CAJ | 학술논문

目的探讨本地区复发性脑梗死二级预防依从性状况及影响因素,为规范二级预防提供依据.方法回顾性分析2009年7月-2012年6月收治的122例复发性脑梗死患者的一般资料、相关检查、复发前二级预防执行情况,进行单因素和多因素Logistic回归分析,计算相对比值比(OR)及95%可信区间.结果⑴单因素回归分析得出,二级预防依从性相关的危险因素为首次复发、受教育年限<6年;保护因素为本地户籍、享有医保、复发前病程<6个月;而性别、年龄因素比较,差异无统计学意义(P>0.05).⑵多因素回归分析,结果只有受教育年限、医保状况、是否首次复发、复发前病程进入回归模型.⑶复发性脑卒中患者抗血小板聚集、抗凝率低,血压、血糖、血脂达标率、戒烟率低.结论临床医生应当依照临床指南要求加强对社区医生及患者的二级预防教育,提高患者的服药依从性,加强对各项指标的控制.
목적탐토본지구복발성뇌경사이급예방의종성상황급영향인소,위규범이급예방제공의거.방법회고성분석2009년7월-2012년6월수치적122례복발성뇌경사환자적일반자료、상관검사、복발전이급예방집행정황,진행단인소화다인소Logistic회귀분석,계산상대비치비(OR)급95%가신구간.결과⑴단인소회귀분석득출,이급예방의종성상관적위험인소위수차복발、수교육년한<6년;보호인소위본지호적、향유의보、복발전병정<6개월;이성별、년령인소비교,차이무통계학의의(P>0.05).⑵다인소회귀분석,결과지유수교육년한、의보상황、시부수차복발、복발전병정진입회귀모형.⑶복발성뇌졸중환자항혈소판취집、항응솔저,혈압、혈당、혈지체표솔、계연솔저.결론림상의생응당의조림상지남요구가강대사구의생급환자적이급예방교육,제고환자적복약의종성,가강대각항지표적공제.
Objective To explore the situation and the influencing factors of compliance in secondary preventions of recurrent cerebral infarction (RCI). And provide the gist for secondary prevention medication application of recurrent cerebral infarction. Methods In this retrospective study, a total of 122 patiens with RCI were enrolled from July 2009 to June 2012.The informations of general data, relevant examination and implementation of secondary prevention measure were collected and analysed with single factor and multiple-factors logistic regression analysis. Count the relative odds ratio (OR) and 95%confidence interval. Results (1) Single factor logistic regression analysis demonstrate that the first relapse,education less than 6 years are risk factors.Yet the local domiciliary ,medical insurance and course of disease less than 6 months are protective factors.There was no statistically significance about sex and age (P<0.05).(2) Multiple-factors logistic regression analysis demonstrate that the first relapse, education, medical insurance and course of disease enter the regression model. (3) Treatment rate of anti-platelet aggregation and anti-coagulation were low in patients with recurrent cerebral infarction.So were the control rate of blood pressure,blood glucose and blood lipid. Conclusion Clinicians should strengthen the education of the community doctors and patients according to the clinical guidelines, which help to improve the compliance of the patients and strengthen the control of the index.