本文選題：缺血性腦卒中　切入點：代謝綜合征　出處：《臨床神經(jīng)病學(xué)雜志》2017年05期

【摘要】：目的探討代謝綜合征(MS)與缺血性腦卒中患者轉(zhuǎn)歸不良的相關(guān)性。方法收集2015年1月~2016年4月在新疆奎屯第七師醫(yī)院神經(jīng)內(nèi)科收治的427例急性缺血性腦卒中患者的臨床資料。根據(jù)發(fā)病后90 d mRS評分將患者分為轉(zhuǎn)歸不良組和轉(zhuǎn)歸良好組。采用多因素Logistic回歸進行MS與缺血性腦卒中轉(zhuǎn)歸不良的相關(guān)性分析。結(jié)果轉(zhuǎn)歸不良組NIHSS評分≥15分、后循環(huán)梗死、肺部感染和MS的比例均高于轉(zhuǎn)歸良好組(均P0.05);NIHSS評分≥15分(OR=8.615,95%CI:5.305~13.991,P=0.000)、MS(OR=2.226,95%CI:1.373~3.609,P=0.001)是轉(zhuǎn)歸不良的獨立危險因素。結(jié)論 NIHSS評分≥15分和MS都是缺血性腦卒中患者轉(zhuǎn)歸不良的獨立危險因素。
[Abstract]:Objective to investigate the correlation between metabolic syndrome (MS) and adverse outcome of ischemic stroke patients. Methods 427 patients with acute ischemic stroke were collected from January 2015 to April 2016 in Department of Neurology, 7th Division Hospital, Kuitun, Xinjiang. Clinical data. According to the mRS score of 90 days after onset, the patients were divided into two groups: the group with bad prognosis and the group with good prognosis. The correlation between MS and adverse outcome of ischemic stroke was analyzed by multivariate Logistic regression. Results the NIHSS score of the group with adverse outcome was 鈮，

本文編號：1667010