新病因分型诊断的动脉粥样硬化性脑梗死预后相关因素分析

目的:评估新病因分型诊断的动脉粥样硬化性脑梗死预后相关因素。方法:参照2007年发表的脑梗死新病因分型标准,根据3个月随访的mRS评分,将309例动脉粥样硬化性脑梗死患者分为预后良好组和预后不良组,采用单因素分析和非条件Logistic回归对比分析20个可能影响预后的因素。结果:大动脉狭窄、NIHSS评分、卒中并发症、饮酒这四个因素与该组患者预后独立相关,其中前三者作为危险因素,饮酒为保护因素。结论:对动脉粥样硬化性脑梗死患者选择适合的血管造影检查、对病情进行量化评分和卒中并发症评估有利于预后判断,适量饮酒可能为动脉粥样硬化性脑梗死的保护因素。

Analysy the Correlation factors of the Prognosis of Atherosclerotic Cerebral Infarction Diagnosed by New Etiological Subtype Criteria

Objective To evaluate the correlation factors of the prognosis of atherosclerotic cerebral infarction diagnosed by new etiological subtype criteria.Methods According to the new etiological subtype criteria issued in 2007,309 patients with atherosclerotic cerebral infarction were selected.Patients were divided into two different groups：good outcome and poor outcome by the mRS score of follow-up at 3 month.20 factors which maybe connected with the outcome were analyzed.Univariate analysis and unconditional logistic regression analysis were adopted for statistics analysis.Results Regression analysis showed that four factors such of large arterial stenosis,NIHSS score,complication of stroke and drinking were independently connected with the prognosis of those patients.the first three factors were risk factors and the last one was protective factor.Conclusions Taking suitable angiography examination,quantitative scoring of patient＇s condition and evaluation of complication of stroke were beneficial to the estimation of prognosis for atherosclerotic cerebral infarction.Moderate drinking maybe a protective factor for atherosclerotic cerebral infarction.