CAJ | 학술논문

目的：探讨徐州地区居民缺血性脑卒中复发的影响因素。方法选择2008年1月1日-2009年12月31日在徐州医学院附属医院神经内科病房住院的缺血性脑卒中患者474例，其中复发患者为148例，应用Logistic回归模型对患者基本情况、就医时临床信息、生化指标、出院后情况等因素进行筛选。结果年龄（ OR＝1．062，95％CI：1．040～1．084）、舒张压（OR＝1．054，95％CI：1．036～1．072）、语言障碍（OR＝1．951，95％CI：1．256～3．030）、饮酒（OR＝1．687，95％CI：1．030～2．764）、甘油三酯（OR＝1．379，95％CI：1．073～1．772）等指标为缺血性脑卒中复发的危险因素；定期服用阿司匹林（OR＝0．769，95％CI：0．599～0．988）和良好的睡眠（OR＝0．620，95％CI：0．456～0．843）可降低脑卒中复发的危险性。结论年龄、舒张压、语言障碍、饮酒、甘油三酯、定期服用阿司匹林和睡眠是缺血性脑卒中复发的影响因素。
목적：탐토서주지구거민결혈성뇌졸중복발적영향인소。방법선택2008년1월1일-2009년12월31일재서주의학원부속의원신경내과병방주원적결혈성뇌졸중환자474례，기중복발환자위148례，응용Logistic회귀모형대환자기본정황、취의시림상신식、생화지표、출원후정황등인소진행사선。결과년령（ OR＝1．062，95％CI：1．040～1．084）、서장압（OR＝1．054，95％CI：1．036～1．072）、어언장애（OR＝1．951，95％CI：1．256～3．030）、음주（OR＝1．687，95％CI：1．030～2．764）、감유삼지（OR＝1．379，95％CI：1．073～1．772）등지표위결혈성뇌졸중복발적위험인소；정기복용아사필림（OR＝0．769，95％CI：0．599～0．988）화량호적수면（OR＝0．620，95％CI：0．456～0．843）가강저뇌졸중복발적위험성。결론년령、서장압、어언장애、음주、감유삼지、정기복용아사필림화수면시결혈성뇌졸중복발적영향인소。
Objective To explore the risk factors of recurrent ischemic stroke among the residents of Xuzhou . Method 474 patients who were admitted into our hospital from January 1, 2008 to December 31, 2009 due to ischemic stroke were enrolled in the current study.Their clinical data were collected to undergo screening using logistic regression .Results According to the current study, the risk factors of recurrent ischemic stroke included age (OR=1.062, 95% CI:1.040~1.084), diastolic blood pressure (OR=1.054, 95%CI:1.036~1.072), aphasia (OR=1.951, 95%CI:1.256~3.030), al-cohol consumption (OR=1.687, 95%CI:1.030~2.764), and triglycerides (OR=1.379, 95%CI:1.073~1.772).Regular use of aspirin (OR=0.769, 95%CI:0.599~0.988) and good sleep (OR=0.620, 95%CI:0.456~0.843) can reduce the risk of recurrence.Conclusion The recurrence of ischemic stroke can be influenced by the following factors:age, diastolic blood pressure, aphasia, alcohol consumption, triglycerides, regular use of aspirin and good sleep.