本文選題：腦卒中 + 踝肱指數(shù)��； 參考：《中國老年學(xué)雜志》2017年17期

【摘要】：目的探討踝肱指數(shù)(ABI)在腦卒中分型中的臨床意義。方法選取382例腦卒中患者,分為5個亞型:動脈血栓形成性腦梗死(AI)組(148例)、腔隙性梗死(LI)組(76例)、心源性腦梗死(CCE)組(69例)、蛛網(wǎng)膜下腔出血(SAH)組(62例)、腦出血(IH)組(27例),同時收集同期住院的非腦卒中患者124例作為對照組。采用血管多普勒超聲測量儀分別檢測入組患者ABI值。統(tǒng)計(jì)分析腦卒中不同亞型中ABI的差異及在調(diào)整其他危險(xiǎn)因素后單獨(dú)評估ABI對腦卒中不同亞型的影響。結(jié)果 (1)多因素Logistic回歸分析顯示,高血壓(OR=4.627,95%CI:2.024~10.582,P=0.001)、糖尿病(OR=4.764,95%CI:1.394~10.376,P=0.028)、吸煙(OR=2.443,95%CI:1.116~12.335,P=0.026)、ABI(OR=4.543,95%CI:2.091~9.834,P=0.012)與腦卒中發(fā)病相關(guān);(2)ABI在AI組與對照組之間(OR=2.914,95%CI:1.507~6.502,P=0.012)、LI組與對照組之間(OR=2.613,95%CI:1.044~6.459,P=0.025)、CCE組與對照組之間(OR=2.614,95%CI:1.007~7.519,P=0.031)存在顯著差異。結(jié)論 ABI是腦卒中的獨(dú)立危險(xiǎn)因子,可以作為缺血性腦卒中的有效篩查指標(biāo)。
[Abstract]:Objective to investigate the clinical significance of ankle-brachial index (ABI) in the classification of stroke. Methods 382 patients with stroke were selected. The patients were divided into 5 subtypes: the arterial thrombosis cerebral infarction (AII) group (148 cases), the lacunar infarction (Li) group (76 cases), the cardiogenic cerebral infarction (CCEC) group (69 cases), the subarachnoid hemorrhage (SAH) group (62 cases) and the cerebral hemorrhage group (27 cases). 124 patients with non-stroke were used as control group. The ABI values of the patients were detected by vascular Doppler ultrasound. The differences of ABI in different subtypes of stroke were statistically analyzed and the effects of ABI on different subtypes of stroke were evaluated separately after adjusting for other risk factors. 緇撴灉 (1)澶氬洜绱燣ogistic鍥炲綊鍒嗘瀽鏄劇ず,楂樿鍘，

本文編號：1859097