【摘要】 目的:探讨河南省部分脑卒中患者病情加重的危险因素。方法:选择在河南省郑州市、洛阳市、新乡市、驻马店、平顶山等地住院治疗过程中病情加重或无效的脑卒中患者2568例,记录并分析引起病情加重的各项危险因素。结果:本组最常见的危险因素依次为高血压(62.62%)、2次发病(52.80%)、感染(49.37%)、无可靠医疗保障(39.29%),其次为高血糖、高同型半胱氨酸血症、脏器衰竭、内环境紊乱以及焦虑抑郁情绪等等。90.8%的患者危险因素>2个,平均(3.4±1.2)个。结论:河南地区脑卒中患者病情加重者多合并2个或更多危险因素,高血压、感染、2次发病、无可靠医疗保障是导致患者病情加重的主要危险因素。更多还原

【Abstract】 Objective:To investigate the risk factors for the deterioration of diseases of patients with stroke in Henan Province. Methods: A total of 2568 patients with stroke, in Zhengzhou, Luoyang, Xinxiang, Zhumadian and Pingdingshan were included in our study. The symptoms of all the patients, however, were aggravated or invalid during the treatment. Through data collecting, we recorded individual risk factors and analyzed those which caused the aggravated conditions. Results: The most common risk factors were hypertension, secondary attack, infection and poor medical care, accounting for 62.62%, 52.80%, 49.37% and 39.29%, respectively. Furthermore, diabetes,high homocysteine, organ failure, turbulence of internal environment and anxiety with depression were also the risk factors. Most patients had two or more factors, on an average of(3.4±1.2), accounting for 90.8%. Conclusion: The risk factors which resulted in aggravating the conditions of patients with stroke were various and multiple. Most patients had two or more risk factors. Hypertension, secondary attack, infection and poor medical care were the most important factors.更多还原