摘要
目的探讨与短暂性脑缺血发作(TIA)后90d内预后相关的危险因素。方法收集162例TIA患者的临床资料进行90d随访,应用SPSS13.0软件Cox回归模型进行多因素分析。结果TIA后90d内有40例(24.7%)患者发生脑梗死,发病后30d内脑梗死风险较大。发作持续时间(RR=17.172,P<0.01)、高纤维蛋白原血症(RR=3.071,P<0.01)、血糖异常(RR=2.651,P<0.01)和高血压(RR=3.356,P<0.01)是与TIA后90d内预后相关的独立危险因素。结论发作持续时间、高纤维蛋白原血症、血糖异常和高血压是与TIA后90d内预后相关的独立危险因素。
Objective To explore the clinical risk factors influencing the short-term prognosis of transient ischemic attack（TIA）. Methods We collected the clinical data of 162 patients with TIA in this study. All the patients were followed up for 90 days. Multiple factor analysis was performed by Cox regression model（SPSS 13.0 software）. Results Within 90 days after TIA,40 of 162 patients（24.7%）experienced cerebral infarction. The risk of cerebral infartion during the first 30 days after TIA was higher. The independent risk factors for the prognosis within 90 days after TIA were the duration of TIA （RR=17.172,P 0.01）,hyperfibrinogenemia （RR=3.071,P 0.01）,abnormal blood glucose level （RR=2.651,P 0.01）,and hypertension （RR=3.356,P 0.01）. Conclusion The duration of TIA,hyperfibrinogenemia, abnormal blood glucose level,and hypertension are independent risk factors for the short-term prognosis of TIA.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2010年第3期221-223,237,共4页
Journal of China Medical University
