功能性发作患者的高血压和其他血管风险因素
1Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, United States.
Epilepsy & behavior : E&B
|January 26, 2024
概括
与患者相比,有功能性的患者表现出较高的血管疾病风险因素,如高血压,高脂血症和肥胖症. 这些发现突出了功能性发作和心血管并发症之间的潜在联系.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
背景情况:
- 最近的文献表明,功能性发作与血管疾病风险增加之间存在联系.
- 了解功能性发作患者血管风险因素的患病率对于全面的患者护理至关重要.
研究的目的:
- 为了调查入院监测单元的患者血管疾病风险因素的患病率.
- 为了比较被诊断患有功能性发作和患有的患者之间的血管风险因素概况.
主要方法:
- 从监测单元中确定了一组被诊断为功能性发作或的患者队列.
- 收集了人口统计,临床,并发症和药物数据.
- 计算了平均血压,并与既定指南 (130/80 mm Hg) 进行了比较. 使用后勤回归分析来评估诊断和血管风险因素之间的关联,控制共变量.
主要成果:
- 功能性发作患者 (123) 与患者 (147) (38.78%;p=0.0022) 相比,高血压或升高的平均血压 (57.72%) 的患病率显著更高.
- 与相比,功能性独立地与高血压 (OR:2.47),高脂血症 (OR:3.38) 和肥胖 (OR:4.25) 的更高几率有关.
- 两组之间糖尿病或目前的烟草使用率没有显著差异.
结论:
- 被诊断为功能性发作的患者中,关键血管风险因素的患病率更高.
- 这些高风险因素可能会导致功能性患者观察到的血管并发症.
- 这些发现对了解功能性发作的病理生理学和管理有意义.
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