短暂性脑缺血发作后30天内卒中的危险因素分析

目的通过分析短暂性脑缺血发作后30天内卒中的危险因素,为临床采取相应的预防措施提供依据。方法对2016年8月至2018年8月在开平市中心医院住院的200例TIA患者,通过观察确诊后30天内的情况,使用单因素和多因素Logistic回归分析可能导致卒中的危险因素。结果 200例TIA患者30天共内有40例(20%)进展为脑梗死,其中高血压、7天内反复TIA发作、颈动脉不稳定斑块、颈动脉狭窄是TIA后30天内卒中的独立危险因素,危险程度为:颈动脉狭窄>30天内反复TIA发作>高血压>颈动脉不稳定斑块。结论 TIA患者早期进展为卒中的高危因素有颈动脉狭窄、反复发作的TIA、高血压、不稳定斑块。

Risk Factors for Stroke Within 30 Days After Transient Ischemic Attack

Objective To analyze the risk factors of stroke within 30 days after transient ischemic attack(TIA) and to provide basis for clinical preventive measures. Methods A total of 200 TIA patients hospitalized in Kaiping Central Hospital from August 2016 to August 2018 were observed within 30 days after diagnosis. Univariate and multivariate logistic regression analysis was used to analyze the risk factors of stroke. Results There were 40 cases(20%) developed cerebral infarction within 30 days. Hypertension, recurrent TIA attacks within 7 days, carotid unstable plaques and carotid stenosis were independent risk factors for stroke within 30 days after TIA. The risk degree was: carotid stenosis > recurrent TIA attacks within 30 days > hypertension > carotid unstable plaques. Conclusion The high risk factors for TIA patients’ early progression to stroke are carotid stenosis, recurrent TIA, hypertension and unstable plaque.