患有急性和慢性缺血性中风的患者中缺血症的危险因素:一项回顾性队列研究
Lin Mao1, Juehan Wang1, Yubo Li2
1Department of Rehabilitation Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
缺血性中风后的缺血症是常见的. 较低的日常生活活动 (ADL) 评分 (<40) 可靠地预测急性和慢性中风患者的消化不良,有助于早期临床干预.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 临床研究 临床研究
背景情况:
- 缺血症是缺血性中风后的一个重要并发症.
- 它的流行率和风险因素可以在不同的中风后阶段发生变化.
研究的目的:
- 为了调查缺血性中风患者中缺血症的患病率和危险因素.
- 在急性和慢性阶段识别消化不良的预测因子.
主要方法:
- 包括399名缺血性中风患者 (急性和慢性阶段).
- 收集的人口,临床和实验室数据.
- 进行了单变量和多重逻辑回归分析.
主要成果:
- 整体消化不良的患病率为41.4% (急性:38.7%,慢性:43.7%).
- 重要因素包括肺部感染,失言症,NIHSS,ADL得分,NLR得分和平衡.
- 在所有时间窗口中,ADL得分成为消化障碍的独立预测指标.
结论:
- 较低的ADL得分 (<40) 是中风后消化不良的可靠预测指标.
- 早期识别有风险的患者可以改善临床管理.
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