缺血性中风后的早期发作:它们与中风风险因素和中风特征的关联
Agnė Šmigelskytė1, Giedrė Gelžinienė1, Giedrė Jurkevičienė1
1Department of Neurology, Lithuanian University of Health Sciences, A. Mickevičiaus str. 9, LT-44307 Kaunas, Lithuania.
Medicina (Kaunas, Lithuania)
|August 26, 2023
概括
缺血性中风后的早期发作发生在6.6%的患者中. 值得注意的是,缺乏先前的动脉高血压增加了早期ESs发展的可能性,而其他常见的风险因素并没有显著影响其发生.
科学领域:
- 神经学 神经学
- 脑卒中医学 脑卒中医学
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 脑卒中后发作 (ESs) 是一个常见的并发症.
- 早期的ES (14天内) 与较差的结果和晚期ES风险增加有关.
- 识别早期ESs的危险因素对于预防至关重要.
研究的目的:
- 调查早期ES和缺血性中风风险因素之间的关联.
- 分析早期ES和中风特征之间的关系.
主要方法:
- 166名缺血性中风患者的前性队列研究.
- 收集关于中风风险因素,局部,严重程度和治疗的数据.
- 早期ES发生的14天观察期.
主要成果:
- 早期的ES发生在6.6%的参与者身上.
- 根据性别或年龄,早期ES概率没有显著差异.
- 常见的风险因素 (心房动,糖尿病,脂质失调) 并没有增加早期ES风险.
- 没有先前的动脉高血压与早期ESs的可能性更高有关 (p <0.05).
- 脑卒中局部,严重程度和治疗类型没有显著影响早期ES发生.
结论:
- 缺血性中风后的早期发作相对较少,但显著.
- 动脉高血压史可能是预防早期中风后发作的一个保护因素.
- 需要进一步的研究来阐明中风和发育之间的复杂关系.
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