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特定温度模式与小动脉闭塞性缺血性卒中严重程度相关性的研究
引用本文:秦义人,郭效宁,蒋建华,王达鹏,张全全,刘美蓉,刁珊珊,李坦,赵红如,方琪. 特定温度模式与小动脉闭塞性缺血性卒中严重程度相关性的研究[J]. 中国卒中杂志, 2021, 16(1): 27-32. DOI: 10.3969/j.issn.1673-5765.2021.01.005
作者姓名:秦义人  郭效宁  蒋建华  王达鹏  张全全  刘美蓉  刁珊珊  李坦  赵红如  方琪
作者单位:苏州 215006苏州大学附属第一医院神经内科
基金项目:江苏省自然科学基金青年项目(BK20170362)国家自然科学基金青年项目(81701051)
摘    要:目的 探讨寒冷和温暖两种不同温度模式下,气温与小动脉闭塞性缺血性卒中严重程度的相关性.方法 回顾性分析2018年1-12月于苏州大学附属第一医院神经内科住院治疗的小动脉闭塞性缺血性卒中患者的临床资料,记录患者住院当日平均温度、人口学特征、卒中严重程度(NIHSS评分)等资料,评估寒冷和温暖两种不同温度模式下卒中严重程度...

关 键 词:温度模式  小动脉闭塞  缺血性卒中  独立影响因素
收稿时间:2020-08-25

Association between Temperature and Stroke Severity in Patients with Small Artery Occlusion Ischemic Stroke
QIN Yi-Ren,GUO Xiao-Ning,JIANG Jian-Hua,WANG Da-Peng,ZHANG Quan-Quan,LIU Mei-Rong,DIAO Shan-Shan LI Tan,ZHAO Hong-Ru,FANG Qi. Association between Temperature and Stroke Severity in Patients with Small Artery Occlusion Ischemic Stroke[J]. Chinese Journal of Stroke, 2021, 16(1): 27-32. DOI: 10.3969/j.issn.1673-5765.2021.01.005
Authors:QIN Yi-Ren  GUO Xiao-Ning  JIANG Jian-Hua  WANG Da-Peng  ZHANG Quan-Quan  LIU Mei-Rong  DIAO Shan-Shan LI Tan  ZHAO Hong-Ru  FANG Qi
Abstract:Objective To investigate the association of the ambient temperature and stroke severity in patients
with small artery occlusion (SAO) ischemic stroke.
Methods The clinical data of SAO ischemic stroke patients who were admitted to Department
of Neurology, the First Affiliated Hospital of Soochow University between January 2018 and
December 2018 were retrospectively analyzed. The average temperatures on the day of admission
were also recorded. The potential risk factors for stroke severity at different temperature mode (cold
and warm) in these patients were analyzed.
Results A total of 361 patients were included, with 179 cases in warm temperature and 182 cases
in cold temperature, 239 cases with minor stroke (NIHSS≤3) and 122 cases with non-minor stroke
(NIHSS>3). The cold temperature was an independent risk factor for stroke severity in SAO subtype
(OR 3.08, 95%CI 1.52-6.24, P =0.002). The heterogeneity test indicated there were interactions
between different risk factors of diabetes mellitus (adjusted OR 3.65, 95%CI 1.14-11.67, P =0.029)
and high-risk hyperlipidaemia (adjusted OR 0.24, 95%CI 0.08-0.68, P =0.008) and temperature. The
independent risk factors for stroke severity in SAO subtype at different temperature mode were also
different.
Conclusions Cold temperature was associated with stroke severity in patients with SAO stroke,
and the risk factors for stroke severity in SAO subtype at different temperature mode were also
different. So the special intervention measures should be made in such patients according to the
ambient temperature.
Keywords:Temperature mode  Small artery occlusion  Ischemic stroke  Independent risk factor  
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