本刊首页 > 期刊目次 > 高龄2型糖尿病患者缺血性脑卒中复发的相关因素

• 文章 •

高龄2型糖尿病患者缺血性脑卒中复发的相关因素

  • 陈绚

* 通信作者: 陈绚, 单位:梧州市红十字会医院

摘要

摘要:
目的:分析合并有2型糖尿病(T2DM)的高龄缺血性脑卒中患者复发的相关因素。

方法:选取2014年3月至2017年6月在我院住院治疗的220例合并有T2DM的高龄缺血性脑卒中高龄患者作为研究对象,根据缺血性脑卒中是否复发来分为复发组(n=43)和非复发组(n=177)。对比分析两组患者的一般情况如性别、年龄、吸烟史、饮酒史、家族史、体力活动,既往疾病史如高血压、高脂血症、糖尿病、心脏病史等,临床检验资料如总甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)等。采用多因素Logistic回归对比分析影响两组间缺血性脑卒中复发的相关因素。

结果:将12个主要危险因素进行单因素分析,

结果显示与未复发的患者相比,复发组患者高血压、高脂血症、吸烟史、体力活动不足等比例明显升高,对比差异具有统计学意义(P<0.05)。而两组患者之间年龄、性别、心脏病史等因素无明显差异,不具有统计学意义(P>0.05)。使用Logistic回归分析单因素分析中具有统计学意义的变量,

结果显示高血压以及吸烟史与T2DM高龄患者缺血性脑卒中的复发具有明显相关性。

关键词:关键词:高龄;2型糖尿病;缺血性脑卒中;复发

ABSTRACT

Abstract:
Objective: To analyze relevant factors of recurrent ischemic stroke in elderly patients with type 2 diabetes (T2DM).

Methods: 220 elderly patients from March 2014 to June 2017 with ischemic stroke of type 2 diabetes who were hospitalized in our hospital were selected as the study subjects. They were divided into recurrent group (n=43) and non-recurrent group (n=177) according to whether or not the ischemic stroke recurred. The general conditions including gender, age, smoking history, drinking history, family history, physical activity and previous disease history such as hypertension, hyperlipidemia, heart disease and clinical data including total triglyceride(TG),total cholesterol(TC),high-density lipoprotein cholesterol (HDL-C) were compared between the two groups. Multivariate logistic regression analysis was used to analyze the factors that affected the recurrence of ischemic stroke among the two groups.

Results: The univariate analysis of 12 major risk factors showed that the incidence of hypertension, diabetes, hyperlipidemia, smoking history, and lack of physical activity increased significantly in patients with relapse compared with patients without relapse and the difference was statistically significant (P<0.05). There was no significant difference in age, gender, history of heart disease and other factors between the two groups of patients, which was not statistically significant (P>0.05). Using Logistic regression analysis the statistically significantvariables in the univariate analysis showed that hypertension and smoking history were significantly associated with recurrence of ischemic stroke in older patients with type 2 diabetes.

Conclusion  s: Hypertension and smoking are independent risk factors for recurrent stroke in elderly patients with type 2 diabetes.

Key words: Key words: elderly patients; type 2 diabetes mellitus; ischemic stroke; recurrence

引用本文 / How to Cite This Article

陈绚.高龄2型糖尿病患者缺血性脑卒中复发的相关因素[J]. 国际精神病学杂志, , (): -

参考文献

相关文章