前循环与后循环缺血性卒中的危险因素比较——回顾性病例系列研究

目的 探讨前循环与后循环缺血性卒中血管危险因素的差异.方法 制定统一的青岛市缺血性卒中诊治现状调查表,回顾性收集青岛市、县两级具备影像学检查设施(CT或MRI)的11家医院神经内科2008年6月至2009年2月期间连续就诊的943例急性缺血性卒中患者资料,分析前循环和后循环缺血性卒中患者的危险因素.结果 单变量分析显示...

Comparison of the risk factors for anterior circulation and posterior circulation ischenic strokea retrospective case series study

Objective To investigate the differences of the vascular risk factors for anterior circulation and posterior circulation ischemic stroke.Methods The unified diagnosis and treatment questionnaires of ischemic stroke in Qingdao city were developed.The data of 943 consecutive patients with acute ischemic stroke treated in the Departments of Neurology in 11 hospitals with imaging facilities such as computerized tornography (CT) or magnetic resonance imaging (MRI) in Qingdao city and its surrounding counties from June 2008 to February 2009 were retrospectively collected.The risk factors for anterior circulation and posterior circulation ischemic stroke were analyzed.Results Univariate analysis showed that there were significant differences in the age,sex,history of coronary heart disease,hyperlipidemia,atrial fibrillation and basdine National Institutes of Health Stroke Scale (NIHSS) score between anterior circulation and posterior circulation ischermic stroke (all P ＜0.05).Multivariate logistic regression analysis showed that the age (odds ratio OR ] 1.025,95％ confidence interval CI ] 1.009-1.042) and the baseline NIHSS score (OR 1.052,95％ CI 1.019-1.086) tended to the interior circulation ischernic stroke,whereas coronary heart disease (OR 0.512,95％ CI 0.341-0.768) and hyperlipidemia (OR 0.585,95％ CI 0.386-0.884) tended to posterior circulation ischemic stroke,and hyperlipidemia was an independent risk factors for posterior circulation ischemic stroke.Conclusions Vascular risk factors exerted different effects on anterior circulation and posterior circulation ischemic stroke.