中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
8期
1087-1089
,共3页
彭雪梅%李琴%马璟曦%蔡敏%王伊龙
彭雪梅%李琴%馬璟晞%蔡敏%王伊龍
팽설매%리금%마경희%채민%왕이룡
脑卒中%预后%危险因素
腦卒中%預後%危險因素
뇌졸중%예후%위험인소
Stroke%Prognosis%Risk factors
目的 分析老年急性脑卒中6个月预后情况及影响因素.方法 收集2008年1月至2011年8月重庆市中山医院收治的急性脑卒中老年患者210例的病历资料进行回顾性分析,根据患者6个月时预后分组,通过Logistic回归分析总结影响显示预后的因素.结果 单因素分析结果显示年龄、心脏病史、美国国立卫生研究所脑卒中评分量表(NIHSS)评分、坚持康复治疗、空腹血糖、白蛋白以及收缩压和舒张压是影响老年急性脑卒中患者6个月预后的因素(均P＜0.05).多因素分析结果显示年龄、NIHSS评分＞7分、空腹血糖＞7.8 mmol/L、收缩压≥140mmHg(1 mmHg=0.133 kPa)和/或舒张压≥90 mm Hg是老年急性脑卒中患者6个月预后的独立危险因素,而白蛋白＞35 g/L是其独立保护因素.结论 老年急性脑卒中发生后年龄过大、NIHSS评分＞7分、空腹血糖＞7.8 mmol/L、收缩压≥140 mm Hg和/或舒张压≥90 mm Hg往往提示预后不良,而白蛋白＞35 g/L提示预后可能较好,可以通过坚持康复训练改善预后.
目的 分析老年急性腦卒中6箇月預後情況及影響因素.方法 收集2008年1月至2011年8月重慶市中山醫院收治的急性腦卒中老年患者210例的病歷資料進行迴顧性分析,根據患者6箇月時預後分組,通過Logistic迴歸分析總結影響顯示預後的因素.結果 單因素分析結果顯示年齡、心髒病史、美國國立衛生研究所腦卒中評分量錶(NIHSS)評分、堅持康複治療、空腹血糖、白蛋白以及收縮壓和舒張壓是影響老年急性腦卒中患者6箇月預後的因素(均P＜0.05).多因素分析結果顯示年齡、NIHSS評分＞7分、空腹血糖＞7.8 mmol/L、收縮壓≥140mmHg(1 mmHg=0.133 kPa)和/或舒張壓≥90 mm Hg是老年急性腦卒中患者6箇月預後的獨立危險因素,而白蛋白＞35 g/L是其獨立保護因素.結論 老年急性腦卒中髮生後年齡過大、NIHSS評分＞7分、空腹血糖＞7.8 mmol/L、收縮壓≥140 mm Hg和/或舒張壓≥90 mm Hg往往提示預後不良,而白蛋白＞35 g/L提示預後可能較好,可以通過堅持康複訓練改善預後.
목적 분석노년급성뇌졸중6개월예후정황급영향인소.방법 수집2008년1월지2011년8월중경시중산의원수치적급성뇌졸중노년환자210례적병력자료진행회고성분석,근거환자6개월시예후분조,통과Logistic회귀분석총결영향현시예후적인소.결과 단인소분석결과현시년령、심장병사、미국국립위생연구소뇌졸중평분량표(NIHSS)평분、견지강복치료、공복혈당、백단백이급수축압화서장압시영향노년급성뇌졸중환자6개월예후적인소(균P＜0.05).다인소분석결과현시년령、NIHSS평분＞7분、공복혈당＞7.8 mmol/L、수축압≥140mmHg(1 mmHg=0.133 kPa)화/혹서장압≥90 mm Hg시노년급성뇌졸중환자6개월예후적독립위험인소,이백단백＞35 g/L시기독립보호인소.결론 노년급성뇌졸중발생후년령과대、NIHSS평분＞7분、공복혈당＞7.8 mmol/L、수축압≥140 mm Hg화/혹서장압≥90 mm Hg왕왕제시예후불량,이백단백＞35 g/L제시예후가능교호,가이통과견지강복훈련개선예후.
Objective To analyze of the six months prognosis and the related factors in elderly patients suffering from acute stroke.Methods Totally 210 acute stroke patients were selected from January 2008 to August 2011,and divided into two groups according to the prognosis.The related influential factors were analyzed by Logistic regression analysis.Results The results of univariate analysis showed that age,history of heart disease,U.S.national institutes of health stroke score scale (NIHSS) score,adhere to rehabilitation treatment,fasting plasma glucose(FPG),albumin ALB,systolic pressure(SBP) and diastolic blood pressure (DBP) were the prognostic factors in elderly patients suffering from acute stroke (all P ＜ 0.05).Moreover,the results of Multivariate analysis showed that age,NIHSS score ＞ 7,FPG ＞ 7.8 mmol/L,SBP ≥ 140 mm Hg and (or) DBP ≥ 90 mm Hg were independent risk factors for the prognosis.However,ALB ＞ 35 g/L was an independent protective factor.Conclusion Old age,NIHSS score ＞ 7,FPG ＞ 7.8 mmol/L,the SBP≥ 140 mm Hg and (or) DBP ≥90 mm Hg often indicate the poor prognosis,while ALB ＞ 35 g/L suggests the better prognosis in elderly patients suffering from acute stroke.
