摘要
目的了解青年脑卒中预后的影响因素,为改善其预后,提高生活质量提供依据。方法通过抄录医院病历记载信息及电话随访收集保定市发病年龄在18～45岁的青年脑卒中患者的资料,采用Rankin(modifiedrankin scale,mRS)量表对患者的预后进行评定,利用2检验进行单因素分析,Logistic回归进行多因素分析。结果共调查80例,男性53例占66.25%,女性27例占33.75%。预后良好者43例占53.75%,预后不良者37例占46.25%。病死7例,病死率为8.75%。单因素分析表明,文化程度低、入院首次收缩压高的患者预后较差,入院诊断出血性脑卒中的患者预后比缺血性患者差。多因素分析结果表明入院诊断、人均月收入影响患者的预后,出血性脑卒中、经济收入较低的患者预后更差。结论对于出血性脑卒中患者应尽早介入康复治疗,加强对低收入、低文化程度青年脑卒中患者的关注,采取有效措施改善预后。
Objective To study influencing factors of stroke prognosis in young people. Methods We collected the data from the young stroke patients aging from 18 to 45 in Baoding City, by copying the information from the hospital medical records and following-up by telephones, and assessed their prognosis by the modified rankin scale （mRS） , ana- lyzed related influencing factors of prognosis with Chi-square and Logistic regression. Results 80 young stroke patients were investigated, male 53 cases accounted for 66. 25% and female 27 cases accounted for 33.75%. Good prognosis in 43 cases accounted for 53.75% , and poor prognosis in 37 cases accounted for 46. 25%. Seven cases died and the mortality was 8. 75%. Univariate-analysis showed that the worse prognosis of stroke in young patients was closely associated with low education or high systolic blood pressure. Prognosis of the hemorrhagic stroke patients was worse than those with ischemic stroke. Muhivariate-analysis showed that prognosis was influenced by admission diagnosis and economic income. Conclu- sions Early rehabilitation intervention should be done for the hemorrhagic stroke patients, more attention should be paid to young stroke patients with low family income and lower education.
出处
《中华疾病控制杂志》
CAS
北大核心
2013年第8期699-701,共3页
Chinese Journal of Disease Control & Prevention
基金
河北省卫生厅课题(2009-568)
关键词
卒中
预后
诊断
Stroke
Prognosis
Diagnosis
作者简介
张红杰（1966-），女，河北保定人，教授，硕士。主要研究方向：卫生统计和流行病学。
