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目的描述急性缺血性脑卒中住院患者临床特征,分析多次住院的影响因素,为急性缺血性脑卒中的治疗和预防提供依据。方法回顾性分析2016年1~5月,在哈尔滨医科大学附属第一医院住院的急性缺血性脑卒中患者600例,由调查人员进行统一的问卷调查。按照性别分组,描述急性缺血性脑卒中住院患者的临床特征,并将这些特征纳入多元logistic回归分析模型,分析影响多次住院的因素。结果急性缺血性脑卒中男性患者和女性患者相比,家族史、脉搏频率、呼吸次数、吸烟情况、饮酒情况、高血压、H型高血压、贫血、红细胞计数偏低、低HDL血症、载脂蛋白A及载脂蛋白B异常差异有统计学意义(均P<0.05)。多元logistic回归分析显示,男性较女性增加多次住院的风险,OR(95%CI)为1.614(1.052~2.477),而患有慢性病者增加了多次住院的风险,OR(95%CI)为2.85(1.708~4.776)。结论不同性别急性缺血性脑卒中住院患者临床特征的差异很大,而且男性和患有慢性病增加了患者多次住院的风险。
Objective To describe the clinical characteristics of hospitalized patients with acute ischemic stroke and analyze the influencing factors of multiple hospitalizations to provide the basis for the treatment and prevention of acute ischemic stroke. Methods A retrospective analysis of 600 cases of acute ischemic stroke patients hospitalized in the First Affiliated Hospital of Harbin Medical University from January to May 2016 was conducted by the investigators in a unified questionnaire. Grouping by sex to describe the clinical characteristics of hospitalized patients with acute ischemic stroke and incorporating these characteristics into a multivariate logistic regression model to analyze factors affecting multiple hospitalizations. Results Compared with female patients, family history, pulse rate, number of breaths, smoking status, alcohol intake, hypertension, Hypertension, anemia, low red blood cell count, hypoglycemia, The differences of apolipoprotein A and apolipoprotein B were statistically significant (all P <0.05). Multivariate logistic regression analysis showed that men had a significantly increased risk of multiple hospitalizations compared with women, OR (95% CI) was 1.614 (1.052-2.477), while those with chronic disease increased the risk of multiple hospitalizations, with OR (95% CI) 2.85 (1.708 ~ 4.776). Conclusions The clinical characteristics of hospitalized patients with different acute ischemic stroke vary widely, and men and chronic diseases increase the risk of multiple hospitalizations.