医学研究生学报
醫學研究生學報
의학연구생학보
Journal of Medical Postgraduates
2015年
11期
1156-1159
,共4页
曹琴琴%张君%肖露露%刘柯婷%田玲%石瑞峰%徐格林
曹琴琴%張君%肖露露%劉柯婷%田玲%石瑞峰%徐格林
조금금%장군%초로로%류가정%전령%석서봉%서격림
高血压%缺血性脑卒中%卒中严重程度
高血壓%缺血性腦卒中%卒中嚴重程度
고혈압%결혈성뇌졸중%졸중엄중정도
Hypertension%Ischemic stroke%Stroke severity
目的:高血压是心脑血管疾病首要的可控危险因素,而很多高血压患者对治疗高血压的态度并不积极。文中探讨既往高血压治疗情况与缺血性脑卒中严重程度之间的关系,以期为卒中的预防提供参考。方法回顾性分析2011年1月至2014年12月在南京军区南京总医院神经内科住院的653例首发48 h内缺血性脑卒中合并高血压患者的临床资料,根据入院时神经功能缺损评分(National Institute of Health Stroke Scale, NIHSS)将卒中分为轻型(NIHSS≤3)和重型(NIHSS>3)2组。同时根据既往高血压治疗情况将所有患者分为4组,包括规律治疗组、不规律治疗组、不治疗组及高血压不知情组。Spearman相关分析法用来分析既往高血压的治疗情况与缺血性脑卒中的严重程度之间相关性。多因素Logistic回归用来分析与缺血性脑卒中严重程度相关的影响因素。结果入院时神经功能缺损程度与患者既往高血压治疗情况呈正相关(r=0.146,P=0.0002);既往高血压不规律治疗(OR=2.21,95%CI:1.39~3.52,P=0.001)、不治疗(OR =2.18,95%CI:1.41~3.36,P=0.0004)及不知情(OR=1.80,95%CI:1.12~2.88,P=0.015)的患者相比于高血压规律治疗的患者更倾向于患重型缺血性卒中。结论既往高血压治疗水平与缺血性脑卒中的神经功能缺损程度相关。
目的:高血壓是心腦血管疾病首要的可控危險因素,而很多高血壓患者對治療高血壓的態度併不積極。文中探討既往高血壓治療情況與缺血性腦卒中嚴重程度之間的關繫,以期為卒中的預防提供參攷。方法迴顧性分析2011年1月至2014年12月在南京軍區南京總醫院神經內科住院的653例首髮48 h內缺血性腦卒中閤併高血壓患者的臨床資料,根據入院時神經功能缺損評分(National Institute of Health Stroke Scale, NIHSS)將卒中分為輕型(NIHSS≤3)和重型(NIHSS>3)2組。同時根據既往高血壓治療情況將所有患者分為4組,包括規律治療組、不規律治療組、不治療組及高血壓不知情組。Spearman相關分析法用來分析既往高血壓的治療情況與缺血性腦卒中的嚴重程度之間相關性。多因素Logistic迴歸用來分析與缺血性腦卒中嚴重程度相關的影響因素。結果入院時神經功能缺損程度與患者既往高血壓治療情況呈正相關(r=0.146,P=0.0002);既往高血壓不規律治療(OR=2.21,95%CI:1.39~3.52,P=0.001)、不治療(OR =2.18,95%CI:1.41~3.36,P=0.0004)及不知情(OR=1.80,95%CI:1.12~2.88,P=0.015)的患者相比于高血壓規律治療的患者更傾嚮于患重型缺血性卒中。結論既往高血壓治療水平與缺血性腦卒中的神經功能缺損程度相關。
목적:고혈압시심뇌혈관질병수요적가공위험인소,이흔다고혈압환자대치료고혈압적태도병불적겁。문중탐토기왕고혈압치료정황여결혈성뇌졸중엄중정도지간적관계,이기위졸중적예방제공삼고。방법회고성분석2011년1월지2014년12월재남경군구남경총의원신경내과주원적653례수발48 h내결혈성뇌졸중합병고혈압환자적림상자료,근거입원시신경공능결손평분(National Institute of Health Stroke Scale, NIHSS)장졸중분위경형(NIHSS≤3)화중형(NIHSS>3)2조。동시근거기왕고혈압치료정황장소유환자분위4조,포괄규률치료조、불규률치료조、불치료조급고혈압불지정조。Spearman상관분석법용래분석기왕고혈압적치료정황여결혈성뇌졸중적엄중정도지간상관성。다인소Logistic회귀용래분석여결혈성뇌졸중엄중정도상관적영향인소。결과입원시신경공능결손정도여환자기왕고혈압치료정황정정상관(r=0.146,P=0.0002);기왕고혈압불규률치료(OR=2.21,95%CI:1.39~3.52,P=0.001)、불치료(OR =2.18,95%CI:1.41~3.36,P=0.0004)급불지정(OR=1.80,95%CI:1.12~2.88,P=0.015)적환자상비우고혈압규률치료적환자경경향우환중형결혈성졸중。결론기왕고혈압치료수평여결혈성뇌졸중적신경공능결손정도상관。
Objective Hypertension is a leading modifiable risk factor for cardiovascular disease .However , a lot of hyper-tension patients hold inactive attitudes to hypertension treatment .The purpose of this study was to investigate the relationship between previous treatment of hypertension and stroke severity in acute ischemic stroke . Methods We retrospectively analyzed the clinical data of 653 in-hospital ischemic stroke patients with hypertension between January 2011 and December 2014 .According to the National Institutes of Health Stroke Scale (NIHSS) at admission, the stroke patients were divided into a mild group (NIHSS≤3) and a severe group (NIHSS >3) and, based on their history of hypertension treatment , allocated to a regular treatment, an irregular treatment, a non-treatment , and an unawareness group .We studied the relationship of previous hypertension treatment with stroke severity by Spearman correlation analysis and identified the potential factors associated with stroke severity by multivariate logistic regression anal-ysis. Results Previous treatment of hypertension was positively correlated with stroke severity (r=0.146, P=0.000 2).Compared with the patients of the regular treatment group , those in the irregular treatment group (OR: 2.21; 95%CI:1.39 -3.52; P =0.001), non-treatment group ( OR: 2.18; 95%CI: 1.41 -3.36; P =0.0004) and unawareness group (OR:1.80;95%CI:1.12-2.88; P=0.015) tended to have more severe stroke. Conclusion Previous treatment of hypertension is closely related to the severity of ischemic stroke .