CAJ | 학술논문

回顾性分析我院住院治疗的176例复发性脑梗死患者的临床资料.再发脑梗死的韩国改良急性脑梗死治疗实验(NEW-TOAST)分型:34例初次脑卒中为脑干梗死患者主要以动脉粥样硬化性脑梗死(AT型)常见(24例,70.6％),其次为小动脉闭塞性卒中(SA型)8例(23.5％)、心源性脑栓塞(CE型)2例(5.9％);142例非脑干梗死患者中AT型87例(61.3％),SA型41例(28.9％),CE型14例(9.9％).不良生活习惯、糖尿病史更易影响脑干梗死,房颤病史则是影响非脑干梗死的主要危险因素,多因素logistic分析显示,不良生活习惯(P=0.03)、糖尿病史(P=0.004)、易损斑块(P=0.01)以及二级预防药物治疗依从性差(P=0.02)是影响脑干梗死再发脑梗死的独立危险因素.需加强健康教育,以提高预防脑干梗死复发的水平.
회고성분석아원주원치료적176례복발성뇌경사환자적림상자료.재발뇌경사적한국개량급성뇌경사치료실험(NEW-TOAST)분형:34례초차뇌졸중위뇌간경사환자주요이동맥죽양경화성뇌경사(AT형)상견(24례,70.6％),기차위소동맥폐새성졸중(SA형)8례(23.5％)、심원성뇌전새(CE형)2례(5.9％);142례비뇌간경사환자중AT형87례(61.3％),SA형41례(28.9％),CE형14례(9.9％).불량생활습관、당뇨병사경역영향뇌간경사,방전병사칙시영향비뇌간경사적주요위험인소,다인소logistic분석현시,불량생활습관(P=0.03)、당뇨병사(P=0.004)、역손반괴(P=0.01)이급이급예방약물치료의종성차(P=0.02)시영향뇌간경사재발뇌경사적독립위험인소.수가강건강교육,이제고예방뇌간경사복발적수평.
To retrospectively analyze the clinical data of 176 patients of recurrent cerebral infarction at our hospital.Based upon the treatment of acute stroke trial (TOAST) classification,the types of recurrent ischemic stroke with initial brainstem infarction were classified.And univariate and multivariate logistic analyses of risk factors were performed.The major types in a decreasing order were atherosclerotic cerebral infarction (AT,n =24,70.6％),small arterial occlusive stroke (SA,n =8,23.5％) and cardiogenic cerebral embolism (CE,n =2,5.9％).Brainstem infarction was more likely to be affected by poor life habits and a history of diabetes mellitus (DM).And atrial fibrillation was a major independent risk factor for non-brainstem infarction.Multivariate logistic analysis showed that poor living habits (P =0.03),a history of DM (P =0.004),vulnerable plaque (P =0.01) and poor compliance of secondary prevention medication (P =0.02) were independent risk factors for recurrent ischemic stroke with initial brainstem infarction.Health education should be strengthened for preventing recurrent ischemic stroke with brainstem infarction.