进展性卒中采用CISS分型法分析其病因及危险因素

目的探讨基于CISS分型的进展性卒中与不同危险因素的相关性。方法回顾性分析2011—2014年来该院接受治疗的40例急性缺血性进展性卒中患者的临床资料,按照CISS分型法对其进行分型,观察其不同分型与不同危险因素的相关性。结果按照CISS分型法这40例病人分为3型,其中与心源性脑卒中型呈正相关的危险因素为房颤（B=1.39以及冠心病（B=2.13）,吸烟（B=1.41）;与穿支动脉疾病性脑卒中型呈正相关的危险因素为高血压（B=1.13）,血脂异常（B=1.31）,吸烟（B=1.45）;与大动脉粥样硬化型脑卒中呈正相关的危险因素为：血脂异常（B=1.29）,吸烟（B=1.43）。结论与脑卒中发生发展相关的主要危险因素为房颤、冠心病、高血压、血脂异常以及吸烟。

CISS Type Method for the Analysis of the Causes and Risk Factors of Pro-gressive Stroke

Objective To investigate the correlation between progressive stroke and different risk factors based on CISS type method. Methods The clinical data of 40 cases with acute progressive stroke treated in our hospital from 2011 to 2014 were analyzed retrospectively and classified by CISS type method for observing the correlation between different types and different risk factors. Results In accordance with CISS type method, the 40 patients were divided into 3 types. The risk factors positively correlated with cardiogenic stroke were atrial fibrillation （B=1.39）, and coronary heart disease （B= 2.13）, smoking （B = 1.41）; those positively correlated with perforator artery disease stroke were hypertension （B=1.13）, dyslipidemia（B=1.31）, smoking （B=1.45）; those positively correlated with large artery atherosclerotic stroke were dyslipidemia （B=1.29）, smoking （B=1.43）. Conclusion The main risk factors associated with the development of stroke are atrial fibrillation, coronary heart disease, hypertension, dyslipidemia, and smoking.