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首发缺血性卒中患者短期预后不良的危险因素分析

Risk factors of short-term poor prognosis in patients with the first-episode ischemic stroke

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【作者】 徐艳吴继云于江

【Author】 XU Yan;WU Ji-yun;YU Jiang;Department of Neurology,the First People’s Hospital of Lianyungang;Nursing Department,the First People’s Hospital of Lianyungang;

【机构】 连云港市第一人民医院神经内科连云港市第一人民医院护理部

【摘要】 目的探讨首发缺血性卒中患者短期预后不良的危险因素。方法采用一般资料调查表和简化改良的Rankin问卷对142例首发缺血性卒中患者进行调查,并采用Logistic回归分析进行预后不良危险因素分析。结果 82例患者3个月后预后不良;Logistic回归分析结果显示:年龄≥60岁、合并高血压、合并糖尿病和入院时NIHSS评分增高与首发缺血性卒中患者出院3个月预后不良有关。结论大多数首发缺血性卒中患者短期预后不良,年龄增加、合并高血压、合并糖尿病以及入院时NIHSS评分增高是短期预后不良的危险因素。

【Abstract】 Objective To investigate the risk factors of short-term poor prognosis in patients with the first-episode ischemic stroke.Methods Totally,142 first-episode ischemic stroke patients were investigated by general data questionnaire and simplified modified Rankin Scale questionnaire.The data were analyzed using Logistic regression analysis.Results A total of 82 patients suffered from poor prognosisat3 months after discharge.Logistic regression analysis showed that age≥60 years,hypertension,diabetes and increased the National Institutes of Health Stroke Scale( NIHSS) score on admission were related to poor prognosis among patients with the first-episode ischemic stroke at3 months after discharge.Conclusion The great majority patients with first-episode ischemic stroke suffered from short-time poor prognosis,and the risk factors were advanced age,hypertension,diabetes and increased NIHSS scores on admission.

【关键词】 缺血性卒中预后预后不良
【Key words】 ischemic strokeprognosispoor prognosis
【基金】 连云港市卫生科技项目(1407)
  • 【文献出处】 护理管理杂志 ,Journal of Nursing Administration , 编辑部邮箱 ,2018年02期
  • 【分类号】R473.74
  • 【被引频次】4
  • 【下载频次】72
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