中医 中医杂志 中华中医药 中医药杂志 中国医疗 医疗器械杂志 中国中西医结合 中国医药 医药杂志 医药期刊 医药论文 医学论文 科研论文 职称论文
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=6FD48CA0A0DD475980D7D45B80AEC621C2D68DD95F97816527F5BE2F2B68F9C2EAF002D377326E6E014E46A87DE4E39781E96ECFC0990F1C25CE5741313E43C1D40F69D37BDB63E1E4BD7CA73821A6769B9286C0750625A02E9593049630A26C634B21EBB37F9680F90289AE915CEA799478CD8B6CE04480BAF17865C7CD0D2C5E666A5AC3E0F033&pcid=&cid=&jid=&yid=B6351343F4791CA3&aid=&vid=&iid=7801E6FC5AE9020C&sid=64963996248CBF47&eid=FEF02B4635FE8227&fileno=20191187&flag=1&is_more=0">