急性缺血性脑卒中病人医院感染与卒中复发风险研究 |
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引用本文: | 胡富勇,芈静,潘宇芹,郭华陵,杨静,吴君仓,刘秋皖,吴竹青,群森. 急性缺血性脑卒中病人医院感染与卒中复发风险研究[J]. 蚌埠医学院学报, 2023, 48(1): 122-126. DOI: 10.13898/j.cnki.issn.1000-2200.2023.01.023 |
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作者姓名: | 胡富勇 芈静 潘宇芹 郭华陵 杨静 吴君仓 刘秋皖 吴竹青 群森 |
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作者单位: | 1.蚌埠医学院 公共卫生学院, 安徽 蚌埠 2330302.中国科学技术大学第一附属医院 神经内科, 安徽 合肥 2300013.安徽省合肥市第二人民医院 神经内科, 安徽 合肥 230032 |
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基金项目: | 安徽省重点研究与开发计划项目202004j07020014蚌埠医学院自然科学研究重点项目2020byzd042安徽省合肥市自主创新政策“借转补”项目J2019Y01安徽省高等学校自然科学研究项目KJ2018A0991 |
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摘 要: | 目的研究急性缺血性脑卒中(acute ischemic stroke, AIS)病人医院感染与脑卒中复发之间的关系。方法采用队列研究, 收集121例AIS病人基本资料, 随访收集病人卒中复发情况。Cox回归分析医院感染是否为脑卒中复发的独立危险因素。结果121例AIS病人中医院感染的发生率为19.8%(95%CI: 0.127~0.269), 卒中复发率为26.4%(95%CI: 0.185~0.343), 医院感染导致卒中复发的HR为6.485(95%CI: 2.984~14.091)。结论AIS病人医院感染可能是卒中复发的一个独立风险因素。
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关 键 词: | 医院感染 缺血性脑卒中 卒中复发 |
收稿时间: | 2021-05-20 |
Risk of nosocomial infection and stroke recurrence in patients with acute ischemic stroke |
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Affiliation: | 1.School of Public Health, Bengbu Medical College, Bengbu Anhui 2330302.Department of Neurology, The First Affiliated Hospital of University of Science and Technology of China, Hefei Anhui 2300013.Department of Neurology, The NO. 2 People's Hospital of Hefei, Hefei Anhui 230032, China |
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Abstract: | ObjectiveTo investigate the relationship between nosocomial infection and stroke recurrence in patients with acute ischemic stroke(AIS).MethodsA cohort study was used to collect medical data on 121 AIS patients, and the recurrence of stroke was collected by follow-up.Cox regression was used to analyze the association between nosocomial infection and stroke recurrence.ResultsIn 121 patients, the prevalence of nosocomial infection was 19.8%(95%CI: 0.127-0.269), the incidence of stroke recovery was 26.4%(95%CI: 0.185-0.343), and the HR of stroke recurrence caused by nosocomial infection was 6.485(95%CI: 2.984-14.091).ConclusionsNosocomial infection in AIS patients may be an independent risk factor for stroke recurrence. |
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