| 卒中后痴呆危险因素研究 |
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| 引用本文： | 刘朝元,周华东,高长越.卒中后痴呆危险因素研究[J].重庆医学,2009,38(11). |
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| 作者姓名： | 刘朝元 周华东 高长越 |
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| 作者单位： | 1. 重庆市黔江区中心医院神经内科,409000
2. 第三军医大学第三附属医院神经内科,重庆,400042 |
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| 摘 要： | 目的 探讨卒中后痴呆发生率及其危险因素.方法 对403例脑梗死患者进行3个月随访评价,包括一般情况、血管性危险因素、卒中特性及神经病学体征,对痴呆组与非痴呆组中分类变量用χ2检验,定量变量用t检验,筛选出痴呆相关因素后进行多因素logistic回归模型分析.结果 脑梗死3个月后403例患者中发生卒中后痴呆87例,发生率为21.6%.其主要危险因素为年龄 (OR=1.179,95%CI＝1.130～1.230)、低教育水平(OR=1.806,95%CI＝1.024～3.186)、每日饮酒(OR=3.447, 95%CI=1.591～7.468)、有卒中史(OR=2.531,95%CI=1.419～4.512)、心房纤颤(OR=3.475, 95%CI=1.712～7.057)、言语障碍(OR=5.873, 95%CI=2.620～13.163)及左颈动脉梗塞(OR=1.975,95%CI=1.152～3.388)等.结论 卒中后痴呆发生率是由多种危险因素综合作用决定的,言语障碍是最重要的影响因素.
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| 关 键 词： | 痴呆 危险因素 logistic回归模型 |
Study on risk factors of post-stroke dementia |
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| LIU Chao-yuan,ZHOU Hua-dong,GAO Chang-yue.Study on risk factors of post-stroke dementia[J].Chongqing Medical Journal,2009,38(11). |
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| Authors: | LIU Chao-yuan ZHOU Hua-dong GAO Chang-yue |
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| Institution: | LIU Chao-yuan1,ZHOU Hua-dong2,GAO Chang-yue2,et al.(1.Department of Neurology,Centrol Hospital of Qianjiang District,Chongqing 409000,China,2.Department of Neurology,the Third Affiliated Hospital,Third Military Medical University,Chongqing 400042,China) |
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| Abstract: | Objective To identify the frequency and risk factors of vascular dementia.Methods A total of 403 consecutive patients with ischemic stroke were evaluated during admission and 3 months after strok in this study,the demographic data,vascular risk factors,stroke features,and neurological status information were collected,the data were compared with 2 test or t test,Logistic regression analysis was used to find the risk factors of vascular dementia.Results The frequency of vascular dementia was 21.6%,the risk f... |
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| Keywords: | dementia risk factors logistic regression |
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