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脑卒中复发危险因素及干预对策的临床研究

Study on risk factors of recurrence of stroke and interfere

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【作者】 马璟张淑敏白向东魏欣

【Author】 MA Jing,et al.(The First People’s Hospital of Yinchuan,Yinchuan 750001,China)

【机构】 宁夏银川市第一人民医院

【摘要】 目的进一步探讨脑卒中复发危险因素和干预措施。方法对132例首发脑卒中住院患者自入院之日起作为随访起点,脑卒中复发作为结局事件,并对所有病例进行定期随访。结果本组复发率为12.1%(16/132),年龄、高血压、高血脂、糖尿病、缺血性心脏病、是否康复锻炼以及社会心理因素等都是影响复发的主要因素,脑卒中复发多为同类型、同侧的复发;复发者中合并高血压、高血脂应规律降压、调脂治疗或治疗不规律者,未坚持服用抗血小板聚集药物治疗的患者复发所占百分率较高。结论充分认识和积极干预脑卒中复发的危险因素,对于预防复发十分重要。

【Abstract】 Objective To study the risk factors of recurrence of stroke and interfere methods.Methods The 132 patients with stroke in hospital as visit from beginning and stroke recurrence as ordding invents,all cases would be visited timely.Results Recurrence rate was 12.1%(16/132),our results showed that hypertension hypercholesterolemia diabetes and ischemic cardiac diseases exercise and social psychological factors were associated significantly with recurrence.Stroke recurred in the same site and same type,but in the recurrence group,the patients(with hypertension or hypercholesterolemia)who had not stuck to the treatment of hypertension or hyperlipenia,antipletelet aggregation had higher rates.Conclusions In order to prevent the recurrence,it is very important to learn and interfere actively the risk factors of recurrence of stroke.

【关键词】 脑卒中复发危险因素干预
【Key words】 StrokeRecurrenceRisk factorsInterfere
【基金】 银川市科委资助项目(200744)
  • 【文献出处】 宁夏医学杂志 ,Ningxia Medical Journal , 编辑部邮箱 ,2009年08期
  • 【分类号】R743.3
  • 【被引频次】14
  • 【下载频次】155
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